Worldviews on evidence-based nursing
-
Worldviews Evid Based Nurs · Apr 2012
Multicenter StudyEffect of online journal club on evidence-based practice knowledge, intent, and utilization in school nurses.
In the United States, an estimated 73,697 school nurses provide leadership in the provision of health care in the school setting. School nurses face challenges, such as providing quality health care in an educational setting and working in isolation. Journal clubs are one strategy to help incorporate evidence into practice. ⋯ A school nurse online journal club is one strategy to bring evidence to practitioners. Technology exists for nurses experiencing practice isolation to connect through online avenues. Nursing researchers, educators, and administrators seeking to disseminate research to school nurses or other clinical specialties could replicate or expand this project. Expanding online journal clubs would allow busy clinicians to connect with colleagues and researchers to integrate evidence into practice.
-
Worldviews Evid Based Nurs · Sep 2011
Multicenter StudyKnowledge and attitudes of nurses on pressure ulcer prevention: a cross-sectional multicenter study in Belgian hospitals.
Evidence-based guidelines for pressure ulcer prevention have been developed and promoted by authoritative organizations. However, nonadherence to these guidelines is frequently reported. Negative attitudes and lack of knowledge may act as barriers to using guidelines in clinical practice. ⋯ Knowledge of nurses in Belgian hospitals about the prevention of pressure ulcers is inadequate. The attitudes of nurses toward pressure ulcers are significantly correlated with the application of adequate prevention. No correlation was found between knowledge and the application of adequate prevention.
-
Worldviews Evid Based Nurs · Jan 2008
Multicenter Study Clinical TrialEffectiveness of a computer-based educational program on nurses' knowledge, attitude, and skill level related to evidence-based practice.
To conduct a baseline assessment of nurses' perceptions of knowledge, attitude, and skill level related to evidence-based practice (EBP) and research utilisation; determine the level of organisational readiness for implementing EBP and research; and examine the effectiveness of a computer-based educational program on nurses' perceptions of knowledge, attitude, and skill level related to EBP and research utilisation. ⋯ Nurses in clinical settings need to be able to use research findings and incorporate EBP into their nursing practice to promote positive patient outcomes. Appropriate organisational infrastructures are essential for promoting EBP and research utilisation in clinical settings. Diverse and effective methods are essential in educating and engaging nurses in EBP and research utilisation. Computer-based education is an effective approach that can be used by nursing leaders in health care organisations to educate and engage nurses in EBP initiatives and research utilisation.
-
Worldviews Evid Based Nurs · Jan 2008
Multicenter StudyRegistered nurses' adherence to clinical guidelines regarding peripheral venous catheters: a structured observational study.
Peripheral catheterization is a common procedure, which affects numerous patients in health care today. Having peripheral venous catheters in situ might lead to complications such as thrombophlebitis and sepsis, and clinical guidelines have been developed to assist nurses in their decision-making. Several reasons are given for clinicians not always adhering to clinical guidelines, although such adherence might lead to fewer complications. ⋯ Nurses partly adhered to clinical guidelines. Differences in guideline adherence were observed for wards with local or national guidelines, as well as for wards with different specialities. In accordance with clinical guidelines, the nurses seemed to replace or remove peripheral venous catheters before any severe complications arose. IMPLICATIONS FOR PRACTICE, RESEARCH, AND MANAGEMENT: Adherence to clinical guidelines has an impact for preventing patient complications and thus it is essential that nurses are aware of their existence. Feedback and discussions of guideline adherence or of complication rates might influence nurses' clinical decision-making.
-
Worldviews Evid Based Nurs · Jan 2007
Multicenter StudyIncontinence: assessment, diagnosis, and management in two rehabilitation units for older people.
Incontinence of both bladder and bowel is a major health care problem and adversely affects the lives of many people living at home or in health service facilities. The prevalence and severity of incontinence is a global concern that has, in recent years, prompted investigation across several countries. Current approaches to continence care indicate an emphasis on safety and reduction of risk, rather than on detailed individualised assessment and management. ⋯ Because incontinence remains an issue for older people and the clinical implications of sustained incontinence are multifaceted, strategies should focus on the development of practice towards evidence-based multidisciplinary approaches to continence promotion and management.