Evidence-based practice competency, EBP beliefs and research utilization among Ghanaian nurses: A mediation analysis

PURPOSE@#The disparity between conducting research and putting it into practice has remains a global healthcare issue, with less than 50% of nurses utilizing research. This study aims to determine the level and relationship between Evidence-based practice (EBP) competency, current EBP beliefs and research utilization among nurses.@*DESIGN AND METHOD@#This quantitative study utilized a descriptive-correlational design and mediation analysis. A purposive sampling was used to select six Christian Health Association of Ghana (CHAG) hospitals. Simple random sampling was used to recruit 544 nurses from the six CHAG hospitals. The study utilized mean and standard deviation, Pearson Correlation, ANOVA, and GLS mediation analysis. The researcher obtained ethical approval from the Saint Louis University Research Ethics committee and, the institutional review board of the CHAG.@*FINDINGS@#The results showed that nurses had a low level of EBP competency (M=2.27, SD= 0.255), strong positive EBP beliefs (M=2.58, SD=0.322) and low research utilization (M=2.57, SD=0.300). There was a moderately significant positive relationship between EBP competency and research utilization (r= .431, p= .000), EBP competency and EBP beliefs (r= .327, p= .000) and EBP beliefs and research utilization (r= .306, p= .000). There is no significant difference in terms of EBP competency and research utilization when EBP training attendance was considered. Nurses with 1-2 years of experience had a higher level of EBP competency. Theatre nurses had a higher level of EBP competency, however, emergency nurses had a lower level of research utilization than nurses in the surgical unit. EBP beliefs mediated the relationship (B= 0.0604, z= 3.99, p < .001) between EBP competency and research utilization.@*CONCLUSIONS@#Nurses in CHAG hospitals have a limited ability to implement the EBP process. The respondent perceived the value of EBP in nursing practice to be significant and has the confidence to implement the EBP process. The nurses' respondents use of research in nursing practice is limited due to the organizational barriers in CHAG institutions in Ghana. Based on the findings, it is recommended for nurse administrators and policy makers to prioritize the provision of adequate resources, support, EBP policies and targeted training programs to facilitate a culture of evidence-based practice and research utilization in CHAG institutions. By improving EBP competency and promoting research utilization, nurses can enhance the quality and safety of patient care.

Self-efficacy of Filipino physicians towards research and research utilization: A single-center quantitative descriptive survey

@#<p style="text-align: justify;"><strong>Research Question:</strong> What is the current status of self-efficacy beliefs towards research and research utilization (RU) of University of Santo Tomas Faculty of Medicine and Surgery (UST-FMS) graduates who had Clinical Epidemiology in their basic medical education curriculum?</p><p style="text-align: justify;"><strong>Significance of the Study:</strong> There is an increase in research and RU trends globally as adherence to practice based on evidence results in improved patient outcomes. Limited studies are available in describing research and RU of Filipino physicians and there is no study available specific for UST-FMS graduates.</p><p style="text-align: justify;"><strong>Objectives:</strong> The study aims to describe self-efficacy beliefs towards research and RU of UST-FMS graduates' batches 2012-2016 who had Clinical Epidemiology in their basic medical education.</p><p style="text-align: justify;"><strong>Study Design:</strong> A single-center, quantitative descriptive survey design was used.</p><p style="text-align: justify;"><strong>Methodology:</strong> Participants were graduates of UST-FMS batches 2012-2016, currently working at the University of Santo Tomas Hospital. Evidence-based Practice Confidence Scale (EPIC scale) and Edmonton Research Orientation Survey (EROS) were used to assess the research and RU of the participants gathered through snowball sampling.</p><p style="text-align: justify;"><strong>Statistical Analysis:</strong> Descriptive statistics such as means and standard deviations were used to analyze the EPIC and EROS scores.</p><p style="text-align: justify;"><strong>Results:</strong> The UST-FMS graduates value research and are generally confident in their ability to participate in evidence-based medicine. However, they rarely conduct research and have a low understanding of statistics.</p><p style="text-align: justify;"><strong>Conclusion:</strong> The self-efficacy beliefs of USTFMS graduates towards research and RU may be attributed to several factors. Clinical epidemiology as a subject may be improved by adding more lectures on statistics while hospitals should create avenues to support the conduct of research.</p>

Processos e desafios da interação entre pesquisa e política na perspectiva dos pesquisadores / Processes and challenges of the interaction betweeen research and policy from the perspective of researchers

Resumo As políticas informadas por evidências podem produzir impactos sociais e econômicos e benefícios na equidade e na saúde. A interação dos pesquisadores na política depende de interesses dos atores sociais e de ambientes políticos favoráveis. Este artigo busca compreender os significados e as perspectivas de pesquisadores sobre os processos de interação entre cientistas e tomadores de decisão que influenciam o impacto da pesquisa na política de saúde. Trata-se de estudo qualitativo, realizado em 2014, de análise de conteúdo para identificar os núcleos de sentido e as relações entre a pesquisa e a política. Baseou-se na abordagem do programa RAPID da Overseas Development Institute. Foram entrevistados 14 pesquisadores de projetos sobre morbimortalidade materna e neonatal financiados pelo Ministério da Saúde. Os pesquisadores orientaram-se para a produção de conhecimentos, o fortalecimento de capacidades de pesquisa e a divulgação dos resultados. Participaram, em algumas ocasiões, da definição de políticas de cuidado clínico e desempenho dos serviços de saúde. Apontaram barreiras para interatuar e produzir impactos na política devido às tensões do contexto político, econômico e social, às mudanças institucionais e organizacionais no setor saúde, e ao sistema de avaliação acadêmica.

Abstract Evidence-informed policies can produce social and economic impacts and equity and health benefits. Interaction between researchers in politics depends on the interests of social stakeholders and favorable political environments. This paper seeks to understand the meanings and researchers' perspectives of interaction processes between scientists and decision-makers that would influence the research impact on the health policy. This is a qualitative content analysis study conducted in 2014 to identify the core meanings and relationships between research and politics. The paper builds on the RAPID program approach of the Overseas Development Institute. Fourteen researchers who conducted maternal and neonatal morbidity and mortality studies sponsored by the Health Ministry were interviewed. Researchers focused on the production of knowledge, strengthening of research capacities and dissemination of results. On some occasions, researchers also participated in the definition of clinical care policies and performance of health services. They pointed to barriers to interact and produce an impact on politics due to tensions in the political, economic and social context, as well as to institutional and organizational changes in the health sector and to the academic evaluation system.

The future of nursing science: Consilience in evidence-based practice

@#<p style="text-align: justify;">Nursing science needs to adopt a paradigm that can be used to apply its knowledge. Notably, how nursing science is applied in nursing practice or education remains confusing. This article aims to discuss the pros and cons of the two ways to implement nursing science, that is, evidence-based practice (including translational research and research utilization) and intuitive nursing. Also, I differentiated evidence-based practice (EBP), translational research (TR), and research utilization (RU). I argued that EBP as the paradigm of choice will be the optimal strategy for the future of nursing science. Adopting EBP improves patient, organizational, and staffing outcomes. While basing clinical decisions on intuition alone may imperil patient's safety due to multiple cognitive biases inherent in our intellectual devices. Combining EBP, TR, RU, and intuitive nursing resulted in a model Consilience in Evidence-based Practice. Implications of the model for nursing practice, education, and research were also discussed.</p>

Undergraduate Nursing Students' Research Activities and Utilization: A Turkish Sample / Actividades investigativas y la utilización de los resultados de la investigación por estudiantes de enfermería a nivel pregrado: una muestra de Turquía / Atividades investigativas e a utilização dos resultados da pesquisa por estudantes de enfermagem na graduação: uma amostra da Turquia

Objective: The aim of this study was determine undergraduate nursing students' research activities and utilization. Method: A descriptive design was used in the study. This study conducted with undergraduate nursing students at the two universities in Turkey during the spring term of 2012. The population consisted of 216 participants. The data were collected through a questionnaire developed by the author based on literature. The Percentage, Chi-square and Fisher's exact tests were used to evaluate the collected data. Results: Approximately half of the students (49,5%) knew how to reach scientific publications but none of the students followed or read scientific publications. Only a few students (4,2%) had participated in a scientific research activity. It was found that 87,0% of the students did not utilize the research findings in clinical practice. Of 216 students, 34,4% did not know how to utilize the research findings. Conclusions: The majority of the students did not utilize the research findings in clinical practice. Insufficient knowledge about research utilization was the most prominent reason for not utilizing research findings by students. It is suggested that students should be encouraged and supported to utilize research findings and conduct research.

Objetivo: el objetivo de este estudio fue determinar las actividades de investigación y la utilización de los resultados de la investigación por parte los estudiantes de enfermería de pregrado. Método: un diseño descriptivo fue utilizado en el estudio que se desarrolló con estudiantes de pregrado de enfermería en dos universidades en Turquía durante el semestre de primavera de 2012. La población estuvo conformada por 216 participantes. Los datos fueron recolectados a través de un cuestionario elaborado por el autor en base a la literatura. Las pruebas de porcentaje, chi-cuadrado y la prueba exacta de Fisher fueron utilizados para evaluar los datos recogidos. Resultados: aproximadamente la mitad de los estudiantes (49,5%) sabían cómo acceder a las publicaciones científicas, pero ninguno de los estudiantes siguen o leen publicaciones científicas. Solo unos pocos estudiantes (4,2%) habían participado en una actividad de investigación científica. Se encontró que el 87,0% de los estudiantes no utilizan los resultados de la investigación en la práctica clínica. De 216 estudiantes, el 34,4% no sabe cómo utilizar los resultados de la investigación científica. Conclusiones: la mayoría de los estudiantes no utilizan los resultados de la investigación en la práctica clínica. Falta de conocimiento sobre el uso de la investigación fue la razón más importante para que los estudiantes no utilizaran los resultados de la investigación. Se sugiere que los estudiantes deben ser alentados y apoyados para utilizar los resultados de investigación y realizar investigaciones.

Objetivo: determinar as atividades de pesquisa e a utilização dos resultados da pesquisa por parte dos estudantes de enfermagem de graduação. Método: foi utilizado um desenho descritivo no estudo que se desenvolveu com estudantes de graduação de enfermagem nas duas universidades na Turquia durante o semestre de primavera de 2012. A população esteve conformada por 216 participantes. Os dados foram coletados por meio de um questionário elaborado pelo autor com base na literatura. As provas de porcentagem, chi-quadrado e a prova exata de Fisher foram utilizados para avaliar os dados coletados. Resultados: aproximadamente a metade dos estudantes (49,5%) sabia como aceder às publicações científicas, mas nenhum dos estudantes segue ou lê publicações científicas. Somente uns poucos estudantes (4,2%) participaram de uma atividade de pesquisa científica. Constatou-se que 87% dos estudantes não utilizam os resultados da pesquisa na prática clínica. De 216 estudantes, 34,4% não sabem como utilizar os resultados da pesquisa científica na prática clínica. Conclusão: falta de conhecimento sobre a utilização da pesquisa foi a razão mais importante para que os estudantes não utilizassem os resultados da pesquisa. Sugere-se que os estudantes sejam motivados a utilizar os resultados de pesquisa, bem como a realizá-la.

Investigation and analysis of status of research and research utilization in practice among nurses of hospital of Traditional Chinese Medicine / 中国实用护理杂志

Objective To investigate the status of research and research utilization in practice among nurses of hospital of Traditional Chinese Medicine.Methods Two hundred and sixty nurses of hospital of Traditional Chinese Medicine were selected to fill out the questionnaire.Results The rates of involvement of research activities and research utilization among nurses of hospital of Traditional Chinese Medicine were low.The score of every factor ranged from the higher to the lower were communication,organization,research and nurse.Conclusions Involvements of research activities and research utilization among nurses of hospital of Traditional Chinese Medicine are insufficient.Most factors associated with nurses' low extent of research utilization are objective factors.It is pivotal for nursing managers to construct supportive professional environment,improve nurses' research and information skills and the capacity of the research utilization.

Nurses' Perception of Barriers to Research Utilization / 간호학회지

The present study is a descriptive study to investigate nurses'perception of barriers to research utilization. A total of 274 participants in this study consisted of registered nurses working in a large, urban and academic medical center. A questionnaire packet containing the Barriers Scale, and a demographic profile was distributed to nurses and they were asked to return the packet to a return-box in the Nursing Office after completion. The greatest barrier was insufficient time on the job to implement new ideas. Next was `implications for practice are not made clear'. Also the item of the English language in research articles was considered to be the ninth barrier. The greatest mean score of each of the sub-scales was the communication factor. The were followed by the organization, research, and nurse factors. Compared with the means from other studies, the mean scores of the communication and research factors were higher in this study. Nurses who had not taken a class of research methods found the communication and research factors as a higher barrier than those who did. Also, nurses who did not participate in a conference last year perceived the research factor as higher than those who did. It is recommended that English and research classes should be strengthened in educational nursing programs. The researchers should also describe the section of implication for practice as more detail and clearer for the understanding of nurses; Lastly journals in a libraries or online journal systems should be easily accessible.