ABSTRACT
OBJECTIVES: To determine to what extent RNs in an acute care multihospital system used research findings in their practice; what types of knowledge they used in their practice; and what personal, professional, and organizational factors enhanced or hindered their research utilization. METHODS: A cross-sectional, descriptive, online survey design was used. The survey, which asked about use of research findings in practice and evidence-based practice (EBP) participation, was placed on the hospital system intranet. Of the 2,900 RNs invited to participate, 1,112 nurses completed usable surveys, for a response rate of 38%. This article reports findings for 794 of the staff nurses who responded to the survey. RESULTS: The forms of knowledge that staff nurses reported relying on most were their personal experience with patients, conferences, hospital policies and procedures, physician colleagues, and nursing peers. Although a variety of resources were available for nurses to use in locating research and implementing EBP, respondents reported many of the same barriers that have been reported in other studies over the last two decades: lack of time, lack of resources, and lack of knowledge. Although their attitudes about research utilization and EBP were positive overall, respondents expected unit-based educators and clinical nurse specialists to collect and synthesize the research for them. CONCLUSIONS: These findings are similar to those of other recent studies regarding nurses' research utilization and EBP. A great deal of work remains to be done if we are to inform, educate, and assist staff nurses in using research and implementing EBP. It may be unrealistic to expect bedside nurses to add these activities to their duties unless they are compensated for the time and have the support of master's or doctorally prepared nurses to serve as EBP coaches and champions.
Subject(s)
Evidence-Based Nursing , Health Knowledge, Attitudes, Practice , Nursing Care/trends , Nursing Research , Nursing Staff, Hospital/psychology , Adult , Cross-Sectional Studies , Female , Humans , Male , Nursing Care/psychology , Surveys and Questionnaires , TexasSubject(s)
Decision Support Systems, Management , Leadership , Nursing Services/organization & administration , Delivery of Health Care, Integrated/organization & administration , Disease Management , Humans , Nurse Administrators , Nursing Service, Hospital/organization & administration , Outcome and Process Assessment, Health Care/statistics & numerical data , Systems Integration , United StatesSubject(s)
Benchmarking , Leadership , Nurse Administrators/standards , Nursing Service, Hospital/organization & administration , Efficiency, Organizational , Hospital Information Systems , Humans , Interprofessional Relations , Job Satisfaction , Nursing Administration Research , Nursing Service, Hospital/standards , Organizational Innovation , Personnel Staffing and Scheduling , Point-of-Care Systems , Professional Autonomy , Quality Indicators, Health Care , Staff Development , United StatesSubject(s)
Ambulatory Care/organization & administration , Continuity of Patient Care/organization & administration , Hospitalization , Medical Informatics Applications , Health Services Accessibility/organization & administration , Humans , Remote Consultation/organization & administration , Rural Health Services/organization & administration , WashingtonSubject(s)
Hospital Information Systems/organization & administration , Medical Records Systems, Computerized/organization & administration , Nurse Administrators/organization & administration , Computer User Training , Decision Making, Organizational , Education, Nursing, Continuing , Humans , Inservice Training , Leadership , Nurse's Role , Nursing Records , Nursing Staff, Hospital/education , Nursing Staff, Hospital/organization & administration , Nursing Staff, Hospital/psychology , Organizational Innovation , Point-of-Care Systems/organization & administrationABSTRACT
As members of organizational committees to evaluate and select clinical information systems, nurse executives must identify a system that not only has the core functionality to support necessary changes in workflow and optimize nurse productivity and patient safety but that also is embraced by the nursing staff. There are specific features that nurse executives must demand to help nurses at the bedside reap the greatest benefit from the technology.
Subject(s)
Information Systems/organization & administration , Interpersonal Relations , Nurse Administrators/organization & administration , Nursing Care , Decision Making , Evaluation Studies as Topic , Humans , Patient Care Team/organization & administrationABSTRACT
Clinical information systems are proven to enhance workflow and outcomes, and yet hospitals often face staff resistance when systems are installed. This roundtable discussion explores how nurses and physicians can collaborate on developing IT systems.