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Micham_Dissertation.pdf (795.53 KB)

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Investigating Need for Cognition and Reflective Thinking with Evidence-Based Practice Beliefs and Implementation Practices among Nurses.

Micham, Jennifer
http://rave.ohiolink.edu/etdc/view?acc_num=toledo1638992252847224

Abstract Details

2021, Doctor of Philosophy, University of Toledo, Educational Psychology.
Evidence-based practice (EBP) is the integration of the latest scientific evidence with clinician expertise while considering patient values and preferences. It is a complex, problem-solving approach proven to improve patient quality and outcomes. The importance of EBP in healthcare is expressed by the Institute of Medicine’s goal of establishing that 90% of all clinical decisions be based on current scientific evidence. Despite this, there remains a research to clinical practice gap. Factors contributing to this gap need to be further explored. This study examined cognitive factors related to evidence-based implementation practices. The goal was to investigate potential relationships between need for cognition, reflective thinking, and EBP beliefs with EBP implementation. Understanding metacognition as it relates to evidence-based implementation practices may offer insight into practice adoption as well as fill a gap in the literature. A 53-item survey was compiled using scales to measure need for cognition, reflective thinking, EBP beliefs and EBP implementation practices. The survey was disseminated electronically to approximately 5200 acute care registered nurses in a Midwestern healthcare organization. One hundred thirteen nurses initially responded with 75 nurses completing the survey in its entirety. Descriptive statistics and Pearson bivariate correlation were used to analyze the data. The results showed a weak, positive correlation between EBP beliefs and EBP implementation. There was no relationship found between need for cognition and reflective thinking with EBP implementation. Further studies are needed to identify cognitive factors that promote EBP implementation
Vicki Dagostino-Kalniz (Advisor)
134 p.
Educational Psychology; Health Care; Nursing
Evidence-based practice, educational psychology, nursing cognition, reflective thinking, critical thinking, need for cognition

Recommended Citations

Citations

  • Micham, J. (2021). Investigating Need for Cognition and Reflective Thinking with Evidence-Based Practice Beliefs and Implementation Practices among Nurses. [Doctoral dissertation, University of Toledo]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1638992252847224

    APA Style (7th edition)

  • Micham, Jennifer. Investigating Need for Cognition and Reflective Thinking with Evidence-Based Practice Beliefs and Implementation Practices among Nurses. 2021. University of Toledo, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=toledo1638992252847224.

    MLA Style (8th edition)

  • Micham, Jennifer. "Investigating Need for Cognition and Reflective Thinking with Evidence-Based Practice Beliefs and Implementation Practices among Nurses." Doctoral dissertation, University of Toledo, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1638992252847224

    Chicago Manual of Style (17th edition)

toledo1638992252847224
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© 2021, all rights reserved.
This open access ETD is published by University of Toledo and OhioLINK.