Doctor of Nursing Practice , Case Western Reserve University, 2023, School of Nursing
Problem: Evidence-based practice (EBP) attributes are significantly associated with EBP implementation science, which improve patient care outcomes. Nurses influence EBP, yet little is known of the specific EBP attributes of pediatric nurses in their clinical sub-specialties.
Aim: To investigate the relationship between nursing academic degree, years of experience, and clinical specialty, with mean survey scores on EBP belief, organizational culture, and implementation scales, across all levels of nursing in a Children's Hospital.
Methods: A convenience sample of nurses (n=185), participated in a descriptive, cross-sectional, correlational study in May 2023. The electronic surveys comprised 11 demographic questions and nine survey items from the short-version EBP Beliefs Scale (Cronbach α = 0.81), Organizational Culture and Readiness Scale for System-wide Integration Scale (Cronbach α = 0.87); and EBP Implementation Scale (Cronbach α = 0.89).
Findings: EBP belief scores were notably higher in nurses working in neonatology (m=4.33); critical care (m=4.47), and among nurse leaders (m=4.50). There was a statistically significant difference in EBP organizational culture among nurse leaders (m = 3.95, p=0.039), compared to clinical nurses (m = 3.34), and advanced practice nurses (m = 3.34). EBP implementation was favorable in neonatology (m=4.20), acute care (m=4.05), and nurse leaders (m=4.33). No significant difference or correlation was found in EBP belief, organizational culture, or implementation mean scores related to nurses' age, academic nursing degree, or years of experience in our cohort (EBP beliefs (r = -.06, p = .400), organizational readiness (r = .02, p = .770), and implementation scales (r = .01, p = .867).
Conclusions: This study identified nurse's EBP attributes in a Children's Hospital using key variables studied with EBP social cognitive and learning theory. Magnet status, shared governance structure, specialty certification, and nurse l (open full item for complete abstract)
Committee: Joyce Fitzpatrick (Advisor); Schreiner Nathaniel (Committee Member); Reynaldo Rivera (Committee Member)
Subjects: Health Care; Management; Nursing