| Autor: |
Janice M. Yates, Gwenyth R. Wallen, Ellen Fineout-Overholt, Bernadette Mazurek Melnyk, Clare Hastings, Claiborne Miller-Davis, Sandra A. Mitchell |
| Rok vydání: |
2010 |
| Předmět: |
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| Zdroj: |
Journal of Advanced Nursing. 66:2761-2771 |
| ISSN: |
0309-2402 |
| DOI: |
10.1111/j.1365-2648.2010.05442.x |
| Popis: |
Aim. This paper is a report of the effectiveness of a structured multifaceted mentorship programme designed to implement evidence-based practice in a clinical research intensive environment. Background. Barriers to implementing evidence-based practice are welldocumented in the literature. Evidence-based practice is associated with higher quality care and better patient outcomes than care that is steeped in tradition. However, the integration of evidence-based practice implementation into daily clinical practice remains inconsistent, and the chasm between research and bedside practice remains substantial. Methods. This quasi-experimental mixed methods study included three focused discussions with nursing leadership and shared governance staff as well as pre(N = 159) and post-intervention (N = 99) questionnaires administered between June 2006 and February 2007. Online questionnaires included measures of organizational readiness, evidence-based practice beliefs, evidence-based practice implementation, job satisfaction, group cohesion and intent to leave nursing and the current job. Results. Participants in the evidence-based practice mentorship programme had a larger increase in perceived organizational culture and readiness for evidence-based practice and in evidence-based practice belief scores than those who did not participate. Qualitative findings suggested that leadership support of a culture for evidence-based practice and the dedication of resources for sustainability of the initiative needed to be a priority for engaging staff at all levels. Conclusion. These findings corroborate other studies showing that nurses’ beliefs about evidence-based practice are significantly correlated with evidence-based practice implementation and that having a mentor leads to stronger beliefs and greater implementation by nurses as well as greater group cohesion, which is a potent predictor of nursing turnover rates. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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