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Registered nurses' application of evidence based practice: a national survey
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-3964-196X
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing. Karolinska Institutet.
2009 (English)In: Journal of Evaluation In Clinical Practice, ISSN 1356-1294, E-ISSN 1365-2753, Vol. 15, no 6, p. 1159-1163Article in journal (Refereed) Published
Abstract [en]

Background. Evidence-based practice (EBP) is a worldwide approach to improving health care. There is, however, a shortage of studies examining whether or not newly graduated health care professionals are actually applying EBP in their daily work.

Objectives. To examine the application of EBP in clinical practice by registered nurses (RNs) 2 years post graduation and to explore whether the application of EBP differed with regard to the clinical settings where RNs were working.

Method. A cross-sectional design using a national sample. Data were collected in 2007 from 987 RNs (response rate 76%). Six items measuring respondents' self-reported extent of applying EBP were used.

Results. Of the 987 RNs, 19% formulated questions and performed searches in data bases, 56% used other information sources, 31% appraised the literature, 30% participated in practice development and 34% participated in evaluating clinical practice. A greater proportion of the RNs working in elder care applied EBP compared with the RNs working in hospitals, psychiatric care and primary care.

Conclusions. The RNs applied the components of EBP to a rather low extent 2 years post graduation despite EBP being an important objective in Swedish health care and educational programmes since the 1990s. These findings support other studies reporting the implementation of EBP in organizations as a complex and often slow process. The differences in the RNs extent of applying EBP in relation to their workplace indicate that contextual factors and the role of the RN in the organization are of importance for getting EBP into practice.

Place, publisher, year, edition, pages
Wiley - Blackwell , 2009. Vol. 15, no 6, p. 1159-1163
Keywords [en]
contextual factor, evidence-based practice, registered nurse, survey
National Category
Nursing
Research subject
Hälsa och välfärd, Sjuksköterskors forskningsanvändning och dess samband med utbildnings-, individ- och arbetsorganisatoriska faktorer.
Identifiers
URN: urn:nbn:se:du-4190DOI: 10.1111/j.1365-2753.2009.01316.xISI: 000273067800042PubMedID: 20367720OAI: oai:dalea.du.se:4190DiVA, id: diva2:520097
Available from: 2009-09-03 Created: 2009-09-03 Last updated: 2017-12-07Bibliographically approved

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Ehrenberg, Anna

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