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Implementation of Evidence Based Nursing Education into Nursing Management Clinical Practicum: Outcome Evaluation and Diffusion Strategies

간호관리학 실습에서의 근거기반간호 교육 적용: 결과평가와 확산 전략

  • Received : 2012.11.12
  • Accepted : 2013.01.13
  • Published : 2013.01.31

Abstract

Purpose: This practice study was done to describe the process and outcomes of application of Evidence Based Nursing (EBN) Education to nursing management clinical practicum and suggest strategies to diffuse EBN into nursing management education. Methods: Education on the evidence based nursing management process was provided to 65 senior nursing students from a university. Nursing management clinical practicum integrated with EBN. The setting was a five full day-clinical practicum. Group and individual training on EBN process with lectures, small group discussions, conferences, and educational prescription were provided. Outcomes were analyzed using paired t test for 65 participants. Results: Evidence based nursing competency increased significantly showing improvement in understanding EBN, formulating clinical question, searching & classifying the evidence, recognizing level of evidence, considering patient preference, and evaluating outcomes. Nursing students' access and use of evidence based information resource also improved. Conclusion: The results of this study indicate that the application of EBN to nursing management clinical practicum is effective to improve EBN competency in undergraduate students and should be further applied in nursing education using the systematic strategies.

Keywords

References

  1. American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved November 1, 2012, from http://www.aacn.nche.edu/publications/ position/DNPEssentials.pdf
  2. Aronson, B. S., Rebeschi, L. M., & Killion, S. W. (2007). Enhancing evidence bases for interventions in a baccalaureate program. Nursing Education Perspectives, 28, 257-262.
  3. Association of American Medical Colleges. (2007). Advancing educators and education: Defining the components and evidence of educational scholarship. Retrieved November 3, 2012, from https://members.aamc.org/eweb/upload/Advancing%20Educators %20and%20Education.pdf
  4. Boruff, J. T., & Thomas, A. (2011). Integrating evidence-based practice and information literacy skills in teaching physical and occupational therapy students. Health Information and Libraries Journal, 28, 264-272. http://dx.doi.org/10.1111/j.1471-1842.2011.00953.x
  5. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
  6. Cronenwett, L., Sherwood, G., Barnsteiner, J., Disch, J., Johnson, J., Mitchell, P., et al. (2007). Quality and safety education for nurses. Nursing Outlook, 55, 122-131. http://dx.doi.org/10.1016/j.outlook.2007.02.006
  7. Dawley, K., Bloch, J. R., Suplee, P. D., McKeever, A., & Scherzer, G. (2011). Using a pedagogical approach to integrate evidence-based teaching in an undergraduate women's health course. Worldviews on Evidence-Based Nursing, 8, 116-123. http://dx.doi.org/10.1111/j.1741-6787.2010.00210.x
  8. De Cordova, P. B., Collins, S., Peppard, L., Currie, L. M., Hughes, R., Walsh, M., et al. (2008). Implementing evidence-based nursing with student nurses and clinicians: Uniting the strengths. Applied Nursing Research, 21, 242-245. https://doi.org/10.1016/j.apnr.2008.06.008
  9. Fetter, M. S. (2009). Curriculum strategies to improve baccalaureate nursing information technology outcomes. Journal of Nursing Education, 48(2), 78-85. http://dx.doi.org/ 10.3928/01484834-20090201-06
  10. Fineout-Overholt, E., & Johnston, L. (2005). Teaching EBP: Asking searchable, answerable clinical questions. Worldviews on Evidence Based Nursing, 2, 157-160. http://dx.doi.org/10.1111/j.1741-6787.2005.00032.x
  11. Greiner, A.C., & Knebel, E. (Eds). (2003). Health professions education: A bridge to quality. Washington D.C.: National Academies Press.
  12. Jang, K. S., Kim, N. Y., Ryu, S. A., Kim, Y. M., & Chung, K. H. (2007). Effects of collaborative learning on problem-solving processes according to the level of metacognition in clinical practice of nursing management. Journal of Korean Academy of Nursing Administration, 13, 191-198.
  13. Jones, S. C., Crookes P. A., & Johnson, K. M. (2011). Teaching critical appraisal skills for nursing research. Nurse Education in Practice, 11, 327-332. http://dx.doi.org/10.1016/j.nepr.2011.03.002
  14. McDaniel, J., Drew, T., Gueldenzopf, S., Yang, M. Z., Davids, K., & Moch, S. D. (2002). Trying to promote EBP in your school of nursing? Don't overlook non-nursing students! Reflections on Nursing leadership, 28, 8-9.
  15. Melnyk, B. M., & Fineout-Overholt, E. (2011). Evidence-based practice in nursing and healthcare: A guide to best practice. Philadelphia: Lippincott Williams and Wilkins.
  16. Moch. S. D., & Cronje, R. J. (2007). New knowledge discussion groups: Counteracting the common barriers to evidence-based practice. Worldviews on Evidence-Based Nursing, 4, 112-115. http://dx.doi.org/10.1111/j.1741-6787.2007.00091.x
  17. Moch. S. D., Cronje, R. J., & Branson, J. (2010). Part 1. Undergraduate nursing evidence-based practice education: envisioning the role of students. Journal of Professional Nursing, 26(1), 5-13. http://dx.doi.org/10.1016/j.profnurs.2009.01.015
  18. Morrow-Howell, N., & Noelker, L. S. (2006). Raising the bar to enhance the research-practice link. The Gerontologist, 46(3), 315-316. https://doi.org/10.1093/geront/46.3.315
  19. National Evidence-based Healthcare Collaborating Agency. (2012). Vision and mission. Retrieved November 8, 2012, from http://www.neca.re.kr/intro/vision.jsp
  20. Navedo, D. D. (2006). A descriptive study of nursing judgment in senior nursing students: And the relationship with reflective judgment. Unpublished doctoral dissertation, Boston College, Boston.
  21. Newhouse, R. P. (2007). Collaborative synergy: Practice and academic partnerships in evidence-based practice. Journal of Nursing Administration, 37, 105-108. https://doi.org/10.1097/01.NNA.0000262736.06499.94
  22. Oh, E. G., Kim, S. K., Kim, S. S., Kim, S., Cho, E. Y., Yoo, J. S., et al. (2010). Integrating evidence-based practice into RN-to-BSN clinical nursing education. Journal of Nursing Education, 49(7), 387-392. https://doi.org/10.3928/01484834-20100331-02
  23. Park, M. (2011). Effects of evidence based practice integrated critical care clinical practicum. Journal of Korean Academic Society of Nursing Education, 17(3), 348-356. https://doi.org/10.5977/JKASNE.2011.17.3.346
  24. Sabus, C. (2008). The effects of modeling evidence based practice during the clinical internship. Journal of Physical Therapy Education, 22(3), 74-84. https://doi.org/10.1097/00001416-200810000-00009
  25. Sigma Theta Tau International. (2005). Evidence Based Nursing position statement. Retrieved February 15, 2011, from http://www.nuringsociety.org/aboutus/PositionPapers/EBN
  26. Stevens, K. R. (2009). Essential Competencies for Evidence-Based Practice in Nursing. San Antonio: University of Texas Health Science Center Academic Center for Evidence-Based Practice.
  27. Thompson, C. J. (2006). Fostering skills for evidence-based practice: The student journal club. Nurse Education in Practice, 6, 69-77. https://doi.org/10.1016/j.nepr.2005.08.004
  28. Thompson, C., MaCaughan, D., Cullum, N., Sheldon, T. A., Mulhall, A., & Thompson, D. R. (2004). Nurses' use of research information in clinical decision making: A descriptive and analytical study. National Health Service, UK.
  29. Trangenstein, P., & Weiner, E. (2006). Meeting the informatics needs of today's nursing students. Studies in Health Technology and Informatics, 122, 205-210.
  30. Williamson, K. M. Fineout-Overholt, E., Kent, B., Hutchinson, A. M. (2010). Teaching EBP: Integrating technology into academic curricula to facilitate evidence-based decision-making. Worldviews on Evidence-Based Nursing, 8, 247-251. http://dx.doi.org/ 10.1111/j.1741-6787.2010.00192.x
  31. Zhang, Q., Zeng, T., Chen, Y., & Li, X. (2012). Assisting undergraduate nursing students to learn evidence-based practice through self-directed learning and workshop strategies during clinical practicum. Nurse Education Today, 32, 570-575. http://dx.doi.org/10.1016/j.nedt.2011.05.018

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