Nurses' readiness for evidence-based practice at Finnish university hospitals: a national survey

作     者：Saunders, Hannele Stevens, Kathleen R. Vehvilainen-Julkunen, Katri 

作者机构：Univ Eastern Finland Dept Nursing Sci Fac Hlth Sci Kuopio Finland Univ Texas Hlth Sci Ctr San Antonio Improvement Sci Res Network San Antonio TX 78229 USA Kuopio Univ Hosp Kuopio Finland 

出 版 物：《JOURNAL OF ADVANCED NURSING》 (高级护理学杂志)

年 卷 期：2016年第72卷第8期

页      面：1863-1874页

核心收录：

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：Finnish Nurses' Education Foundation Finnish Nurses' Association Saastamoinen Foundation Finnish Work Environment Fund University of Eastern Finland, Faculty of Health Sciences, Department of Nursing Sciences 

主　　题：competency evidence-based practice hospital care implementation knowledge transformation nurse readiness survey 

摘      要：AimsThe aim of this study was to determine nurses readiness for evidence-based practice at Finnish university hospitals. BackgroundAlthough systematic implementation of evidence-based practice is essential to effectively improving patient outcomes and value of care, nurses do not consistently use evidence in practice. Uptake is hampered by lack of nurses individual and organizational readiness for evidence-based practice. Although nurses evidence-based practice competencies have been widely studied in countries leading the evidence-based practice movement, less is known about nurses readiness for evidence-based practice in the non-English-speaking world. DesignA cross-sectional descriptive survey design. MethodsThe study was conducted in November-December 2014 in every university hospital in Finland with a convenience sample (n=943) of practicing nurses. The electronic survey data were collected using the Stevens Evidence-Based Practice Readiness Inventory, which was translated into Finnish according to standardized guidelines for translation of research instruments. The data were analysed using descriptive and inferential statistics. ResultsNurses reported low to moderate levels of self-efficacy and low levels of evidence-based practice knowledge. A statistically significant, direct correlation was found between nurses self-efficacy in employing evidence-based practice and their actual evidence-based practice knowledge level. Several statistically significant differences were found between nurses socio-demographic variables and nurses self-efficacy in employing evidence-based practice, and actual and perceived evidence-based practice knowledge. ConclusionsFinnish nurses at university hospitals are not ready for evidence-based practice. Although nurses are familiar with the concept of evidence-based practice, they lack the evidence-based practice knowledge and self-efficacy in employing evidence-based practice required for integrating best evidence into clin