Article type
Year
Abstract
Background: Directors of nursing (DONs) have important influence in the dissemination of evidence-based practice (EBP) in the hospital settings. Nevertheless, diffusion of EBP into DONs was not well surveyed.
Objectives: A nationwide program provided information resources and promotional activities of EBP in regional hospitals of Taiwan since 2007. The current study aimed to evaluate the impacts of this campaign on DONs.
Methods: A cross-sectional questionnaire survey for DONs was conducted in 2007, 2009 and 2011 to examine views related to EBP, including changes in beliefs, attitudes, knowledge, skills, and barriers. Chi-square test was used for statistical analyses (SPSS 19.0 for Windows, SPSS, Chicago, IL, USA).
Results: This study enrolled 267 DONs in 2007, 257 DONs in 2009, and 287 DONs in 2011. During the four-year study period, their knowledge and skills of EBP increased (P value < 0.001). However, their beliefs and attitudes were not significantly changed. A majority of barriers significantly declined, including no capable designated personnel (P value < 0.001), deficient convenient application kits (such as personal digital assistants and brochures; P value < 0.001), insufficient time (P value < 0.001), inadequate basic knowledge of EBP (P value < 0.001), lack of skill in literature searching (P value = 0.043), and insufficient library resources (P value < 0.001).
Conclusions: A multifaceted campaign can increase the knowledge and skills of DONs and reduce their barriers toward EBP. Spreading EBP simultaneously with a mass media campaign may serve as a key element to accelerate its implementation. The data suggest an outreach intervention is useful to disseminate the implementation of EBP for DONs.
Objectives: A nationwide program provided information resources and promotional activities of EBP in regional hospitals of Taiwan since 2007. The current study aimed to evaluate the impacts of this campaign on DONs.
Methods: A cross-sectional questionnaire survey for DONs was conducted in 2007, 2009 and 2011 to examine views related to EBP, including changes in beliefs, attitudes, knowledge, skills, and barriers. Chi-square test was used for statistical analyses (SPSS 19.0 for Windows, SPSS, Chicago, IL, USA).
Results: This study enrolled 267 DONs in 2007, 257 DONs in 2009, and 287 DONs in 2011. During the four-year study period, their knowledge and skills of EBP increased (P value < 0.001). However, their beliefs and attitudes were not significantly changed. A majority of barriers significantly declined, including no capable designated personnel (P value < 0.001), deficient convenient application kits (such as personal digital assistants and brochures; P value < 0.001), insufficient time (P value < 0.001), inadequate basic knowledge of EBP (P value < 0.001), lack of skill in literature searching (P value = 0.043), and insufficient library resources (P value < 0.001).
Conclusions: A multifaceted campaign can increase the knowledge and skills of DONs and reduce their barriers toward EBP. Spreading EBP simultaneously with a mass media campaign may serve as a key element to accelerate its implementation. The data suggest an outreach intervention is useful to disseminate the implementation of EBP for DONs.