Evidence-Based Medicine Clinical Trial
Official title:
Evidence-Based Practice (EBP) Awareness Project: Peer-to-Peer Dissemination
The purpose of this study is to evaluate the effectiveness of the introduction of an EBP
text for Nursing Research Council (NRC) members to use with RN staff to increase staff
belief in, knowledge of and implementation of EBP in providing patient care. The theory that
will drive this study is Disciplined Clinical Inquiry (DCI).
The current study will use a quasi-experimental design plus DCI to engage unit RN staff in
deciding how they might learn about EBP in a feasible, useful way. After collection of
baseline data, the NRC member will introduce the text + solicit staff input into a plan for
using the text to increase understanding of EBP and use of evidence to make practice changes
on her/his own unit. Another unit in that service line or under the same Service Line
Administrator will serve as a comparison unit. Data collection will be conducted again after
4 and 12 weeks. At the 12 week point, the NRC member will introduce the text + solicit staff
input for a plan on the comparison unit. Data collection will be conducted on the comparison
unit at 16 weeks, and again on both units at 24 weeks. At the 24 week point, additional
units will be added and the process repeated until all units represented on the NRC have
been included.
Outcome measures will include: EBP belief and EBP implementation scales (Melnyk &
Fineout-Overholt, 2003); EBP knowledge cognitive test; # of lit searches conducted by unit
RN staff ; # of requests for library support for lit searches or to obtain search-related
articles: # of unit clinical policies with documented levels of evidence & research
references. EBP belief, EBP implementation and EBP knowledge variables will be analyzed at
both individual and unit levels of analysis. All other variables will be measured at the
unit level of analysis. Additional unit level variables will include the following data
collected annually as part of the National Database for Nursing Quality Indicator (NDNQI) RN
satisfaction survey: satisfaction with RN-RN interaction, satisfaction with autonomy,
satisfaction with practice decision-making, perceived quality of care delivered on the unit.
The primary statistical procedures for analysis will be ANCOVA, ANOVAwith repeated measures,
and logistic regression.
n/a
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