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Structural Model of Evidence-Based Practice Implementation among Clinical Nurses
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Hyunyoung Park, Keum Seong Jang
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J Korean Acad Nurs 2016;46(5):697-709. Published online October 31, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.5.697
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 Abstract
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Purpose
This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory.
Methods
Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program.
Results
The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses.
Conclusion
The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.
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Citations
Citations to this article as recorded by  - Developing and evaluating an evidence-based practice research competency enhancement program for clinical nurses in Korea: a pilot study
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PLOS ONE.2019; 14(12): e0226742. CrossRef - Effects of an Evidence-Based Practice (EBP) Education Program on EBP Practice Readiness and EBP Decision Making in Clinical Nurses
Ae Ri Na Nam, Eun Ho Lee, Jeong Ok Park, Eun Jung Ki, Su Min Nam, Mi Mi Park
Journal of Korean Academy of Nursing Administration.2017; 23(3): 239. CrossRef - Factors Influencing Nurses' Implementation of Evidence-based Fall Management in Geriatric Hospitals
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