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Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors
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Eui Geum Oh, You Lee Yang, Jae Yong Yoo, Ji Yun Lim, Ji Hyun Sung
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J Korean Acad Nurs 2016;46(4):501-513. Published online August 31, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.4.501
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Abstract
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Purpose
The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula.
Methods
For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis.
Results
Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP.
Conclusion
The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.
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Citations
Citations to this article as recorded by 
- The evidence-based practice teaching competence of clinical preceptors at different stages of innovation-decision process: A cross-sectional survey in traditional Chinese medicine hospitals
Fen Zhou, Ting Yuan, Zhaoyu Li, Xiaoying Mu, Yunpeng Lv Nurse Education Today.2024; 132: 106027. CrossRef - Türkiye’de Hemşirelik Lisans ve Lisansüstü Programlarında Kanıta Dayalı Uygulama Öğretimi: Tanımlayıcı ve Kesitsel Çalışma
Fatma TAŞ ARSLAN, Sevinç AKKOYUN, Gonca KARAYAĞIZ MUSLU Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi.2023; 14(3): 406. CrossRef - Nursing students’ insights of learning evidence‐based practice skills using interactive online technology: Scoping review
Shefaly Shorey, Joelle Yan Xin Chua Nursing & Health Sciences.2022; 24(1): 83. CrossRef - Integrating EBP into an undergraduate research methodology course using the Star Model of Knowledge Transformation: A mixed-method study
Chi Eun Song, Hyunyoung Park, Moonju Lee, Kathleen R. Stevens Nurse Education Today.2021; 105: 105021. CrossRef - Differences in beliefs on and implementation of evidence‐based practice according to type of health care institution—A national cross‐sectional study among Slovenian nurses
Brigita Skela‐Savič, Bojana Lobe Journal of Nursing Management.2021; 29(5): 971. CrossRef - Web-based experiential learning strategies to enhance the evidence-based-practice competence of undergraduate nursing students
Myonghwa Park, Miri Jeong, Mihyun Lee, Laura Cullen Nurse Education Today.2020; 91: 104466. CrossRef - An analysis of evidence-based practice courses in Korean nursing education systems
Chi Eun Song, Weon Gyeong Kim, You Jin Lim Heliyon.2019; 5(10): e02650. CrossRef - Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture
Jae Yong Yoo, Jin Hee Kim, Jin Sun Kim, Hyun Lye Kim, Jung Suk Ki, Tim Schultz PLOS ONE.2019; 14(12): e0226742. CrossRef - Factors associated with Oncology Nurses' Adherence to Chemotherapy-Induced Neutropenia Guidelines based on Pender's Health Promotion Model
Gyeong-Jin Kim, Ja Yun Choi Korean Journal of Adult Nursing.2019; 31(4): 389. CrossRef - Teaching Nurses From a Holistic Comfort Perspective
April A. Bice, Traci Bramlett Holistic Nursing Practice.2019; 33(3): 141. CrossRef - Korean Nursing Students' Acquisition of Evidence-Based Practice and Critical Thinking Skills
Sang Suk Kim, Eun Joo Kim, Ji Young Lim, Geun Myun Kim, Hee Chong Baek Journal of Nursing Education.2018; 57(1): 21. CrossRef
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Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services
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Eui Geum Oh, Hyun Joo Lee, Yukyung Kim, Ji Hyun Sung, Young-Su Park, Jae Yong Yoo, Soohee Woo
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J Korean Acad Nurs 2015;45(5):742-751. Published online October 30, 2015
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DOI: https://doi.org/10.4040/jkan.2015.45.5.742
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Abstract
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Purpose
The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services.
Methods
A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program.
Results
Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling.
Conclusion
The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.
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Citations
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- Medication adherence and related factors among older adults with type 2 diabetes who use home health care
Doyeon Lim, Kyungmi Woo Geriatric Nursing.2025; 61: 270. CrossRef - Using an internet-based platform to provide online and offline healthcare services for discharged patients
Lei Cui, Zirong Tong, Rong Wang, Xiaoping Fang, Longxiu Liu BMC Nursing.2024;[Epub] CrossRef - A Model for Improving Public Health Service Accessibility in the Small Living Zone
Young Ran Han, Ok Kyung Ham, Hye Young Choi, Ji Sook An, Ji Sook An Journal of Korean Public Health Nursing.2024; 38(3): 316. CrossRef - Development and evaluation of a problem‐based learning simulation module for home‐visit nursing
Eunjoo Kim, Ju Young Yoon, Kyungmi Woo, Aeri Kim, Hyori Kim, Juna Lee Public Health Nursing.2023; 40(6): 857. CrossRef - Barriers to clinical nurse participation in the internet-based home visiting program: a qualitative study
Jiahao Yu, Jianyuan Huang, Chunlei Li, Yongmei Zhuang BMC Nursing.2023;[Epub] CrossRef - Performance Evaluation of China's Basic Pension Insurance Based on a Three‐Stage Superefficient SBM‐DEA Model
Zexing Xue, Zhengping Ma, Chi Keung Lau Discrete Dynamics in Nature and Society.2022;[Epub] CrossRef - Critical Thinking Disposition, Job Competency, and Educational Needs of Home Visiting Nurses in the Long-term Care Insurance
Keunyoung Shin, Sujin Shin Journal of Korean Gerontological Nursing.2021; 23(1): 54. CrossRef - Examination of the Educational Needs of Home Visit Nurses: A Cross-Sectional Descriptive Study
Kyuri Lee, Dukyoo Jung International Journal of Environmental Research and Public Health.2021; 18(5): 2319. CrossRef - Barriers to accessing internet-based home Care for Older Patients: a qualitative study
Baosheng Zhao, Xiaoman Zhang, Rendong Huang, Mo Yi, Xiaofei Dong, Zhenxiang Li BMC Geriatrics.2021;[Epub] CrossRef - A SBM-DEA based performance evaluation and optimization for social organizations participating in community and home-based elderly care services
Qiuhu Shao, Jingfeng Yuan, Jin Lin, Wei Huang, Junwei Ma, Hongxing Ding, Majid Soleimani-damaneh PLOS ONE.2021; 16(3): e0248474. CrossRef - Difficulties and Coping Experienced by Advanced Practice Nurses in Home Health Nursing Field
Moon-Sook Hwang, Hak Young Park, Soo Jung Chang Journal of Korean Academy of Community Health Nursing.2020; 31(2): 143. CrossRef - Perceptions of Adequacy and Job Performance of Nurse Assistant Nursing Jobs according to Registered Nurses and Nurse Assistants in Geriatric Hospitals, and Caregivers
Myung Hee Cho, Kye Ha Kim Journal of Korean Academy of Nursing Administration.2016; 22(4): 384. CrossRef
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