Hyunyoung Park; Keum Seong Jang

doi:10.4040/jkan.2016.46.5.697

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Original Article
Structural Model of Evidence-Based Practice Implementation among Clinical Nurses: Hyunyoung Park, Keum Seong Jang; Journal of Korean Academy of Nursing 2016;46(5):697-709.
DOI: https://doi.org/10.4040/jkan.2016.46.5.697
Published online: October 31, 2016

¹Department of Nursing, Honam University, Gwangju, Korea.

²College of Nursing, Chonnam National University·Chonnam Research Institute of Nursing Science, Gwangju, Korea.

Address reprint requests to: Jang, Keum Seong. College of Nursing, Chonnam National University, 160 Baekseo-ro, Dong-gu, Gwangju 61468, Korea. Tel: +82-62-530-4955, Fax: +82-62-227-4009, jangks@jnu.ac.kr

• Received: March 3, 2016 • Revised: July 4, 2016 • Accepted: July 4, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

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.
Keywords: Evidence-Based Practice; Nurses; Organizations

This manuscript is a condensed form of the first author's doctoral dissertation from Chonnam National University.

The authors declared no conflict of interest.

REFERENCES

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Figure 1

Conceptual framework.

Figure 2

Path diagram for the modified model.

Table 1

Descriptive Statistics of Observed Variables (N=410)

EBP=Evidence-based practice.

Table 2

Goodness of Model Fit Indices (N=410)

TLI=Tuker-Lewis index; CFI=Comparative fit index; RMSEA=Root mean square error of approximation; SRMR=Standardized root mean square residual.

Table 3

Effects of Predictive Variables in the Modified Model (N=410)

EBP=Evidence-based practice; β=Standardized regression weights; SE=Standard errors; SMC=Squared multiple correlations.

Figure & Data

REFERENCES

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Structural Model of Evidence-Based Practice Implementation among Clinical Nurses

J Korean Acad Nurs. 2016;46(5):697-709. Published online October 31, 2016

DOI: https://doi.org/10.4040/jkan.2016.46.5.697

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Figure

We recommend

Structural Model of Evidence-Based Practice Implementation among Clinical Nurses

Figure 1 Conceptual framework.

Figure 2 Path diagram for the modified model.

Figure 1

Figure 2

Structural Model of Evidence-Based Practice Implementation among Clinical Nurses

Table 1

Descriptive Statistics of Observed Variables (N=410)

EBP=Evidence-based practice.

Table 2

Goodness of Model Fit Indices (N=410)

TLI=Tuker-Lewis index; CFI=Comparative fit index; RMSEA=Root mean square error of approximation; SRMR=Standardized root mean square residual.

Table 3

Effects of Predictive Variables in the Modified Model (N=410)

EBP=Evidence-based practice; β=Standardized regression weights; SE=Standard errors; SMC=Squared multiple correlations.

Table 1 Descriptive Statistics of Observed Variables (N=410)

EBP=Evidence-based practice.

Table 2 Goodness of Model Fit Indices (N=410)

TLI=Tuker-Lewis index; CFI=Comparative fit index; RMSEA=Root mean square error of approximation; SRMR=Standardized root mean square residual.

Table 3 Effects of Predictive Variables in the Modified Model (N=410)

EBP=Evidence-based practice; β=Standardized regression weights; SE=Standard errors; SMC=Squared multiple correlations.