PURPOSE
The purpose of this study was to analyze the current status of research related to evidence-based nursing and to suggest directions for the future of evidence-based nursing practice, education and research.
METHODS
A search was done of 20 research publications, including domestic nursing journals, nursing master's theses and doctoral dissertations before November 2016. Finally, 183 studies were selected. The selected papers were analyzed using descriptive statistics and χ² test with the SPSS/WIN 18.0 program.
RESULTS
Most of papers examined in this study were journal articles (80.9%). Meta-analysis (35.0%) was the most common study design. Methodological characteristics were as follows: before 2010 about 5% were documents that suggested Priori' design, generation of PICO, search strategy, quality assessment and description of quality assessment outcome, but after 2011, these designs increased to 30.8%, 73.1%, 41.0%, 91.0% and 65.4%, respectively. The most frequent topics for evidence-based nursing implementation were evidence-based nursing readiness (16 papers). Highest frequency topics in systematic reviews and meta-analysis were studies that confirmed the intervention effect of exercise programs. The highest frequency topics in guideline were temperature control.
CONCLUSION
Researchers' perceptions to improve research methodological quality and education to strengthen the research capability are necessary.

Citations

• Analysis of the importance of nursing care and performance confidence perceived by nurses in the neonatal intensive care unit
  Heemoon Lim, Hyejung Lee, Eunsook Kim, Hyoyeong Kim, Eunkyung Jang
  The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 5.     CrossRef
• Nursing research
  Mile Despotović, Milena Despotović, Divna Kekuš, Čedomirka Stanojević, Nela Marinović, Biljana Ilić
  Sestrinska rec.2020; 23(81): 4.     CrossRef

PURPOSE
The purpose of this study was to identify factors that influence nurses' implementation of evidence-based fall management in geriatric hospitals.
METHODS
Data from the Evidence Based Practice Survey of Fall Management in Geriatric Hospitals were examined for this study. The participants were 248 nurses from geriatric hospitals. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation analysis, and stepwise regression.
RESULTS
Factors related to implementation of evidence-based fall management were belief in evidence-based practice with organizational culture, work experience, use of fall guideline, and experience of patient falls. These factors explained 56.7% of variance in implementation of evidence-based fall management. Among these factors, the significant predictors for implementation of evidence-based fall management were belief in evidence-based practice, organizational culture of evidence-based practice, work experience, use of fall guideline and experience of patient falls.
CONCLUSION
Results of this study suggest that it is necessary to develop a systematic program to enhance nurses' belief in evidence-based practice at the individual level. In addition, fostering organizational culture toward evidence-based practice and disseminating fall management guidelines at the organizational level can be important strategies to enhance evidence-based fall management in geriatric hospitals.

Citations

• Falls in Patients of Medical Institutions in South Korea: A Literature Review
  Jongwon Choi, Woochol Joseph Choi
  Physical Therapy Korea.2023; 30(1): 1.     CrossRef

PURPOSE
This study was conducted to adapt the standardized evidence-based nursing protocol using the IPC (intermittent pneumatic compression) intervention to prevent venous thromboembolism in surgical patients. Further, an investigation was done to measure knowledge on prevention of venous thromboembolism, surrogate incidence of venous thromboembolism and to assess IPC compliance in the study patients compared with those in surgical patients who underwent IPC intervention due to previous clinical experience.
METHODS
An analysis was done of the nine modules suggested by National Evidence-based Healthcare Collaborating Agency (NECA) in the adaptation manual of the clinical practice guideline for protocol adaptation. A nonequivalent control group post test design as a quasi-experiment was used to verify the effect of the IPC protocol.
RESULTS
There was a significant difference in knowledge of prevention of venous thromboembolism, IPC application time after intervention and the number of IPC applications between the experimental group (n=50) using the IPC nursing protocol and the control group (n=49). However, the symptoms of deep vein thrombosis and pulmonary thromboembolism were not observed in either the experimental group or the control group after the intervention.
CONCLUSION
Results confirm that the standardized IPC nursing protocol provides effective intervention to prevent venous thromboembolism in surgical patients.

Citations

• Comparison of Internal Marketing, Job Satisfaction and Customer Orientation of Nurses by Size of Medical Care Institution; Small-medium Hospitals and General Hospitals
  Eun Su Do, Mi Ye Kim
  Journal of Korean Academy of Nursing Administration.2012; 18(1): 56.     CrossRef

PURPOSE
To implement evidence-based nursing, it is important to know where and how to find the best available evidence. This study was conducted to identify the results of a search from Ovid MEDLINE and to compare the results from Ovid MEDLINE with those from PubMed MEDLINE.
METHODS
Four different approaches via Ovid MEDLINE were used to search for guidelines on preventing catheter-associated urinary tract infections. Outcomes of this study were the number of records and relevant literature, and the sensitivity and precision of the search methods via Ovid MEDLINE.
RESULTS
The number of retrieved items ranged 23 to 6,005 and that of relevant studies, 5 to 8 of 8. Simple searches resulted in the highest sensitivity of 100.0%. When using MeSH terms and limits feature, the precision was highest (21.7%) among four approaches for literature searches. Simple searches in Ovid had higher sensitivity and lower precision than those in PubMed.
CONCLUSION
Simple searches in Ovid may be inefficient for busy clinicians compared to PubMed. However, to ensure a comprehensive and systematic literature search, using Ovid MEDLINE in addition to PubMed is recommended.

Citations

• A Systematic Review of Home based Pulmonary Rehabilitation in COPD Patients: Randomized Controlled Trials
  Min Hee Ahn, Ja Yun Choi, Yun Hee Kim
  The Korean Journal of Rehabilitation Nursing.2016; 19(2): 82.     CrossRef

PURPOSE
Effective literature searching is essential to support evidence-based nursing. The aim of this study was to present our recent systematic search experience to identify guidelines in PubMed for prevention of catheter-associated urinary tract infections.
METHODS
Five approaches to the literature search via PubMed were employed. The searches were restricted to items published from 1980 to 2010, for patients admitted to hospital, and in the English language. The search results were compared using the number of records and relevant items, and the sensitivity and precision of each search strategy.
RESULTS
The individual approaches retrieved 19-141 of records and 3-6 of relevant items. Sensitivity ranged from 37.5% to 75.0% with the highest values for simple searches and a search combining MeSH terms and free textwords with a methodological search filter. Precision varied from 4.3% to 21.7% and the highest precision was found for MeSH terms with limits feature.
CONCLUSION
The simple search in PubMed is an appropriate way for nurses in a busy clinical practice to search the literature for evidence. However, several approaches using MeSH terms, free textwords, limits feature or methodological search filters are also required to have more efficient and better informed search results.

Citations

• Trends in Evidence-based Nursing Research in South Korea
  Seang Ryu, Sun Weon Yun, Yun Sook Kim
  Journal of Korean Academy of Nursing Administration.2017; 23(4): 385.     CrossRef
• Systematic Search for Guidelines to Prevent Catheter-associated Urinary Tract Infections-Part II: Using the Ovid MEDLINE
  Hyunyoung Park, Keum-Seong Jang, Ja-Yun Choi, Yun-Hee Kim
  Journal of Korean Academy of Nursing Administration.2015; 21(1): 64.     CrossRef