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Factors Influencing Competency in Evidence-based Practice among Clinical Nurses

Yeon-Sook Kim1, Jimee Kim2, Mi-Mi Park2
Journal of Korean Academy of Nursing Administration 2015;21(2):143-153.
Published online: March 31, 2015

1Department of Nursing, Dongnam Health University, Korea.

2Department of Nursing, Ajou University Hospital, Korea.

Corresponding author: Kim, Jimee. Department of Nursing, Dongnam Health University, 50 Cheoncheon-ro, 74-gil, Jangan-gu, Suwon 440-714, Korea. Tel: +82-31-249-6487, Fax: +82-31-249-6480, jmkchoi@empal.com
• Received: November 3, 2014   • Revised: December 2, 2014   • Accepted: December 4, 2014

Copyright © 2015 Korean Academy of Nursing Administration

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Purpose
    The aim of this study was to describe competency in evidence-based practice (EBP) among clinical nurses and to explore critical thinking disposition (CTD) and organizational culture (OC) as possible predictors for competency in EBP. Also this study was conducted to identify baseline data for purpose of developing evidence-based OC to ensure safety of patients and to improve quality of nursing services in clinical setting.
  • Methods
    With a descriptive correlation study design, a competency in EBP questionnaire was administered to a convenience sample of nurses (N=393) from a single general hospital in Gyeonggi Province.
  • Results
    The overall mean score for competency in EBP was 3.03±0.53. Factors influencing competency in EBP were education (β=0.23, p<.001), attendance at lectures on EBP (β=0.18, p<.001), intellectual eagerness & healthy skepticism (β=0.27, p<.001) among CTD, and hierarchy-oriented OC (β=0.14, p=.005), which explained about 35% of the total variance.
  • Conclusion
    Critical thinking and competency in EBP should be part of nursing education especially for undergraduate students as well as strengthening clinical practice by activation of EBP. The results of this study that hierarchy-oriented OC, is a significant predictor for competency in EBP is difficult to accept. Its seemed to require further exploration.
  • Key Words: Evidence-based practice; Critical thinking; Organizational culture; Nurses

This study was supported by Dongnam Health University research fund in 2012.

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Table 1

Competency of EBP by General Characteristics (N=393)

jkana-21-143-i001.jpg

*Statistical analysis was excluded as it was improper to compare; EBP=Evidence-based practice.

Table 2

Critical Thinking Disposition, Organizational Culture, Competency in EBP among Clinical Nurses (N=393)

jkana-21-143-i002.jpg

EBP=Evidence-based practice.

Table 3

Correlation between Critical Thinking Disposition, Organizational Culture, and Competency of EBP among Clinical Nurses

jkana-21-143-i003.jpg

EBP=Evidence-based practice, IEHS=Intellectual eagerness & healthy skepticism; IF=Intellectual fairness; IO=Innovation-oriented, RO=Relation-oriented, HO=Hierarchy-oriented, TO=Task-oriented.

Table 4

Influencing Factors of Competency in EBP among Clinical Nurses

jkana-21-143-i004.jpg

EBP=Evidence-based practice; *Dummy variables (Marital status 1=married, 0=single/Education 1=≥Graduate, 0=others/Position 1=≥head nurse, 0=others/Attendance at lecture -Critical thinking 1=yes, 0=no/Attendance at lecture -EBP 1=yes, 0=no/Have heard of the EBP? 1=yes, 0=no).

Figure & Data

References

    Citations

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    DOI: https://doi.org/10.11111/jkana.2015.21.2.143
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    Factors Influencing Competency in Evidence-based Practice among Clinical Nurses
    J Korean Acad Nurs Adm. 2015;21(2):143-153.   Published online March 31, 2015
    DOI: https://doi.org/10.11111/jkana.2015.21.2.143
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    Related articles

    Factors Influencing Competency in Evidence-based Practice among Clinical Nurses
    Factors Influencing Competency in Evidence-based Practice among Clinical Nurses

    Competency of EBP by General Characteristics (N=393)

    *Statistical analysis was excluded as it was improper to compare; EBP=Evidence-based practice.

    Critical Thinking Disposition, Organizational Culture, Competency in EBP among Clinical Nurses (N=393)

    EBP=Evidence-based practice.

    Correlation between Critical Thinking Disposition, Organizational Culture, and Competency of EBP among Clinical Nurses

    EBP=Evidence-based practice, IEHS=Intellectual eagerness & healthy skepticism; IF=Intellectual fairness; IO=Innovation-oriented, RO=Relation-oriented, HO=Hierarchy-oriented, TO=Task-oriented.

    Influencing Factors of Competency in EBP among Clinical Nurses

    EBP=Evidence-based practice; *Dummy variables (Marital status 1=married, 0=single/Education 1=≥Graduate, 0=others/Position 1=≥head nurse, 0=others/Attendance at lecture -Critical thinking 1=yes, 0=no/Attendance at lecture -EBP 1=yes, 0=no/Have heard of the EBP? 1=yes, 0=no).
    Table 1 Competency of EBP by General Characteristics (N=393)

    *Statistical analysis was excluded as it was improper to compare; EBP=Evidence-based practice.

    Table 2 Critical Thinking Disposition, Organizational Culture, Competency in EBP among Clinical Nurses (N=393)

    EBP=Evidence-based practice.

    Table 3 Correlation between Critical Thinking Disposition, Organizational Culture, and Competency of EBP among Clinical Nurses

    EBP=Evidence-based practice, IEHS=Intellectual eagerness & healthy skepticism; IF=Intellectual fairness; IO=Innovation-oriented, RO=Relation-oriented, HO=Hierarchy-oriented, TO=Task-oriented.

    Table 4 Influencing Factors of Competency in EBP among Clinical Nurses

    EBP=Evidence-based practice; *Dummy variables (Marital status 1=married, 0=single/Education 1=≥Graduate, 0=others/Position 1=≥head nurse, 0=others/Attendance at lecture -Critical thinking 1=yes, 0=no/Attendance at lecture -EBP 1=yes, 0=no/Have heard of the EBP? 1=yes, 0=no).

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