Factors Related to Evidence-Based Practice among Community Nurses in Greece: A Cross-Sectional Study
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Published:2023-11-30
Issue:23
Volume:11
Page:3071
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ISSN:2227-9032
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Container-title:Healthcare
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language:en
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Short-container-title:Healthcare
Author:
Adamakidou Theodoula1ORCID, Ntempeli Eleni12, Galanis Petros3ORCID, Mantoudi Alexandra1ORCID, Kleisiaris Christos4ORCID, Mantzorou Marianna1ORCID, Zartaloudi Afroditi5ORCID, Tsiou Chrysoula5ORCID, Apostolara Paraskevi1ORCID
Affiliation:
1. Research Laboratory of Home Health Care, Postgraduate Program of “Community and Public Health Nursing”, Nursing Department, University of West Attica, 12243 Athens, Greece 2. 1st Health Center of Peristeri, 12132 Peristeri, Greece 3. Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece 4. Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 71410 Heraklion, Greece 5. Nursing Department, University of West Attica, 12243 Athens, Greece
Abstract
Assessing knowledge, attitudes and practices towards evidence-based practice (EBP) is a challenge for healthcare professionals. However, the existing literature focuses on nurses working in acute hospital settings, with nurses working in community and primary healthcare settings receiving comparatively less attention. The purpose of the study was to explore factors that related to attitudes, knowledge and practice of community nurses toward EBP. A cross-sectional study was conducted with a sample of community nurses in Greece. Community nurses around the country were invited to complete an online questionnaire during the period of February to April 2022. To measure nurses’ attitudes, practices and knowledge/skills regarding EBP, the Evidence-Based Practice Questionnaire was used. A total of 164 nurses took part in the study. The mean age of nurses was 41.6 years, with 42.7% having either an MSc or a PhD degree. The overall internal consistency for the EBPQ questionnaire was 0.91. The sample demonstrated a high level of knowledge/skills (mean score of 5.5 on a 7-point scale) and positive attitudes (mean score of 5.5 on a 7-point scale) towards EBP, while the level of EBP practice was moderate (mean score of 4.5 on a 7-point scale). A higher educational level showed a positive relationship with the “practice of EBP” subscale (p = 0.005) and the “knowledge/skills about EBP” subscale (p = 0.003). Additionally, an increase in the knowledge/skills score was associated with a more positive attitude towards EBP (p < 0.001) and better practice of EBP (p = 0.003). The identification of educational level as the main factor related to the knowledge/skills and implementation of EBPs in community nurses emphasizes the necessity for educational initiatives in EBP at both undergraduate and postgraduate levels. Informed nurses who are familiar with current guidelines and evidence can effectively train patients about chronic disease management and prevention. Additionally, creating incentives to motivate participation in lifelong learning programs can indeed play a crucial role in enhancing the proficiency of community nurses in evidence-based practice.
Subject
Health Information Management,Health Informatics,Health Policy,Leadership and Management
Reference58 articles.
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