Other Titles

What Do Perceptions Have To Do With Outcomes?

Abstract

Session presented on Sunday, July 24, 2016; Purpose: Evidence-based health care is a problem-solving approach that integrates the best research evidence with clinician expertise and patient preferences and values. Delivering evidence-based health care, in the context of a caring and supportive organizational culture, results in high-quality care and optimal patient outcomes. It is important that registered nurses know the steps involved in making evidence-informed decisions in a healthcare environment. Currently, there is no published study that assesses practicing registered nurses' understanding, perception and self-perceived knowledge of evidence-based health care in the South African context. Our aim was to describe registered nurses and midwives' perceptions and self-perceived knowledge of evidence-based health care Methods: A descriptive cross-sectional study was conducted, using a validated paper-based questionnaire. The questionnaire comprised two sections. The first section consisted of questions related to registered nurses and midwives' demographical data, educational level and understanding of evidence-based health care. The second section assessed the participants' attitude and behaviour on evidence-based health care. Lastly, the barriers to and suggestions for improvement of practicing evidence-based health care were explored Results: Overall, the response rate was 52% (125/240). Most registered nurses and midwives reported that they had heard about the term evidence-based health care as part of their post-basic studies. Registered nurses and midwives were confident in their ability to perform the steps of evidence-based health care. The majority had a positive attitude towards it, although they said that they did not engage in the steps of evidence-based health care on a regular basis. Identified barriers included resistance to change amongst older nurses, lack of evidence-based health care knowledge and lack of role models. Suggestions to improve the practice of evidence-based health care focused on training all nurses through in-service training, attending of conferences and other courses Conclusion: Registered nurses and midwives lacked evidence-based health care knowledge and skills, and they did not engage in evidence-based health care on a regular basis. There is a need to improve training in evidence-based health care for all registered nurses and midwives. Strategies to increase evidence-informed decision-making should include all healthcare professionals at all levels - managers, doctors and other members of the multidisciplinary team.

Authors

Karien Orton

Author Details

Karien Orton, RN, RM, NE

Sigma Membership

Tau Lambda at-Large

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Evidence-based health care, knowledge and skills, barriers

Conference Name

27th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Cape Town, South Africa

Conference Year

2016

Rights Holder

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Proxy-submission

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Perceptions and Self-Perceived Knowledge of Evidence-Based Health Care Amongst Registered Nurses in the Western Cape

Cape Town, South Africa

Session presented on Sunday, July 24, 2016; Purpose: Evidence-based health care is a problem-solving approach that integrates the best research evidence with clinician expertise and patient preferences and values. Delivering evidence-based health care, in the context of a caring and supportive organizational culture, results in high-quality care and optimal patient outcomes. It is important that registered nurses know the steps involved in making evidence-informed decisions in a healthcare environment. Currently, there is no published study that assesses practicing registered nurses' understanding, perception and self-perceived knowledge of evidence-based health care in the South African context. Our aim was to describe registered nurses and midwives' perceptions and self-perceived knowledge of evidence-based health care Methods: A descriptive cross-sectional study was conducted, using a validated paper-based questionnaire. The questionnaire comprised two sections. The first section consisted of questions related to registered nurses and midwives' demographical data, educational level and understanding of evidence-based health care. The second section assessed the participants' attitude and behaviour on evidence-based health care. Lastly, the barriers to and suggestions for improvement of practicing evidence-based health care were explored Results: Overall, the response rate was 52% (125/240). Most registered nurses and midwives reported that they had heard about the term evidence-based health care as part of their post-basic studies. Registered nurses and midwives were confident in their ability to perform the steps of evidence-based health care. The majority had a positive attitude towards it, although they said that they did not engage in the steps of evidence-based health care on a regular basis. Identified barriers included resistance to change amongst older nurses, lack of evidence-based health care knowledge and lack of role models. Suggestions to improve the practice of evidence-based health care focused on training all nurses through in-service training, attending of conferences and other courses Conclusion: Registered nurses and midwives lacked evidence-based health care knowledge and skills, and they did not engage in evidence-based health care on a regular basis. There is a need to improve training in evidence-based health care for all registered nurses and midwives. Strategies to increase evidence-informed decision-making should include all healthcare professionals at all levels - managers, doctors and other members of the multidisciplinary team.