Regional evidence-based practice fellowship program: impact on evidence-based practice implementation and barriers.
This quasi-experimental, pre- and posttest study evaluated the impact of a 9-month collaborative regional evidence-based practice (EBP) fellowship program on practice, attitude, knowledge, and perceived barriers associated with implementation of EBP. Three annual cohorts (N=142) of nurses attending a fellowship program from 2008 to 2010 participated in this study. Paired t tests showed statistically significant increases in practice (+.82; p<.001) and knowledge/skills (+.78; p<.001) associated with EBP, but showed no change in attitude (+.16; p=.198). All four Barriers subscales showed statistically significant decreases (-.10 to -.31; p=.036 to <.001). Hierarchical multiple regression analyses showed that the barriers explained 6.8%, 8.9% and 13.9% of variances in practice, attitude and knowledge/skills, respectively. The collaborative regional fellowship program improved the practice and knowledge/skills associated with EBP. The barriers were significant predictors of the EBP implementation among the targeted group of nurses participating in the fellowship program.
School of Nursing, Point Loma Nazarene University, and Sharp Memorial Hospital, San Diego, California 92106, USA. sonkim@pointloma.edu
Son Chae
SC
Kim
Caroline E
CE
Brown
Laurie
L
Ecoff
Judy E
JE
Davidson
Ana-Maria
AM
Gallo
Kathy
K
Klimpel
Mary A
MA
Wickline
D000328:Adult; D015331:Cohort Studies; D055318:Evidence-Based Nursing; D005257:Fellowships and Scholarships; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult