title: The influence of organizational context on the use of research by nurses in Canadian pediatric hospitals.
abstract: BACKGROUND
  Organizational context is recognized as an important influence on the successful implementation of research by healthcare professionals. However, there is relatively little empirical evidence to support this widely held view.
  
  
  METHODS
  The objective of this study was to identify dimensions of organizational context and individual (nurse) characteristics that influence pediatric nurses' self-reported use of research. Data on research use, individual, and contextual variables were collected from registered nurses (N = 735) working on 32 medical, surgical and critical care units in eight Canadian pediatric hospitals using an online survey. We used Generalized Estimating Equation modeling to account for the correlated structure of the data and to identify which contextual dimensions and individual characteristics predict two kinds of self-reported research use: instrumental (direct) and conceptual (indirect).
  
  
  RESULTS
  Significant predictors of instrumental research use included: at the individual level; belief suspension-implement, research use in the past, and at the hospital unit (context) level; culture, and the proportion on nurses possessing a baccalaureate degree or higher. Significant predictors of conceptual research use included: at the individual nurse level; belief suspension-implement, problem solving ability, use of research in the past, and at the hospital unit (context) level; leadership, culture, evaluation, formal interactions, informal interactions, organizational slack-space, and unit specialty.
  
  
  CONCLUSIONS
  Hospitals, by focusing attention on modifiable elements of unit context may positively influence nurses' reported use of research. This influence of context may extend to the adoption of best practices in general and other innovative or quality interventions.
authors.affiliation: Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada. jasquires@ohri.ca.
authors.forename: Janet E
authors.initials: JE
authors.lastname: Squires
authors.forename: Carole A
authors.initials: CA
authors.lastname: Estabrooks
authors.forename: Shannon D
authors.initials: SD
authors.lastname: Scott
authors.forename: Greta G
authors.initials: GG
authors.lastname: Cummings
authors.forename: Leslie
authors.initials: L
authors.lastname: Hayduk
authors.forename: Sung Hyun
authors.initials: SH
authors.lastname: Kang
authors.forename: Bonnie
authors.initials: B
authors.lastname: Stevens
mesh_terms: D000328:Adult; D035843:Biomedical Research; D004521:Educational Measurement; D005260:Female; D006776:Hospitals, Pediatric / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000706:statistics & numerical data*; D015279:Organizational Culture; D010371:Pediatric Nursing / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D055815:Young Adult
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