title: Evidence-based practice beliefs and behaviors of nurses providing cancer pain management: a mixed-methods approach.
abstract: OBJECTIVE
  To describe evidence-based practice (EBP) beliefs and behaviors of nurses who provide cancer pain management.
  
  
  METHODS
  Descriptive, cross-sectional with a mixed-methods approach.
  
  
  METHODS
  Two inpatient oncology units in the Pacific Northwest.
  
  
  METHODS
  40 RNs.
  
  
  METHODS
  Data collected by interviews and web-based surveys.
  
  
  METHODS
  EBP beliefs, EBP implementation, evidence-based pain management.
  
  
  RESULTS
  Nurses agreed with the positive aspects of EBP and their implementation ability, although implementation level was low. They were satisfied with their pain management practices. Oncology nursing certification was associated with innovativeness, and innovativeness was associated with EBP beliefs. Themes identified were (a) limited definition of EBP, (b) varied evidence-based pain management decision making, (c) limited identification of evidence-based pain management practices, and (d) integration of nonpharmacologic interventions into patient care.
  
  
  CONCLUSIONS
  Nurses' low level of EBP implementation in the context of pain management was explained by their trust that standards of care and medical orders were evidence-based.
  
  
  CONCLUSIONS
  Nurses' EBP beliefs and behaviors should be considered when developing strategies for sustaining evidence-based pain management practices. Implementation of the EBP process by nurses may not be realistic in the inpatient setting; therefore, hospital pain management policies need to be evidence-based and reinforced with nurses.
authors: School of Nursing, University of Washington, Seattle, WA.
authors: Linda H
authors: LH
authors: Eaton
authors: University of Washington, Seattle, WA.
authors: Alexa R
authors: AR
authors: Meins
authors: School of Nursing, University of Washington, Seattle, WA.
authors: Pamela H
authors: PH
authors: Mitchell
authors: School of Nursing, University of Washington, Seattle, WA.
authors: Joachim
authors: J
authors: Voss
authors: School of Nursing, University of Washington, Seattle, WA.
authors: Ardith Z
authors: AZ
authors: Doorenbos
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002568:Certification; D003405:Creativity; D003430:Cross-Sectional Studies; D003469:Culture; D055318:Evidence-Based Nursing; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000451:nursing* / Q000503:physiopathology; D009736:Nursing Process; D009859:Oncology Nursing / Q000379:methods*; D016522:Oncology Service, Hospital; D015279:Organizational Culture; D010146:Pain / Q000451:nursing*; D059408:Pain Management / Q000451:nursing*; D036301:Qualitative Research; D055815:Young Adult
keywords: cancer pain management; evidence-based practice; evidence-based practice behaviors; evidence-based practice beliefs; mixed methods