title: Nurses' Perceptions of Interventions for the Management of Patient-Oriented Outcomes: A Key Factor for Evidence-Based Practice.
abstract: BACKGROUND
  Various barriers and facilitators to implementing evidence-based interventions in practice have been acknowledged. Nurses' perspectives on these interventions were overlooked as potential factors that influence their uptake in practice. The purpose of this study was to explore nurses' perception of evidence-based interventions targeting patient-oriented outcomes.
  
  
  METHODS
  A mixed method design involving concurrent application of quantitative and qualitative approaches was used. Nurses (n = 56) working in acute and rehabilitation care settings completed the Intervention Acceptability scale and responded to open-ended questions. The scale presented information on the components, activities, dose, and mode of delivering evidence-based interventions targeting each patient-oriented outcome (fatigue, nausea and vomiting, dyspnea, pain, physical function, self-care) and items to rate the interventions on five attributes (relevance, applicability, frequency of use, likelihood, and comfort in implementation). The open-ended questions inquired about the appropriateness and resources needed to use the interventions in practice.
  
  
  RESULTS
  The quantitative results indicated favorable perceptions of most interventions. Nurses rated acupressure, guided imagery, massage, and relaxation as having limited appropriateness and they reported low levels of comfort in applying them. The qualitative themes clarified the reasons underlying nurses' ratings.
  
  
  CONCLUSIONS
  This study's findings highlight the importance of examining nurses' perceptions of evidence-based interventions as an initial step toward promoting the adoption of interventions in practice. Effective interventions that are considered of limited relevance are unlikely to be implemented in practice. Nurses' perceptions can guide the design or selection of dissemination strategies to clarify any misconception about the effectiveness and risk of evidence-based interventions.
authors.affiliation: Professor and Canada Research Chair, School of Nursing, Ryerson University, Toronto, ON, Canada.
authors.forename: Souraya
authors.initials: S
authors.lastname: Sidani
authors.affiliation: Associate Professor, Nursing Business & Health Systems, University of Michigan School of Nursing, Ann Arbor, MI.
authors.forename: Milisa
authors.initials: M
authors.lastname: Manojlovich
authors.affiliation: Professor Emerita, Lawrence S. Bloomberg Professor in Patient Safety, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
authors.forename: Diane
authors.initials: D
authors.lastname: Doran
authors.affiliation: Associate Professor, York University, Faculty of Health, School of Nursing, Toronto, ON, Canada.
authors.forename: Mary
authors.initials: M
authors.lastname: Fox
authors.affiliation: CIHR Post-Doctoral Fellow, Faculty of Health Sciences and Telfer School of Management, University of Ottawa, Ottawa, ON, Canada.
authors.forename: Christine L
authors.initials: CL
authors.lastname: Covell
authors.affiliation: Clinical Research Coordinator, Nursing Research, University Health Network, Toronto, ON, Canada.
authors.forename: Helen
authors.initials: H
authors.lastname: Kelly
authors.affiliation: Director of Nursing/Clinical Research Scientist, Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital Volunteer Association Chair in Nursing Research, St. Michaels' Hospital, Li Ka Shing Knowledge Institute, Toronto, ON, Canada.
authors.forename: Lianne
authors.initials: L
authors.lastname: Jeffs
authors.affiliation: Associate Chief, Nursing Practice, Hospital for Sick Children, Toronto, ON, Canada.
authors.forename: Mary
authors.initials: M
authors.lastname: McAllister
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D055318:Evidence-Based Nursing / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D063868:Patient Outcome Assessment; D010465:Perception; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D063189:Symptom Assessment
keywords: acute care; applicability; evidence-based interventions; long-term care; nurses; patient-oriented outcomes; perceptions; relevance