title: Predictors of Evidence-Based Practice Implementation, Job Satisfaction, and Group Cohesion Among Regional Fellowship Program Participants.
abstract: BACKGROUND
  A regional, collaborative evidence-based practice (EBP) fellowship program utilizing institution-matched mentors was offered to a targeted group of nurses from multiple local hospitals to implement unit-based EBP projects. The Advancing Research and Clinical Practice through Close Collaboration (ARCC) model postulates that strong EBP beliefs result in high EBP implementation, which in turn causes high job satisfaction and group cohesion among nurses.
  
  
  OBJECTIVE
  This study examined the relationships among EBP beliefs, EBP implementation, job satisfaction, group cohesion, and group attractiveness among the fellowship program participants.
  
  
  METHODS
  A total of 175 participants from three annual cohorts between 2012 and 2014 completed the questionnaires at the beginning of each annual session. The questionnaires included the EBP beliefs, EBP implementation, job satisfaction, group cohesion, and group attractiveness scales.
  
  
  RESULTS
  There were positive correlations between EBP beliefs and EBP implementation (r = 0.47; p <.001), as well as EBP implementation and job satisfaction (r = 0.17; p = .029). However, no statistically significant correlations were found between EBP implementation and group cohesion, or group attractiveness. Hierarchical multiple regression models showed that EBP beliefs was a significant predictor of both EBP implementation (β = 0.33; p <.001) and job satisfaction (β = 0.25; p = .011). However, EBP implementation was not a significant predictor of job satisfaction, group cohesion, or group attractiveness.
  
  
  CONCLUSIONS
  In multivariate analyses where demographic variables were taken into account, although EBP beliefs predicted job satisfaction, no significant relationship was found between EBP implementation and job satisfaction or group cohesion. Further studies are needed to confirm these unexpected study findings.
authors.affiliation: Professor, St. David's School of Nursing, Texas State University, Round Rock, TX. sck30@txstate.edu.
authors.forename: Son Chae
authors.initials: SC
authors.lastname: Kim
authors.affiliation: Professor Emerita, San Diego State University; Consultant, Research and Professional Development, Sharp Memorial Hospital and Sharp Mary Birch Hospital for Women & Infants, San Diego, CA.
authors.forename: Jaynelle F
authors.initials: JF
authors.lastname: Stichler
authors.affiliation: Director of Research, Education, and Professional Practice, Sharp Memorial Hospital, San Diego, CA.
authors.forename: Laurie
authors.initials: L
authors.lastname: Ecoff
authors.affiliation: Research Consultant, Bonita Springs, FL.
authors.forename: Caroline E
authors.initials: CE
authors.lastname: Brown
authors.affiliation: Director of Nursing Education, Research and Professional Practice, La Mesa, CA.
authors.forename: Ana-Maria
authors.initials: AM
authors.lastname: Gallo
authors.affiliation: EBP/Research Nurse Liaison, University of California San Diego Health System, San Diego, CA.
authors.forename: Judy E
authors.initials: JE
authors.lastname: Davidson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D055318:Evidence-Based Nursing / Q000592:standards*; D005257:Fellowships and Scholarships / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires
keywords: EBP beliefs; EBP implementation; evidence-based practice; fellowship; group attractiveness; group cohesion; job satisfaction