title: Implementation of evidence-based practice by nurses working in community settings and their strategies to mentor student nurses to develop evidence-based practice: A qualitative study.
abstract: The aim of the study was to explore how community nurses apply the best available evidence to their practice, and how they mentor student nurses to conceptualize and implement evidence-based practice in community settings. In the UK, the expansion of health-care provision in the community has supported the development of highly skilled community nurses. However, there is limited literature regarding the strategies used by community nurses to implement evidence-based practice and mentor student nurses to conceptualize evidence-based practice in community placements. An exploratory qualitative approach applying inductive reasoning to focus group data was used. As a result, nurses working for a community NHS Foundation Trust in South England with a mentor qualification were invited to participate in one of the seven focus groups, 33 nurses participated. Data were analyzed with thematic analysis. The themes discussed in this paper are: 'our practice is evidence-based' as guidelines and policies provided structure, but occasionally stifled autonomous clinical decision-making, and 'time' as a barrier and facilitator to mentoring student nurses in community settings. In conclusion, nurses need to develop the ability to incorporate patients' needs and wishes within evidence-based care. Time was a facilitator for some community mentors, but protected time is required to complete the necessary practice documentation of student nurses.
authors: College of Nursing, Midwifery and Health Care, University of West London, London, UK.
authors: Joanne Mary
authors: http://orcid.org/0000-0003-0325-2142
authors: JM
authors: Brooke
authors: University of Kent, Canterbury, UK.
authors: Jaimee
authors: J
authors: Mallion
mesh_terms: D055318:Evidence-Based Nursing; D006302:Health Services Research; D006801:Humans; D009726:Nurses; D036301:Qualitative Research
keywords: ‘Community Health Nursing’; ‘Evidence-Based Practice’; ‘Mentors’; ‘Nursing’; ‘Qualitative Research’; ‘Students’