[Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors].
OBJECTIVE
The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula.


METHODS
For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis.


RESULTS
Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP.


CONCLUSIONS
The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.
College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.
Eui Geum
EG
Oh
College of Nursing, Graduate School, Yonsei University, Seoul, Korea.
You Lee
YL
Yang
Department of Nursing Science, College of Medicine, Chosun University, Gwangju, Korea.
Jae Yong
JY
Yoo
Department of Nursing, Severance Hospital, Seoul, Korea.
Ji Yun
JY
Lim
College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea. joyrnsjh@gmail.com.
Ji Hyun
JH
Sung
D000328:Adult; D003479:Curriculum; D004506:Education, Nursing; D055318:Evidence-Based Nursing; D005181:Faculty, Nursing / Q000523:psychology*; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D020377:Self Efficacy; D011795:Surveys and Questionnaires
Curiculum; Evidence based practice; Nursing faculties; Self-efficacy