Abstract
Evidence-based practice has been demonstrated to positively impact patient outcomes; unfortunately, there are many factors that hinder the use of research evidence by healthcare clinicians. Our previous study reported a multisite survey assessing Australian perioperative nurses knowledge, practice, attitude, and perceived barriers to evidence use. This subsequent analysis used univariate and multivariate binary logistic regression with odds ratios (OR) and 95% confidence intervals (CI) to compare individual nurse and organisational characteristics with high evidencebased practice (EBP) use. Two individual nurse characteristics found to be related to EBP were postgraduate qualifications (OR 1.69, 95% CI 1.07–2.6, p=0.02) and previous research experience (OR 1.9, 95% CI 1.6–2.4, p=0.01). Organisational characteristics related to EBP included access to the internet (OR 2.04, 95% CI 1.3–3.0, p=0.001) and access to ongoing EBP education (OR 1.6, 95% CI 1.1–2.5, p=0.01). Previous research experience (OR 1.6, 95% CI 1.0–2.3, p=0.01) was the only independent predictor of EBP. Given our finding, we suggest that considerably greater effort be made to facilitate nurses involvement in research studies in the perioperative setting.
Highlights
It is widely accepted by clinicians, the community, and regulatory agencies that clinical care should be based on the best available research evidence
Postgraduate education
evidence-based practice (EBP) has been demonstrated to positively impact patient outcomes, yet nurses are still having difficulty incorporating it into their practice
Summary
It is widely accepted by clinicians, the community, and regulatory agencies that clinical care should be based on the best available research evidence. Perioperative nursing scholars, have expressed concerns that our profession may not be meeting these expectations[1]. The ongoing struggle with translating evidence into practice has led to calls for an increased focus on research and research utilisation to ensure the continued growth of the perioperative nursing specialty[5]. The barriers to evidence-based practice (EBP) and strategies to increase evidence use by nurses have been the focus of a growing body of research. Two systematic reviews have identified the complexity of, and challenges with, integrating research evidence into nursing practice[6,7]. The reviews synthesise the findings of prior studies to identify individual nurse and organisational factors that influence and are predictors of EBP use
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