Abstract
AimAn evidence‐based approach should permeate clinical nursing practice, but many nurses lack confidence in applying relevant research evidence to clinical practice. Journal club participation can increase evidence‐based practice knowledge and skills while facilitating positive attitudes among participants. Thus, the aim was to describe the experience of nurses in participating in a journal club based on a curriculum derived from their practice narratives.DesignThe study employed a phenomenological hermeneutical approach. Qualitative data from six focus groups with 19 nurses were interpreted in a three‐step process influenced by the French philosopher Paul Ricoeur.MethodsInfluenced by narrative pedagogy and critical reflection through problem‐based learning, a journal club named Reflexivity was facilitated in three 2‐hourly workshops over eight weeks and evaluated together with nurses across three clinical departments.ResultsThree themes are identified: (a) professional reflections are an oppressed aspect of daily nursing; (b) revealing nursing from the hidden; and (c) emerging consciousness in nursing. The study concludes that Reflexivity has the potential to integrate evidence‐based knowledge and increase professional consciousness by reflection on clinical questions in an evidence‐based context. Fundamental issues of nursing care are raised, and feelings of essential pride in nursing are facilitated. Thus, evidence‐based nursing practice is embarked through a journal club based on the participant's narratives.
Highlights
Despite the need and the desire among many practicing nurses to include evidence-based knowledge in clinical nursing practice, doing so is challenging
Our study shows that journal clubs based on narratives enhance staff nurses’ beliefs about the value of evidence-based research
It is crucial to be open and listen to the dialogue when working with evidence-based practice and establishing journal clubs, allowing both nurses and researchers to integrate the thoughts and perspectives that arose during discussions into their daily work
Summary
Despite the need and the desire among many practicing nurses to include evidence-based knowledge in clinical nursing practice, doing so is challenging. In-depth knowledge of methods to overcome this challenge is warranted. A structured journal club incorporating reflective practice was developed and implemented in a Danish university hospital setting. The concept is described, and findings from an interview study of the significance to staff nurses and nurse educators of participating in Reflexivity are described and discussed. To investigate how they can help ensure that the best research evidence will be available and applicable to clinical practice (Fink et al, 2005)
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