Evidence-based Practice Training Program Research Articles

Effectiveness of an Evidence-Based Practice Training Program for Nurse Educators: A Cluster-Randomized Controlled Trial.

Evidence-based practice (EBP) endeavors to integrate the best available evidence with clinical expertise and patient preference to enhance clinical outcomes. For nurses to effectively demonstrate EBP, the concepts of EBP should be systematically incorporated into the nursing curriculum, with nurse educators playing a pivotal role in execution. However, the effect of EBP training programs on nurse educators remains largely unexplored. To evaluate the effectiveness of an EBP training program on the knowledge, attitude, practice, and competency of nurse educators. A pragmatic randomized controlled trial was conducted at a nursing education institution. Fifty-one nurse educators were cluster randomized into intervention and control groups. A 30-hour EBP training intervention was provided for nurse educators in the intervention group. The outcome variables were knowledge, attitude, practice, and competency regarding EBP. These outcomes were evaluated using the EBP knowledge and practice questionnaire, EBP attitude scale, and Fresno test. Data were collected at baseline, the end of 5months, and the end of 10months. Fifty-one eligible participants were enrolled in the study. The intervention and control group had three clusters each with 27 and 24 participants, respectively. Participants in both groups were comparable for variables such as age, years of experience, and educational background (p>.05). Between groups, outcome variables were compared using mixed linear multi-level modeling. Nurse educators who received the EBP training program demonstrated significant differences in knowledge (p<.05), attitude (p<.05), practice (p<.05), and competency scores (p<.05), than that of the control group, indicating the intervention effectiveness. EBP training programs are effective in improving the knowledge, attitude, practice, and competency of nurse educators.

Nurses’ Knowledge, Perception, and Attitude towards Evidence-Based Practice at King Abdullah Medical City-Saudi Arabia

Background: Health care organizations consider evidence-based practice as the gold standard for the provision of safe and compassionate health care. Aim of the study: The present study aims to assess the knowledge, perception, and attitude of nurses regarding evidence-based practice. Subjects and Methods: A descriptive design was utilized to achieve the aim of the study. The study included a random sample of (262) staff nurses who were responsible for providing nursing care to patients. Data were collected using three scales; knowledge scale, perception scale, and attitude scale regarding evidence-based practice. Results: The majority of the studied nurses had the knowledge and negative attitude regarding evidence-based practice and two-third of the studied nurses had a moderate level of perception regarding evidence-based practice. There was a statistically significant relationship between nurses’ knowledge and their educational qualification and there was a statistically significant relationship between nurses’ perception and their gender, educational qualification, and experience. Conclusion: There was a significant relationship between nurses’ Knowledge, perception, and attitude towards evidence-based practice. Recommendations: Nursing managers should develop an evidence-based practice training program to help nurses to be familiar with EBP steps. Nursing managers should motivate the nurses who follow up the EBP with different incentives.

Effectiveness of an Evidence-Based Practice Educational Intervention among School Nurses.

The evidence-based practice (EBP) approach to high-quality care is designed to improve patient outcomes. However, little research has been conducted to determine how EBP is adopted and implemented among school nurses in Taiwan. This study evaluated an EBP training program implemented among school nurses in Taiwan to determine whether and how effectively it improved their knowledge levels, attitudes, skills, and self-efficacy. A pretest-posttest research design was employed. Participants were recruited via convenience sampling from among 193 primary schools throughout Tao-Yuan and New Taipei City in Taiwan. The EBP program implemented both mobile learning technology and the flipped classroom format. The learning outcomes were evaluated before, immediately after, and at a 3-month follow-up. In this regard, the data were collected using the School Nurse Evidence-Based Practice Questionnaire. The results showed that the participant scores for the items of knowledge and self-efficacy significantly increased over the study period. Somewhat differently, scores for the skill items significantly increased from the pre-test to the immediate post-test, but significantly decreased from the immediate post-test to the final follow-up. Overall, however, the EBP program led to marked improvements in knowledge, skills, and self-efficacy. These findings can help guide the development of a creative evidence-based school nursing curriculum.

Effectiveness of Evidence-Based Practice (EBP) Training Program on the Level of Competencies of Faculty Members in a School of Nursing

The vision for the future of nursing has led to convergence of knowledge, quality, and new functions in nursing that require new competencies beyond evidence-based practice (EBP). However, the success of teaching and implementing EBP rely on the competencies of nursing educators. This study aimed to determine the effectiveness of the Evidence-Based (EBP) Training Program in enhancing the EBP competencies of faculty members. An EBP Training Program was conducted among 13 nurse educators. The participants cognitive and psychomotor competencies were measured before and after the EBP Training Program using a self-made cognitive and psychomotor competency questionnaire. Pre-test and post-test scores were then analyzed using RM-MANOVA. Results revealed that the EBP Training Program caused a large improvement in the cognitive competency in EBP of nurse educators. However, the training program was not sufficient to cause a significant effect on the psychomotor competency of the nurse educators.

Building Evidence-Based Nursing Practice Capacity in a Large Statewide Health System: A Multimodal Approach.

Integration of evidence-based practice (EBP) into the culture of a healthcare organization is essential to provide safe patient care and promote a thriving culture for the nurses within the healthcare organization. Collaboration and utilization of both clinical and academic experts facilitate the removal of barriers to EBP. This article describes the successful partnership between a healthcare system and school of nursing in executing a 3-phased multimodal approach to an EBP training program.

Effect of Evidence Based Practice Training Program on Professional Nurses’ Decision Making Abilities

Effective implementing of evidence based practice has potential benefits for professional nurses, patients, healthcare systems and reduces inappropriate deviations in healthcare practices, supplies a set of standards for enhancing clinical decision making abilities. Aim of the study: This study was aimed to assess of the effect of evidence based practice training program on professional nurses` decision making abilities. Design: A quasi experimental design was used in this study. Setting: This study was conducted at intensive care unit at Benha University Hospital and Benha Teaching Hospital. Subjects: A convenient sample of 68 professional nurses recruited from the presented units and had the following inclusion criteria; had a Bachelor degree in nursing science and willing to participate in the study. Tools for data collection: The study tools divided into four tools: Evidence-Based Knowledge Questionnaire, Evidence-Based Practice Questionnaire (EBPQ), Evidence-Based Practice Attitudes Scale and Decision Making Abilities Questionnaire. The results showed that, there was statistically significant improvement among the professional nurses' knowledge, skills, and attitudes regarding evidence based practice after implementation of the training program. There was highly statistical significant improvement in the professional nurses decision making abilities thorough program phases. As 40.7 % of them were able to make decision before the program which improved to 67.4% immediate post the program and decrease to 60.3% three months follow up the program. The study concludes that, the implementation of the Evidence-Based Practice training program was significantly succeeded in enhancing total knowledge, skills, and attitudes of professional nurses that significantly improves their decision-making abilities. The study recommended that: Conduct continuous in-service training and education programs for refreshing and updating professional nurses knowledge and skills about the evidence-based practice. A brief basic educational intervention on EBP with online and face-to-face learning can produce improvements in the knowledge and skills of clinical nurses.

Effectiveness of Evidence-Based Practice (EBP) Training Program on the Level of Competencies of Faculty Members in a School of Nursing

The vision for the future of nursing has led to convergence of knowledge, quality, and new functions in nursing that require new competencies beyond evidence-based practice (EBP). However, the success of teaching and implementing EBP rely on the competencies of nursing educators. This study aimed to determine the effectiveness of the Evidence-Based (EBP) Training Program in enhancing the EBP competencies of faculty members. An EBP Training Program was conducted among 13 nurse educators. The participants cognitive and psychomotor competencies were measured before and after the EBP Training Program using a self-made cognitive and psychomotor competency questionnaire. Pre-test and post-test scores were then analyzed using RM-MANOVA. Results revealed that the EBP Training Program caused a large improvement in the cognitive competency in EBP of nurse educators. However, the training program was not sufficient to cause a significant effect on the psychomotor competency of the nurse educators.

Effectiveness of the tailored Evidence Based Practice training program for Filipino physical therapists: a randomized controlled trial.

BackgroundThis study evaluated the effectiveness of the contextualized EBP training program for Filipino physical therapists in terms of knowledge, skills, attitudes and behavior.MethodsA randomized controlled trial was designed to assess the effectiveness of the EBP training program. Fifty four physical therapists were randomly allocated to the EBP group (intervention) and waitlist (control) group. The EBP group had a one day face-to-face training with an online support, whilst the control was waitlisted. There were three measurement points which were pre, post, and three months post intervention for knowledge, skills and attitudes. Activity diaries were used to measure behavior. The diaries were collected after three months. Data analysis was by intention to treat in EBP domains of knowledge, skills and attitudes.ResultsFifty-four physical therapists were included in the study. Fifty two (52) completed the post training assessment and 26 completed the 3 months post training assessment for EBP knowledge, skills and attitudes. There were significant improvements in these domains in the EBP group from pre to post training and over a period of three months (p < 0.05) compared with the waitlist control group. Thirty seven (37) physical therapists completed their activity diaries over three months. Behavior significantly improved in the EBP group in terms of EBP behaviors (formulating PICO, searching, appraising and applying the evidence) when faced with both new/unique and usual case scenarios (p < 0.05). More physical therapists in the waitlist control group significantly performed non-EBP behaviors (asking doctors and reading textbooks) when faced with new/unique cases compared with the EBP group (p < 0.05). No differences were noted between groups regarding non-EBP behaviors (asking colleagues and doctors and reading textbooks) particularly when faced with usual cases.ConclusionThe contextually designed EBP training program for Filipino physical therapists was effective in improving knowledge, skills and attitudes to EBP from pre to post training. Improvements were also observed at three months post training in knowledge, skills, attitudes and behavior to EBP. This model of training can be modified as needed based on the needs of the local context. Findings need to be interpreted with caution due to study limitations.Current controlled trialsISRCTN74485061 (Registration date: February 9, 2011).

Evidence-based practice training for health professionals in the Philippines.

Evidence-based practice (EBP) is integral in the health care system whether in developed or developing countries. Thus, all health professionals need to be trained in EBP. An EBP training program was conducted to health professionals in a developing country, the Philippines. The health professionals (medical doctors and allied health professionals [physical therapists and occupational therapists]) were working in hospitals in Manila, Philippines. The program aimed to build capacity in EBP in terms of knowledge and skills. The EBP training program was conducted as a 1-day face-to-face training. Pre- and post-test measures of EBP knowledge and skills were taken prior to and immediately after the 1-day training, using the Fresno test of evidence-based medicine for the medical doctors and the Adapted Fresno test for the allied health professionals. The EBP training program resulted in significant improvements in knowledge and skills for both the medical doctors (change in pre- and post-Fresno test measures, 95% confidence interval [CI]: 14.6–23.5; P≤0.05) and the allied health professionals (change in pre- and post-Adapted Fresno test measures, 95% CI: 32.7–38.5; P≤0.05). The EBP training conducted amongst the health professionals is an effective and tested undertaking in introducing EBP in developing countries such as the Philippines.

A Pilot Study of the Evidence Based Practice Training Program for Filipino Physiotherapists: Emerging Evidence on Outcomes and Acceptability

Background: The use of evidence to guide clinical practice has been challenging for health professionals across the globe. Issues of implementing the evidence become even more challenging among health professionals in developing countries because of cultural and contextual issues which compound the existing implementation barriers reported in the literature. An evidence based practice (EBP) training was developed for physiotherapists in a developing country (the Philippines) based on the literature and preliminary exploratory studies. The training program aimed to address issues of barriers to EBP and the nature of practice in a developing country. This study reports the process and findings of pilot testing the training program (EBP for FilPTs). Objectives: The objectives of the pilot study were to, 1) Estimate the effect size of the EBP training program in enhancing knowledge and skills in EBP, 2) Determine the sample size for a subsequent RCT, 3) Test the acceptability of the EBP training program, and, 4) Refine the components of the intervention (training program) as needed. Methods: Seven physiotherapists purposively sampled from one training institution which does not provide training on evidence-based practice were randomly allocated to the intervention (EBP for FilPTs) and the waitlist control groups. Pre-post intervention measures of knowledge and skills associated with EBP were assessed using the Adapted Fresno test. Participants and observers completed an evaluation summary and commented on the program Results and Conclusion: The EBP training program resulted in significant and large improvement (Effect Size = 0.8) in knowledge and skills. It was considered by participants to be an effective, acceptable, and practical medium to teach EBP to physiotherapists.

Effectiveness of the tailored EBP training program for Filipino physiotherapists: A randomised controlled trial

AstractBackgroundEvidence implementation continues to challenge health professionals most especially those from developing countries. Filipino physiotherapists represent a group of health professionals in a developing country who by tradition and historical practice, take direction from a doctor, on treatment options. Lack of autonomy in decision-making challenges their capacity to deliver evidence-based care. However, this scenario should not limit them from updating and up-skilling themselves on evidence- based practice (EBP). EBP training tailored to their needs and practice was developed to address this gap. This study will be conducted to assess the effectiveness of a tailored EBP-training program for Filipino physiotherapists, in improving knowledge, skills, attitudes and behaviour to EBP. Participation in this program aims to improve capacity to EBP and engage with referring doctors to determine the most effective treatments for their patients.Methods/DesignA double blind randomised controlled trial, assessing the effectiveness of the EBP training intervention, compared with a waitlist control, will be conducted. An adequately powered sample of 54 physiotherapists from the Philippines will be recruited and randomly allocated to EBP intervention or waitlist control.Intervention: The EBP program for Filipino physiotherapists is a one-day program on EBP principles and techniques, delivered using effective adult education strategies. It consists of lectures and practical workshops. A novel component in this program is the specially-developed recommendation form, which participants can use after completing their training, to assist them to negotiate with referring doctors regarding evidence-based treatment choices for their patients.Pre and post measures of EBP knowledge, skills and attitudes will be assessed in both groups using the Adapted Fresno Test and the Questions to EBP attitudes. Behaviour to EBP will be measured using activity diaries for a period of three months.DiscussionShould the EBP-training program be found to be effective in improving EBP-uptake in Filipino physiotherapists, it will form the basis of a much needed national intervention which is contextually appropriate to Filipino physiotherapists. It will therefore form the genesis for a model for building EBP capacity of other health professionals in the Philippines as well as physiotherapists in developing countries.Trial RegistrationCurrent Controlled Trials: ISRCTN74485061

A systematic review of the effectiveness of Evidence Based Practice (EBP) programs for allied health professionals

Review Objectives: The objective of this review is to find, a ssess and synthesize the evidence on EBP programs in enhancing the EBP knowledge, skills and attitudes of allied health practitioners. Review questions: What is the effectiveness of using EBP programs for allied health practitioners in improving the EBP knowledge, skills and attitudes Inclusion criteria: Types of participants: This review will include as participants allied health practitioners (physiotherapists, occupational therapists etc) who participated in any EBP educational program or part of an EBP program (formulating clinical questions, searching the literature, critical appraisal skills program etc). Types of interventions: The intervention of interest in this review is any EBP training program defined as any formal program facilitating the search and use of evidence in practice. The contents (lectures only or lectures with actual demonstrations and practice), length (hours, days, weeks) and manner of delivery (face to face, face to face with supplementary materials etc) of the program may vary in each of the studies to be included as there is no standard EBP training program. Types of Outcome: The main outcomes measured are the EBP domains of knowledge, skills, attitudes and behaviour as a result of participating in the EBP program or a component of it. Specific measures may include but not limited to the use of the adapted Fresno questionnaire (22) to assess knowledge, skills and attitudes to EBP. The adapted Fresno question has good psychometric properties and is especially fitting novice rehabilitation professionals undergoing EBP training.

Achieving Evidence-Based Practice: A Process of Continuing Education Through Practitioner-Academic Partnership

SUMMARYOccupational therapy is required to deliver and generate evidence-based practice. As currently articulated, evidence-based practice requires particular skills and takes time and is rarely realized. This paper illustrates a collaborative approach to building an evidence based training program within a practice context. The aim of the training program was to enable therapists in a large mental health setting to engage in evidence-based practice. Specifically, the partnership between the United Kingdom Centre for Outcomes Research and Education (UK CORE) and Gloucestershire Partnership NHS Trust (GPT) will be described. This article describes the GPT/UKCORE partnership, the process of building an evidence-based practice training program, the final structure of the evidence-based practice training program, and the evaluation of the evidence-based practice training program.