Evaluating Senior Nursing Students' Attitude toward Evidence-Based Practice

Introduction:In regard to the importance of nursing students' attitudes toward EBP and using it in their professional future as well as the emphasis on educational planning for students, this study aimed to evaluate the attitude of senior nursing students toward evidence-based practice. Method:The present study was a descriptive- analytical cross-sectional study conducted in Kerman School of Nursing and Midwifery in 2014. Data were collected through the Persian version of a standard questionnaire of knowledge, attitude and practice of undergraduate nursing students about evidence-based practice. Sampling was conducted through the census method and 43 senior nursing students participated in the study. Data analysis was done through SPSS20 software. Results:According to the obtained scores, students showed a moderate attitude (2.80 ±1.11) toward evidence-based practice. The highest mean score was related to the item saying that EBP should be a part of the nursing curriculum (3.10±1.13). Students' attitudes toward EBP had significant relationship with the rate of course satisfaction, participation in research activities such as diagnosing issues for research, cooperation in research projects, evaluation of research reports and the method and rate of access to evidences (P<0.05). Conclusion:Although students' attitude toward evidence-based practice was moderate, but appropriate educational planning and modifying nursing curriculum, are efficient steps for promotion of evidence- based practice. Key¬words:Attitude, Evidence-based practice, Evidence-based nursing, Nursing students ¬Citation: Mangolian ShahrbabakiP, FarokhzadianJ, SabzvariS. Evaluating Senior Nursing Students' Attitude toward Evidence-Based Practice. Journal of Health Based Research 2016; 1(3): 215-229

Evaluating factors associated with implementing evidence-based practice in nursing

RATIONALE, AIMS AND OBJECTIVES: Evidence-based practice (EBP) has emerged as an innovation for quality improvement in health care. Nurses have important role in implementing EBP but they face many challenges in this context. Evaluation of factors influencing implementation of EBP seems necessary. The aims of this study were to examine nurses' attitude towards EBP, their self-efficacy and training needs, as well as supporting factors and barriers for implementing EBP. METHODS: A cross-sectional study was conducted on 182 nurses from four teaching hospitals in Kerman, Iran. Data were collected using a questionnaire consisting of two main sections; a section to collect socio-demographic information of participants and a section collecting information on five topics (staff's attitude, self-efficacy skills of EBP, supporting factors, barriers and training needs for implementing EBP). RESULTS: The majority (87.4%) of the nurses had not attended any formal training on EBP and 60% of them were not familiar with the concept of EBP. Nurses' attitude towards EBP was unfavourable (2.57 ± 0.99) and their self-efficacy skills of EBP were poor (2.93 ± 1.06). The most important supporting factor was mentoring by nurses who have adequate EBP experience (3.65 ± 1.17) and the biggest barrier was difficulty judging the quality of research papers and reports (2.46 ± 0.95). There was a moderate demand for training in all areas of EBP (3.62 ± 1.12). CONCLUSIONS: Nursing care needs to move towards quality improvement using EBP. It is necessary to equip nurses with knowledge and skills required for EBP. Managers should design an appropriate strategic plan by considering supporting factors and barriers for integrating EBP into clinical setting

Evaluating factors associated with implementing of evidence-based practice in nursing

Rationale, aims and objectives Evidence-based practice (EBP) has emerged as an innovation for quality improvement in health care. Nurses have important role in implementing EBP but they face many challenges in this context. Evaluation of factors influencing implementation of EBP seems necessary. The aims of this study were to examine nurses’ attitude towards EBP, their self-efficacy and training needs, as well as supporting factors and barriers for implementing EBP. Methods A cross-sectional study was conducted on 182 nurses from four teaching hospitals in Kerman, Iran. Data were collected using a questionnaire consisting of two main sections; a section to collect socio-demographic information of participants and a section collecting information on five topics (staff’s attitude, self-efficacy skills of EBP, supporting factors, barriers and training needs for implementing EBP). Results The majority (87.4%) of the nurses had not attended any formal training on EBP and 60% of them were not familiar with the concept of EBP. Nurses’ attitude towards EBP was unfavourable (2.57 ± 0.99) and their self-efficacy skills of EBP were poor (2.93 ± 1.06). The most important supporting factor was mentoring by nurses who have adequate EBP experience (3.65 ± 1.17) and the biggest barrier was difficulty judging the quality of research papers and reports (2.46 ± 0.95). There was a moderate demand for training in all areas of EBP (3.62 ± 1.12). Conclusions Nursing care needs to move towards quality improvement using EBP. It is necessary to equip nurses with knowledge and skills required for EBP. Managers should design an appropriate strategic plan by considering supporting factors and barriers for integrating EBP into clinical settin

Information seeking and retrieval skills of nurses: Nurses readiness for evidence based practice in hospitals of a medical university in Iran.

BACKGROUND: With the explosion of medical information, and emergence of evidence-based practice (EBP) in healthcare system, searching, retrieving and selecting information for clinical decision-making are becoming required skills for nurses. AIMS: The aims of this study were to examine the use of different medical information resources by nurses and their information searching and retrieving skills in the context of EBP. METHOD: A descriptive, cross-sectional study was conducted in four teaching hospitals in Iran. Data were collected from 182 nurses using a questionnaire in 2014. RESULTS: The nurses indicated that they use more human and printed resources than electronic resources to seek information (mean=2.83, SD=1.5; mean=2.77, SD=1.07; and mean=2.13, SD=0.88, respectively). To search online resources, the nurses use quick/basic search features more frequently (mean=2.45, SD=1.15) than other search features such as advanced search, index browsing and MeSH term searching. (1.74≤mean≤2.30, SD=1.01). At least 80% of the nurses were not aware of the purpose or function of search operators such as Boolean and proximity operators. In response to the question measuring skills of the nurses in developing an effective search statement by using Boolean operators, only 20% of them selected the more appropriate statement, using some synonyms of the concepts in a given subject. CONCLUSION: The study showed that the information seeking and retrieval skills of the nurses were poor and there were clear deficits in the use of updated information resources. To compensate their EBP incompetency, nurses may resort to human resources. In order to use the latest up to date evidence independently, nurses need to improve their information literacy. To reach this goal, clinical librarians, health information specialists, nursing faculties, and clinical nurse educators and mentors can play key roles by providing educational programs. Providing access to online resources in clinical wards can also encourage nurses to learn and use these resources

Gender Matter, Social Phobia and High-Risk Behaviors in Young Medical Students

BACKGROUND፡ Young is one of the most sensitive stages of human life. Social phobia and high-risk behaviors are factors that enhance young crises. This study aimed to determine the relationship between gender role, social phobia and high-risk behaviors among young medical students.METHODS: In this descriptive correlational study, 400 students were selected by quota sampling method from a medical university in Southeastern Iran. For data collection, the demographic information questionnaire, Gender Trait Index (GTI), Social Phobia Inventory (SPIN), and Iranian Adolescent and Young Risk-Taking Scale (IAYRS) were used. Data were analyzed using descriptive statistics including mean and SD and analytic statistics such as Kolmogorov–Smirnov, Mann-Whitney U and Kruskal- Wallis tests using SPSS 25 and p ≤ .05.RESULTS: The mean scores of masculinity and femininity gender roles were 38.98 ± 7.92 and 44.12 ± 7.76, respectively. Also, 70.5% of the students had dominant feminine traits, and the gender identity was high in 58.8% of the students and moderate in 40.2% of them. Social phobia (37.12 ± 12.61) and high-risk behaviors (81.77± 26.08) were moderate. A significant inverse relationship was found between masculine traits and social phobia (p &lt;0.001). Another significant inverse relationship was observed between feminine traits and high-risk behaviors (p &lt;0.05).CONCLUSION: Given the poor relationship between gender role, social phobia and high-risk behaviors, it is essential to conduct further studies to determine the predictors of social phobia and high-risk behaviors in medical students

Information seeking and retrieval skills of nurses: Nurses readiness for evidence based practice in hospitals of a medical university in Iran

BACKGROUND: With the explosion of medical information, and emergence of evidence-based practice (EBP) in healthcare system, searching, retrieving and selecting information for clinical decision-making are becoming required skills for nurses. AIMS: The aims of this study were to examine the use of different medical information resources by nurses and their information searching and retrieving skills in the context of EBP. METHOD: A descriptive, cross-sectional study was conducted in four teaching hospitals in Iran. Data were collected from 182 nurses using a questionnaire in 2014. RESULTS: The nurses indicated that they use more human and printed resources than electronic resources to seek information (mean=2.83, SD=1.5; mean=2.77, SD=1.07; and mean=2.13, SD=0.88, respectively). To search online resources, the nurses use quick/basic search features more frequently (mean=2.45, SD=1.15) than other search features such as advanced search, index browsing and MeSH term searching. (1.74≤mean≤2.30, SD=1.01). At least 80% of the nurses were not aware of the purpose or function of search operators such as Boolean and proximity operators. In response to the question measuring skills of the nurses in developing an effective search statement by using Boolean operators, only 20% of them selected the more appropriate statement, using some synonyms of the concepts in a given subject. CONCLUSION: The study showed that the information seeking and retrieval skills of the nurses were poor and there were clear deficits in the use of updated information resources. To compensate their EBP incompetency, nurses may resort to human resources. In order to use the latest up to date evidence independently, nurses need to improve their information literacy. To reach this goal, clinical librarians, health information specialists, nursing faculties, and clinical nurse educators and mentors can play key roles by providing educational programs. Providing access to online resources in clinical wards can also encourage nurses to learn and use these resources

Analysis of implications of organ donation on living donors in southeastern Iran: A qualitative study

Objectives: despite the annual increase in living donors and the positive and negative implications following organ donation, this issue had become a significant challenge for donors. The present study aimed to analyze the experiences and views of living donors to organ donation implications.Material and Methods. The present study was performed using qualitative content analysis. Twenty participants were selected using the purposive sampling method; data were collected by semi-structured interviews and analyzed based on Lundman and Graneheim contractual content analysis method after implementing MAX 12.Results. Data analysis elicitated 721 codes, 20 subcategories, six main categories, and two themes, including positive and negative implications of organ donation from the viewpoint of living donors. The main categories of positive effects resulting from organ donation included the «donor’s peace of mind», «fundamental strength», and «recipient’s achievements». On the other hand, the main categories of negative implications resulting from organ donation included «donor’s physical suffering», «damaged interactions», and «abandonment».Conclusion. Increasing the number of living donors makes us consider it essential to understand the efficiency of its two-way implications on many aspects of donor and recipient. Thus, managing the negative impacts of living organ donation and strengthening its positive side emphasizes the need to increase the awareness of organ donation associations, develop health policies at higher levels, and, most importantly, improve the satisfaction of live organ donors

Psychological wellbeing, family cohesion, and purposeful life in male prisoners: A cross-sectional study

BackgroundPsychological wellbeing, family cohesion, and purposeful life are important determinants of the prisoners’ overall wellbeing and health; therefore, their evaluation is extremely important in prisoners as a vulnerable group.ObjectiveThis study evaluated psychological wellbeing, family cohesion, purposeful life, and their correlations in male prisoners.MethodsThis cross-sectional study used simple random sampling to select 259 male prisoners. Data were collected using questionnaires of Ryff psychological wellbeing, Fischer family cohesion, and Crumbaugh and Maholick purpose in life.ResultsMajority of (78%) the participants were 20–40 years old and married (59%). The mean scores of psychological wellbeing, family cohesion, and purposeful life of the male prisoners were moderate. Psychological wellbeing was directly correlated to family cohesion in male prisoners, but it had no significant correlation with a purposeful life. Family cohesion was not significantly correlated to a purposeful life.ConclusionRegarding the moderate level of psychological wellbeing in prisoners, it is suggested to pay more attention to educational and supportive programs in prisons for promoting such indicators in prisoners

Evaluation of the Knowledge and Performance of Nursing Students Regarding Evidence-Based Care

Background & Objective: In recent years, evidence-based care has been recognized as one of the essential competencies of nursing graduates. Since senior nursing students are on the verge of graduating, studying factors affective on the use of evidence-based care in their professional future and emphasis on educational programming to strengthen this competency are necessary. This study aimed to evaluate the knowledge and performance of senior nursing students regarding evidence-based care. Methods: The present descriptive-analytical study was conducted on 43 senior nursing students of Kerman University of Medical Sciences, Iran, in 2015. Data were collected using the Persian version of the Nursing Students' Knowledge and Performance about Evidence-Based Practice Questionnaire. Data were analyzed using descriptive statistics (percentage, mean, and standard deviation) and analytical statistics (Pearson correlation coefficient, ANOVA) in SPSS software. Results: The results indicated that the majority of students (53.5%) had sufficient knowledge of evidence-based care. The total mean score of knowledge of the students was 12.25 ± 3.34, while the majority of students (51.2%) showed poor performance. The total mean score of performance of the students was 17.28 ± 7.85. There was a direct correlation between knowledge and performance of the students (r < 0.56). Conclusion: There is gap between the knowledge and performance of students regarding evidence-based care; despite their sufficient knowledge on evidence-based care, their performance was poor. It is suggested that a suitable milieu for promoting evidence-based care is provided and theory and practice are linked through suitable planning, a review of the curriculum, and creating an appropriate educational environment for nursing students as future nurses. Key Words: Knowledge, Performance, Evidence-based care, Evidence-based nursing, Nursing student