American Journal of Nursing Research
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American Journal of Nursing Research. 2019, 7(5), 751-758
DOI: 10.12691/ajnr-7-5-8
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Developing Competencies of Evidence-Based Practice among Community Health Nursing Educators through Implementing Journal Club

Eman Samy1, Amel I. Ahmed1, Samia M. Abd El-Mouty1 and Rasha A. Mohamed1,

1Community Health Nursing Department, Faculty of Nursing, Mansoura University, Egypt

Pub. Date: July 14, 2019

Cite this paper:
Eman Samy, Amel I. Ahmed, Samia M. Abd El-Mouty and Rasha A. Mohamed. Developing Competencies of Evidence-Based Practice among Community Health Nursing Educators through Implementing Journal Club. American Journal of Nursing Research. 2019; 7(5):751-758. doi: 10.12691/ajnr-7-5-8


Introduction: Evidence-based practice (EBP) has become the standard expectation for all practitioners in healthcare nowadays. Nursing educators are in charge of training future nurses to integrate the EBP into clinical practice for improving healthcare outcomes. Journal club (JC) as an educational strategy promotes the essential knowledge and skills of EBP. Aim: Investigate the impact of implementing a journal club on developing evidence-based practice competencies among community health nursing educators (CHNE). Method: A quasi-experimental research design was conducted among 32 CHNE at the Community Health Nursing Department, Faculty of Nursing Mansoura University, Egypt. Four structured tools were used for data collection. Results: The total score of knowledge and skills revealed significant improvements. The improved knowledge and skills were mainly observed in formulating questions, searching for literature, and critically appraising research articles. These improvements retained up to 6 months after attending journal club sessions. Insignificant statistically difference was found in changing behavior with regard to the adoption of EBP in regular work, with the exception of seeking information from the Cochrane database and discussing scientific researches with each other. Conclusion: Significant improvements in knowledge and skills of EBP was revealed, however, no statistically significant change was found in accustoming EBP in regular work after attending journal club. Overall, the degree of improvement demonstrated in this study might provide sufficient evidence to support the journal club as a medium for facilitating the learning of EBP.

evidence-based practice journal club community nursing educators

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[1]  Bissett, K. M., Cvach, M., & White, K. M. (2016). Improving Competence and Confidence with Evidence-Based Practice among Nurses. Journal for Nurses in Professional Development, 32(5), 248-255.
[2]  Booth, T. L., Emerson, C. J., Hackney, M. G., & Souter, S. (2016). Preparation of academic nurse educators. Nurse Education in Practice, 19, 54-57.
[3]  Lee, M. C., Johnson, K. L., Newhouse, R. P., & Warren, J. I. (2013). Evidence-Based Practice Process Quality Assessment: EPQA Guidelines. Worldviews on Evidence-Based Nursing, 10(3), 140-149.
[4]  Melnyk, B. M., & Fineout-Overholt, E. (2015). Making the case for evidence-based practice and cultivating a spirit of inquiry. Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed., pp. 6-7). Philadelphia, PA: Wolters Kluwer.
[5]  Fisher, C., Cusack, G., Cox, K., Feigenbaum, K., & Wallen, G. R. (2016). Developing Competency to Sustain Evidence-Based Practice. JONA: The Journal of Nursing Administration, 46(11), 581-585.
[6]  Spiva, L., Hart, P. L., Patrick, S., Waggoner, J., Jackson, C., & Threatt, J. L. (2017). Effectiveness of an Evidence-Based Practice Nurse Mentor Training Program. Worldviews on Evidence-Based Nursing, 14(3), 183-191.
[7]  Melnyk, B. M., Gallagher‐Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence‐based practice competencies for practicing registered nurses and advanced practice nurses in real‐world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on EvidenceBased Nursing, 11(1), 5-15.
[8]  Hassan H. (2019): The Impact of Evidence-Based Nursing as The Foundation for Professional Maternity Nursing Practices. Open Acc J Repro & Sexual Disord.,; 2(2): 195-197.
[9]  Yancey, N. R. (2018). Evidence-Based Practice in Nursing for Teaching-Learning: But Is It Really Nursing? Nursing Science Quarterly, 32(1), 25-28.
[10]  Stichler, J. F., Fields, W., Kim, S. C., & Brown, C. E. (2011). Faculty Knowledge, Attitudes, and Perceived Barriers to Teaching Evidence-Based Nursing. Journal of Professional Nursing, 27(2), 92-100.
[11]  Winters, C., & Echeverri, R. (2012). Teaching Strategies to Support Evidence-Based Practice. Critical Care Nurse, 32(3), 49-54.
[12]  Penz, K. L., & Bassendowski, S. L. (2006). Evidence-Based Nursing in Clinical Practice: Implications for Nurse Educators. The Journal of Continuing Education in Nursing, 37(6), 250-254.
[13]  Smith-Strøm, H., & Nortvedt, M. W. (2008). Evaluation of Evidence-Based Methods Used to Teach Nursing Students to Critically Appraise Evidence. Journal of Nursing Education, 47(8), 372-375.
[14]  El-Sayed, S. H., Hassona, F. M., & Winkelman, C. (2014). Effect of a Training Program on Evidence-Based Practice Profiles and Skills among Master Nursing Students. Zagazig Nursing Journal, 10(1), 1-18.
[15]  Hussein, A. H. M., & Hussein, R. G. (2014). Nursing Educators' Knowledge, Skills in Evidence-Based Practice and their Critical Thinking Skills: Self Report Study. Journal of Education and Practice, 5(27), 86-95.
[16]  Charania, N. A., Ross-Durow, P. L., Sullivan, B., & Dansel, L. A. (2017). Designing Assignments to Establish a Foundation for Evidence-Based Practice in an Undergraduate Clinical Nursing Course. Worldviews on Evidence-Based Nursing, 15(2), 149-151.
[17]  Laaksonen, C., Paltta, H., Von-Schantz, M. L., Ylönen, M., Soini, T. (2013). Journal club as a method for nurses’ and nursing students’ collaborative learning: a descriptive study. Health Science Journal, 7(3), 285-292.
[18]  Nursing and Midwifery Council. (2015). The Code: Professional standards of practice and behavior for nurses and midwives. London: Nursing and Midwifery Council.
[19]  Mehrdad, N., Joolaee, S., Joulaee, A., Bahrani, N. (2012). Nursing faculties’ knowledge and attitude on evidence-based practice. Iranian Journal of Nursing and Midwifery Research, 17(7), 506-511.
[20]  Zeleníková, R., Beach, M., Ren, D., Wolff, E., & Sherwood, P. (2014). Faculty Perception of the Effectiveness of EBP Courses for Graduate Nursing Students. Worldviews on Evidence-Based Nursing, 11(6), 401-413.
[21]  Hassona, F. M., Winkelman, C., & El-Sayed, S.H. (2013). The effect of a workshop on Egyptian nurse educators' motivation and attitude toward evidence-based teaching. Journal of Nursing Education and Practice, 3(10).
[22]  Corchon, S., Portillo, M. C., Watson, R., & Saracíbar, M. (2011). Nursing research capacity building in a Spanish hospital: An intervention study. Journal of Clinical Nursing, 20(17-18), 2479-2489.
[23]  Aitken, L. M., Hackwood, B., Crouch, S., Clayton, S., West, N., Carney, D., & Jack, L. (2011). Creating an environment to implement and sustain evidence-based practice: A developmental process. Australian Critical Care, 24(4), 244-254.
[24]  Nesbitt, J. Journal clubs: a two-site case study of nurses’ continuing professional development. Nurse Education Today, in press.
[25]  Hughes, J. (2010). Developing a journal club that impacts practice. Gastroenterology Nursing, 33(1), 66-68.
[26]  Ankola, A. V., Hebbal, M., and Ratika, (2011). Journal Club: A Step towards Evidence-Based Practice. Journal of the Indian Association of Public Health Dentistry, 2011(17), 84-88.
[27]  Stallings, A., Borja-Hart, N., & Fass, J. (2011). New Practitioners Forum: Strategies for reinventing journal club. American Journal of Health-System Pharmacy, 68(1), 14-16.
[28]  O’Nan, C. L. (2011). The Effect of a Journal Club on Perceived Barriers to the Utilization of Nursing Research in a Practice Setting. Journal for Nurses in Staff Development (JNSD), 27(4), 160-164.
[29]  Bilodeau, I., Pepin, J., St-Louis, L. (2012). Journal club in a critical care unit: an innovative design triggering learning through reading and dialogue. Dynamics, 23 (1), 18-23.
[30]  Davis, C., Hendry, I., Barlow, H., Leonard, A., White, L., & Coetzee, M. (2014). Journal club: Integrating research awareness into postgraduate nurse training. Curationis, 37(2), 1-9.
[31]  Campbell-Fleming, J., Catania, K., & Courtney, L. (2009). Promoting Evidence-Based Practice through a Traveling Journal Club. Clinical Nurse Specialist, 23(1), 16-20.
[32]  Lizarondo, L. M., Grimmer-Somers, K., Kumar, S., & Crockett, A. (2012). Does journal club membership improve research evidence uptake in different allied health disciplines: A pre-post study. BMC Research Notes, 5(1), 1.
[33]  Shokouhi, G., Ghojazadeh, M., & Sattarnezhad, N. (2012). Organizing Evidence-Based Medicine (EBM) Journal Clubs in Department of Neurosurgery, Tabriz University of Medical Sciences. International Journal of Health Sciences, 6(1), 59-62.
[34]  Pitner, N. D., Fox, C. A., & Riess, M. L. (2013). Implementing a successful journal club in an anesthesiology residency program. F1000Research.
[35]  Levin, R. F., & Feldman, H. R. (2013). Teaching evidence-based practice in nursing. New York: Springer.
[36]  Arif, S. A., Gim, S., Nogid, A., & Shah, B. (2012). Journal Clubs During Advanced Pharmacy Practice Experiences to Teach Literature-Evaluation Skills, 76(5), 1-8.
[37]  Manning, M. L., & Davis, J. (2012). Journal Club: Avenue to advance evidence-based infection prevention practice. American Journal of Infection Control, 40(7), 667-669.
[38]  Fowler, L., Gottschlich, M. M., & Kagan, R. J. (2013). Burn Center Journal Club Promotes Clinical Research, Continuing Education, and Evidence-based Practice. Journal of Burn Care & Research, 34(2).
[39]  Haj-Ebrahimi, S. Evidence-Based Journal Club. Available from: Accessed July 2014.
[40]  Faridhosseini, F., Saghebi, A., Khadem-Rezaiyan, M., Moharari, F., & Dadgarmoghaddam, M. (2016). Effect of changing journal clubs from traditional method to evidence-based method on psychiatry residents. Advances in Medical Education and Practice, Volume 7, 483-487.
[41]  Zaky, N. H. (2012). Effect of interactive e-learning evidence-based nursing practice educational program on nursing students’ knowledge, skills, and attitudes. J Am Sci, 8(12), 1215-1229.
[42]  Al-baghli, N. A. (2013). Evidence-based medicine workshop, Randomized controlled trial of the efficacy on physician’s knowledge and skills. Saudi Med J, 34(10), 1055-1061.
[43]  Upton, D., & Upton, P. (2006). Knowledge and use of evidence-based practice by allied health and health science professionals in the United Kingdom. Journal of allied health, 35(3), 127-133.‏
[44]  Hill, P. (2016). The Impact of Journal Clubs on Intensive Care Nurses' Self-Report of Implementing Evidence into Practice (Doctorate's thesis, University of Virginia, 2016) (pp. 1-51). Richmond: MEDSURG Nursing.
[45]  Scottish Intercollegiate Guidelines Network. (2011). SIGN 50: a guideline developer’s handbook. Edinburgh: Retrieved from [].
[46]  International Centre for Allied Health Evidence (iCAHE). (2014). Retrieved from [].
[47]  Thomas, A., Saroyan, A., & Dauphinee, W. D. (2010). Evidence-based practice: A review of theoretical assumptions and effectiveness of teaching and assessment interventions in health professions. Advances in Health Sciences Education, 16 (2), 253-276.
[48]  Malik, G., Mckenna, L., & Plummer, V. (2015). Perceived knowledge, skills, attitude and contextual factors affecting evidence-based practice among nurse educators, clinical coaches and nurse specialists. International Journal of Nursing Practice, 21, 46-57.
[49]  Blondy, L.C. (2011). Measurement and comparison of nursing faculty members’ critical thinking skills. Western Journal of Nursing Research, 33(2), 180-195.
[50]  Purnell, M., Majid, G., & Skinner, V. (2017). A pediatric nurses' journal club: developing the critical appraisal skills to turn research into practice. Australian Journal of Advanced Nursing, 34(4), 34-41.
[51]  Mcleod, R. S., Macrae, H. M., Mckenzie, M. E., Victor, J. C., & Brasel, K. J. (2010). A Moderated Journal Club Is More Effective than an Internet Journal Club in Teaching Critical Appraisal Skills: Results of a Multicenter Randomized Controlled Trial. Journal of the American College of Surgeons, 211(6), 769-776.
[52]  Honey, C. P., & Baker, J. A. (2011). Exploring the impact of journal clubs: A systematic review. Nurse Education Today, 31(8), 825-831.
[53]  Ahmadi, N., Mckenzie, M. E., Maclean, A., Brown, C. J., Mastracci, T., & Mcleod, R. S. (2012). Teaching Evidence-Based Medicine to Surgery Residents-Is Journal Club the Best Format? A Systematic Review of the Literature. Journal of Surgical Education, 69(1), 91-100.
[54]  Parhar, S., & Gibson, J. (2016). Does participation in an undergraduate journal club make dental students more knowledgeable and confident in practicing evidence-based dentistry? European Journal of Dental Education, 21(4), 59-63.
[55]  Wenke, R. J., Thomas, R., Hughes, I., & Mickan, S. (2018). The effectiveness and feasibility of TREAT (Tailoring Research Evidence and Theory) journal clubs in allied health: A randomized controlled trial. BMC Medical Education, 18(1).
[56]  Gardner, K., Kanaskie, M. L., Knehans, A. C., Salisbury, S., Doheny, K. K., & Schirm, V. (2016). Implementing and Sustaining Evidence-Based Practice through a Nursing Journal Club. Applied Nursing Research, 31, 139-145.
[57]  Grimshaw, J. M., Eccles, M. P., Lavis, J. N., Hill, S. J., & Squires, J. E. (2012). Knowledge translation of research findings. Implementation Science, 7(1).
[58]  Nesbitt, J., Ed, M. A., & Barton, G. (2014). Nursing Journal Clubs: A Strategy for Improving Knowledge Translation and Evidenced-informed Clinical Practice Invited Manuscript for the Journal of Radiology Nursing. Journal of Radiology Nursing, 33(1), 3-8.
[59]  Wilson, M., Ice, S., Nakashima, C. Y., Cox, L. A., Morse, E. C., Philip, G., & Vuong, E. (2015). Striving for evidence-based practice innovations through a hybrid model journal club: A pilot study. Nurse Education Today, 35(5), 657-662.