American Journal of Nursing Research
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American Journal of Nursing Research. 2019, 7(1), 93-101
DOI: 10.12691/ajnr-7-1-13
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Effect of Evidence Based Practice Training Program on Professional Nurses¡¯ Decision Making Abilities

Mahdia Morsi El Shahat1 and Nora Ahmed Abd Allah1,

1Nursing Administration, Faculty of Nursing, Benha University, Egypt

Pub. Date: January 06, 2019

Cite this paper:
Mahdia Morsi El Shahat and Nora Ahmed Abd Allah. Effect of Evidence Based Practice Training Program on Professional Nurses¡¯ Decision Making Abilities. American Journal of Nursing Research. 2019; 7(1):93-101. doi: 10.12691/ajnr-7-1-13


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.

evidence-based practice professional nurses decision-making abilities training program

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[1]  Health Science Library, (2018). Basic Introduction to evidence-based practice resources. Available at: Retrieved on 20-8-2017.
[2]  Karkada, S., (2015). Evidence based practice (EBP). International Journal of Nursing Research and Practice, l 2. (2). 2-4.
[3]  Heydari, A. ., Mazlom, S. R., Ranjbar, H & Scurlock-Evans, and L. A., (2014). Study of Iranian nurses' and midwives' knowledge, attitudes, and implementation of evidence-based practice: The time for change has arrived. Worldviews on Evidence-Based Nursing, 11: 325-331.
[4]  Marion, J. Ball? & Judith, V., (2011). Nursing Informatics: Where Technology and Caring Meet. Springer Co. (4th Ed).
[5]  Colorado Mesa University, (2016). Why evidence-based practice is vital to improving patient care. Available at: Retrieved on: 24-8-2017.
[6]  Koehn, M. L & Lehman, K. (2012). Nurses' perceptions of evidence-based nursing practice. Journal of Advanced Nursing, 62 (2): 209-215.
[7]  Morcillo, A. R., Salazar,S Mart¨ªnez, M., Casado, R. D., (2015). Effectiveness of a brief, basic evidence based practice course for clinical nurses. Journal of Nursing Scholarship 12(4) 199-207.
[8]  Karkada, S., (2015). Evidence based practice (EBP). International Journal of Nursing Research & Practice, l 2. (2) 2-4
[9]  Pearson A., & Jordan Z., (2013). Evidence-based healthcare in developing countries, International Journal of Evidence-Based Healthcare, 8 (2): 97-100.
[10]  Stanley, G, M & Jeanne, C. M., (2017). Practionior expertise in evidence based practice decision making. Social Work Practice, 18(4): 301-310.
[11]  Mokhtar I. A., Majid, S., Foo, S., Zhang, X., Theng Y. L & Chang, Y. K., (2012). Evidence-based practice and related information literacy skills of nurses in Singapore: An exploratory case study. Health Informatics Journal. (18):12-25.
[12]  Upton, D &Upton, P (2006). Development of an evidence-based practice questionnaire for nurses. J Adv Nurs 53: 454-458.
[13]  Fineout-Overholt, E & Melnyk, F. M. (2011). Evidence-Based Practice in Nursing and Healthcare. (2nd Ed). Philadelphia, PA: Lippincott Williams & Wilkins Co. pp, 73-81, 205-213.
[14]  Melnyk, B; Fineout-Overholt, E & Mays, M., (2008). The evidence-based practice beliefs and implementation scales: psychometric properties of two new instruments, Worldviews on Evidence-Based Nursing, 5(4): 208-216.
[15]  Pearson, H. (2013). Science and intuition: Do both have a place in clinical decision making? British Journal of Nursing, 22(4), 212-215.
[16]  Younis, S. (2017). Assessment of Problem-Solving Skills and Factors Influencing Decision Making among Nursing Management Staff, Unpublished Master Thesis, Faculty of Nursing, Benha University.
[17]  Abd El-Ghaffar, M. (2017). Assessment of decision making ability among head nurses and its relation to their job satisfaction at Benha University Hospitals, Unpublished Master Thesis, Faculty of Nursing, Benha University.
[18]  Hunter B. (2013). Implementing research evidence into practice: some reflections on the challenges. Evidence Based Midwifery, 11 (3): 76-80.
[19]  Ali, K. A. G., (2014). Enhancing Bachelor nurses to use evidence-based nursing in clinical practice. Unpublished Doctorate thesis (Ph.D.) in Nursing Service Administration. Faculty of Nursing Benha University. P.140.
[20]  Bailey, D. (2015). Educating nursing staff in evidence-based practice: A process improvement, development, and implementation of a preadmission clinic, A DNP Project Presented in partial fulfillment of the requirements for the degree doctor of nursing practice, Capella University.
[21]  Eldeep, G. A and Bakeer, H. M., (2016). Effect of an educational program interns' evidence based program attitude, knowledge and skills. JOSR Journals of Nursing and Health Science. 5(3):12-18.
[22]  Hart, P., Eaten, L., Buckner, M., Morrow B. N., Barrett, D. T., & Fraser D. D., (2017). Effectiveness of a computer-based educational program on nurses' knowledge, attitude, and skill level related to evidence-based practice. Worldviews on Evidence-Based Nursing, 5(2), 78-84.
[23]  Goot, W. E., Keers, J.C., Kuipers, R., Nieweg, R. M. &?Groot, M. D. (2018). The effect of a multifaceted evidence-based practice programme for nurses on knowledge, skills, attitudes, and perceived barriers: A cohort study. Nurse Education Today. 63: 5-11.
[24]  Andersson, N., Cederfja¡§, C., Jylli, L., Nilsson, K. K & Klang, B., (2012). Professional roles and research utilization in paediatric care: newly-graduated nurses' experiences, Scandinavian Journal of Caring Sciences 21(1), 91-97.
[25]  Stokke, K., Olsen, N. R., Espehaug, B., & Nortvedt M. W., (2014). Evidence, based practice beliefs and implementation among nurses: A cross-sectional study, BMC Nursing, Volume 13.
[26]  Kim, S. C., Brown, C. E., Ecoff, L., Davidson, J. E., Gallo, A. M., Klimpel, K., & Wickline, M. A., (2013). Regional evidence-based practice fellowship program: Impact on evidence-based practice implementation and barriers. Clinical Nursing Research, 22(1), 51-69.
[27]  Mooney, S., (2012). The effect of education on evidence-based practice and nurses' beliefs/attitudes toward and intent to use evidence-based practice. Gardner-Webb University. A capstone project submitted to the faculty of Gardner-Webb University School of Nursing in partial fulfillment of the requirements for the degree of Doctorate of Nursing Practice.
[28]  Gale & Schaffer, (2014). Organizational readiness for evidence-based practice. Journal of Nursing Administration, 39 (2), 91-97.
[29]  Thompson, C., Aitken, L., Doran, D., & Dowding D., (2013). An agenda for clinical decision making and judgment in nursing research and education. International Journal of Nursing Studies 50 (12) 1720-1726.
[30]  Thorsteinsson S. Hrund J. (2014). Readiness for and predictors of evidence-based practice of acute-care nurses: a cross-sectional postal survey, Scandinavian Journal of Caring Sciences, Volume 28, Issue 3, pages 572-581.
[31]  Salem, O. A., Alamrani, D & Albloushi M. M., (2015). Knowledge, Practice and Attitude of Evidence Based Practice among Nurses in Kingdom of Saudi Arabia. The King Saud University, College of Nursing, Riyadh, Saudi Arabia. Med. J. Cairo Univ., 77(2), 121-128.
[32]  Majid, S. h., Foo, L.B; Zhang, X; Theng, Y. L., Yun-K, C; & Mokhtar, I. A., (2015). Adopting evidence-based practice in clinical decision making: Nurses' perceptions, knowledge, and barriers. J Med Libr Assoc 99(3).
[33]  Elsayed, W. A., Hassona, F. & Othman's, W. N., (2017). Relation between Nursing Informatics Competency and Nurses' Attitude toward Evidence-Based Practice among Qualified Nurses at Mansoura Oncology Center. International Journal of Nursing, 7: (6). 229. 26-33.
[34]  Muntean, W. J., (2015). Nursing clinical decision-making: A Literature Review. Available at: Retrieved on: 24-7-2018.