Self-assessment of Undergraduate Nursing Students about Their Knowledge, Behavior, and Attitude in Relation to Evidence Based Practice

Amel Ahmed Elsayed^1,

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

Cite this paper:
Amel Ahmed Elsayed. Self-assessment of Undergraduate Nursing Students about Their Knowledge, Behavior, and Attitude in Relation to Evidence Based Practice. American Journal of Nursing Research. 2019; 7(6):958-964. doi: 10.12691/ajnr-7-6-8

Abstract

Background: Evidence-based practice (EBP) is used worldwide to improve the quality of patient care to provide cost-effective care. EBP is a mandate for nursing practice combining individual clinical judgment with available expertise to generate a positive outcome for the patient. Objective: The study aimed to describe the self- assessment of undergraduate nursing students about Knowledge, behavior, and attitude in relation to Evidence Based Practice. A Cross- sectional study design. Convenience sampling technique was used to include all consenting nursing students from fifth level to eighth level (3rd and 4th year) (n=255) student. The research was carried out at the Faculty of Nursing, Princess Nourah Bint Abdulrahman University. A self- administered questionnaire. The EBP was done by adopting EBP questionnaire that has been created by Upton et.al (2006) & Ruzafa-Martinez et.al (2017): The results indicated that our respondents generally viewed EBP positively and their attitudes towards EBP tended to be more positive than their knowledge and behaviors about EBP. Exactly 76.6% of respondents in our study had a positive attitude toward EBP. Finally, our study showed statistically significant correlations between practice, knowledge and attitudes related to evidence-based practice. Many studies have established that the three segments of knowledge, attitude, and behavior are inseparably interlinked and strength each other in EBP. Conclusion of our research showed that factor of training in EBP has an effect on nursing students' knowledge, attitudes and behaviors about EBP. To the possible extent, training will help to increase positive beliefs and attitudes regarding EBP. Further investigation regarding the effect of gender difference in EBP is needed.

Keywords:
evidence-based practice nurses attitudes knowledge

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Shokoh, V., Mahvash, S., Mohammad, A. C., Mohammad, R. M. Tehrani, R. H. (2013). “Education and implementing evidence-based nursing practice for diabetic patients Iranian ”Journal of Nursing and Midwifery Research | May-June | Vol. 18 | Issue 3.
[2]	Brown, C. E, Wickline, M., Ecoff, L., & Glaser, D. (2009) “Nursing Practice, Knowledge, Attitudes and Perceived Barriers to Evidence-Based Practice at an Academic Medical Center”. UC San Diego: Library. Retrieved from https://escholarship.org/uc/item/47m7p92r.
[3]	Melnyk BM, Gallagher L, Long LE, Fineout 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 Evid Based Nurs 11: 5-15.
[4]	Stevens, K.R., (2013). “The impact of evidence-based practice in nursing and the next big ideas”. Online J. Issues Nurs. 18 (2). Manuscript 4.
[5]	Linton M.J. & Prasun M.A. (2013). “Evidence-based practice: collaboration between education and nursing management”. Journal of Nursing Management. 21, 5-16.
[6]	Moch SD, Cronje RJ, Branson J. Part 1. (2010). “Undergraduate nursing evidence based practice education: envisioning the role of students”. J Prof Nurs. 26 (1): 5-13.
[7]	Saldana L. The stages of implementation completion for evidence-based practice: protocol for a mixed methods study”. Implement Sci. 2014; 9(43): 1-11.
[8]	Jalali-Nia, S.F., Salsali, M., Dehghan-Nayeri, N., and Ebadi ,A. (2011) “Effect of evidence-based education on Iranian nursing students’ knowledge and attitude”. Nursing and Health Sciences, 13, 221-227.
[9]	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. 27.
[10]	Kueny, A., Shever, L. L., Lehan Mackin, M., & Titler, M. G. (2015). “Facilitating the implementation of evidence- based practice through contextual support and nursing leadership”. Journal of healthcare leadership, 7, 29-39.
[11]	American Association of Colleges of Nursing. (2011). “The Essentials of Master's Education in Nursing”. (Washington, DC. Available at http://www.aacn.nche.edu/educationresources/MastersEssentials11.pdf).
[12]	Moore, E.R., Watters, R., (2013). “Educating DNP students about critical appraisal and knowledge translation”. Int. J. Nurs. Educ. Scholarsh. 10, 237-244.
[13]	Chiu YW, Weng YH, Lo HL, Shih YH, Hsu CC, Kuo KN(2010). “Impact of a nationwide outreach program on the diffusion of evidence-based practice in Taiwan”. Int J Qual Health Care. Oct; 22(5): 430-6.
[14]	Chiu YW, Weng YH, Lo HL, Hsu CC, Shih YH, Kuo KN. (2010). “ Comparison of evidence-based practice between physicians and nurses: a national survey of regional hospitals in Taiwan”. J Contin Educ Health Prof. Spring; 30(2): 132-8.
[15]	AbuRuz ME, Hayeah HA, Al-Dweik G, et al. (2017). “Knowledge, Attitudes, and Practice about Evidence-Based Practice: A Jordanian Study” Health Sci J., 11: 2.
[16]	Manjula R., Anjani ,K. S., Ashok S. D. , (2018). “Evidence based practice: knowledge, attitude and practice among undergraduate and postgraduate medical students of a medical college in North Karnataka India”. Int. J Community Med Public Health. Jun; 5(6): 2411-2415.
[17]	Rojjanasrirat W, Rice J. (2017). “Evidence-based practice knowledge, attitudes, and practice of online graduate nursing students”. Nurse Educ Today. Jun; 53:48-53.
[18]	Soltani, L., Mazhari, F., Nouhi, E., Sabzevari, S. (2017) “Barriers to Implementation of Evidence-Based Nursing Care from the Perspective of Nursing Instructors of Nursing and Midwifery Faculty of Rafsanjan and Kerman, Iran”. Journal of Medical Education Development Center; 13(6): 589-597.
[19]	Bertulis, R. (2008). “Barriers to accessing evidence-based information Nursing standard”. official newspaper of the Royal College of Nursing 22(36): 35-9.
[20]	Fineout-Overholt, Ellen; Gallagher-Ford, Lynn; Mazurek Melnyk, Bernadette. (2011) “Evidence-Based Practice, Step by Step: Evaluating and Disseminating the Impact of an Evidence-Based Intervention: Show and Tell More”. AJN The American Journal of Nursing. 111(7):56-59, July.
[21]	Ruzafa-Martinez, M., Lopez-Iborra, L., Moreno-Casbas, T., & Madrigal-Torres, M. (2013). “Development and validation of the competence in evidence based practice questionnaire (EBP-COQ) among nursing students”. Retrieved March 16, 2017, from https://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-13-19.
[22]	Upton, D. and Upton, P. (2006) “Development of an evidence-based practice questionnaire for nurses”. Journal of Advanced Nursing, 53: 454-458.
[23]	Fen Zhou, Yufang Hao, Hong Guo, and Hongxia Liu, (2016) “Attitude, Knowledge, and Practice on Evidence-Based Nursing among Registered Nurses in Traditional Chinese Medicine Hospitals: A Multiple Center Cross-Sectional Survey in China”. Evidence-Based Complementary and Alternative Medicine, vol. 2016, Article ID 5478086, 8 pages.
[24]	Weng, YH. , Chen, C., Kuo, KN., Yang, CY. , Lo, HL., Chen, KH. , Chiu, YW. , (2016) “Implementation of evidence-based practice in relation to a clinical nursing ladder system: a national survey in Taiwan”. Worldviews Evid Based Nurs.; 12(1): 22-30.
[25]	Ammouri, A.A., Raddaha, A.A., Dsouza, P., Geethakrishnan, R., Noronha, J.A., Obeidat, A.A., Shakman, L., (2014). “Evidence-Based Practice Knowledge, attitudes, practice and perceived barriers among nurses in Oman”. Sultan Qaboos University Med J, Vol. 14, Iss. 4 , pp. e537-545.
[26]	Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y. L., Chang, Y. K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers. Journal of the Medical Library Association: JMLA, 99(3), 229-236.
[27]	Ashktorab, T., Pashaeypoor, S., Rassouli, M., & Alavi-Majd, H. (2015, December). Nursing Students’ Competencies in Evidence-Based Practice and Its Related Factors. Retrieved March 16, 2017, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4733497/