Caramanica Laura, Spiva LeeAnna
Author Affiliations: Associate Professor (Dr Caramanica), University of West Georgia, Carrollton; Former VP/CNO (Dr Caramanica), WellStar Kennestone Hospital, Marietta; and Executive Director (Dr Spiva), WellStar Health System, WellStar Development Center, Center for Nursing Excellence, Atlanta, Georgia.
J Nurs Adm. 2018 May;48(5):272-278. doi: 10.1097/NNA.0000000000000612.
The study identifies what constitutes nurse manager (NM) support and other resources that enable clinical nurses (CNs) to engage in evidence-based practice (EBP).
Clinical nurses report that NM support enables them to use EBP but what constitutes NM support is still unclear.
Nurse managers, CNs, and EBP mentors received specialized education and use a team approach for EBP. Data were collected preintervention, mid-intervention, and postintervention from observations, interviews, journaling, and surveys.
Results demonstrate how NMs can perform their role responsibilities and still engage CNs to develop a spirit of inquiry, seek answers to their clinical questions using EBP, and advance their clinical performance to improve patient outcomes. Four NM supportive behaviors emerged: cultivating a shared EBP vision, ensuring use of EBP, communicating the value of EBP, and providing resources for EBP.
Through education and support, NMs describe supportive behaviors necessary for the successful conduction of EBP by CNs.
本研究确定了构成护士长(NM)支持以及使临床护士(CN)能够参与循证实践(EBP)的其他资源。
临床护士报告称,护士长的支持使他们能够运用循证实践,但护士长支持的构成仍不明确。
护士长、临床护士和循证实践指导教师接受了专业教育,并采用团队方法开展循证实践。在干预前、干预中期和干预后,通过观察、访谈、日志记录和调查收集数据。
结果表明护士长如何履行其职责,同时促使临床护士培养探究精神,运用循证实践寻求临床问题的答案,并提升其临床绩效以改善患者结局。出现了四种护士长的支持行为:培养共同的循证实践愿景、确保循证实践的应用、传达循证实践的价值以及为循证实践提供资源。
通过教育和支持,护士长描述了临床护士成功开展循证实践所需的支持行为。