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Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study

Background: Nursing homes face challenges caused by increasing numbers of older adults with multimorbidity and the demand for quality of care. Developing an evidence-based nursing (EBN) culture is a promising strategy to face these challenges. Therefore, the aim of this study was to develop an EBN c...

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Autores principales: Lovink, Marleen H., Verbeek, Frank, Persoon, Anke, Huisman-de Waal, Getty, Smits, Marleen, Laurant, Miranda G. H., van Vught, Anneke J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835437/
https://www.ncbi.nlm.nih.gov/pubmed/35162756
http://dx.doi.org/10.3390/ijerph19031733
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author Lovink, Marleen H.
Verbeek, Frank
Persoon, Anke
Huisman-de Waal, Getty
Smits, Marleen
Laurant, Miranda G. H.
van Vught, Anneke J.
author_facet Lovink, Marleen H.
Verbeek, Frank
Persoon, Anke
Huisman-de Waal, Getty
Smits, Marleen
Laurant, Miranda G. H.
van Vught, Anneke J.
author_sort Lovink, Marleen H.
collection PubMed
description Background: Nursing homes face challenges caused by increasing numbers of older adults with multimorbidity and the demand for quality of care. Developing an evidence-based nursing (EBN) culture is a promising strategy to face these challenges. Therefore, the aim of this study was to develop an EBN culture in nursing homes and gain insight into the influencing factors. Methods: An action research study was conducted with 12 nursing teams in 4 Dutch nursing homes, using the Practice Development approach to develop an EBN culture. The teams (mostly certified nurse assistants) were coached by internal facilitators (bachelor’s or master’s degree nurses) and external facilitators (nursing teachers). Data were gathered at baseline and after 15 months using questionnaires and individual and focus group interviews. Results: With varying degrees, most nursing teams implemented elements (related to values, attitudes, and behaviors) of an EBN culture with appropriate leadership, advocacy, and training. The team members became open to new insights and asked critical questions. During the project, participants learned how EBN could be incorporated into daily practice, for example, by keeping it small, discussing information from professional journals, and using creative methods such as quizzes. Influencing factors of an EBN culture were: (a) support of managers, (b) inspiring facilitators close to the team, and (c) stable teams with driving forces and student nurses. Conclusions: Integrating EBN into daily practice in creative and motivating ways contributes to the development of an EBN culture in nursing homes. To facilitate this, managers should support teams in the process and content of EBN, and internal facilitators should collaborate with driving forces on the teams.
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spelling pubmed-88354372022-02-12 Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study Lovink, Marleen H. Verbeek, Frank Persoon, Anke Huisman-de Waal, Getty Smits, Marleen Laurant, Miranda G. H. van Vught, Anneke J. Int J Environ Res Public Health Article Background: Nursing homes face challenges caused by increasing numbers of older adults with multimorbidity and the demand for quality of care. Developing an evidence-based nursing (EBN) culture is a promising strategy to face these challenges. Therefore, the aim of this study was to develop an EBN culture in nursing homes and gain insight into the influencing factors. Methods: An action research study was conducted with 12 nursing teams in 4 Dutch nursing homes, using the Practice Development approach to develop an EBN culture. The teams (mostly certified nurse assistants) were coached by internal facilitators (bachelor’s or master’s degree nurses) and external facilitators (nursing teachers). Data were gathered at baseline and after 15 months using questionnaires and individual and focus group interviews. Results: With varying degrees, most nursing teams implemented elements (related to values, attitudes, and behaviors) of an EBN culture with appropriate leadership, advocacy, and training. The team members became open to new insights and asked critical questions. During the project, participants learned how EBN could be incorporated into daily practice, for example, by keeping it small, discussing information from professional journals, and using creative methods such as quizzes. Influencing factors of an EBN culture were: (a) support of managers, (b) inspiring facilitators close to the team, and (c) stable teams with driving forces and student nurses. Conclusions: Integrating EBN into daily practice in creative and motivating ways contributes to the development of an EBN culture in nursing homes. To facilitate this, managers should support teams in the process and content of EBN, and internal facilitators should collaborate with driving forces on the teams. MDPI 2022-02-02 /pmc/articles/PMC8835437/ /pubmed/35162756 http://dx.doi.org/10.3390/ijerph19031733 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Lovink, Marleen H.
Verbeek, Frank
Persoon, Anke
Huisman-de Waal, Getty
Smits, Marleen
Laurant, Miranda G. H.
van Vught, Anneke J.
Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
title Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
title_full Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
title_fullStr Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
title_full_unstemmed Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
title_short Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
title_sort developing an evidence-based nursing culture in nursing homes: an action research study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8835437/
https://www.ncbi.nlm.nih.gov/pubmed/35162756
http://dx.doi.org/10.3390/ijerph19031733
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