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Supporting evidence-based practice for nurses through information technologies
Diane M Doran1, R Brian Haynes, André Kushniruk
1Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada. diane.doran@utoronto.ca
Worldviews on Evidence-Based Nursing
|December 24, 2009
Summary
Providing nurses with mobile devices like PDAs and tablets improved access to evidence-based resources, enhancing research utilization and job satisfaction. This technology is feasible for reducing barriers to accessing critical information for nurses.
Area of Science:
- Nursing Informatics
- Health Information Technology
- Evidence-Based Practice
Background:
- An initiative by the Ontario Ministry of Health and Long-Term Care provided nurses with personal digital assistants (PDAs) and Tablet PCs.
- Nurses gained internet access to drug references, medical information, best practice guidelines (BPGs), and research abstracts.
Purpose of the Study:
- To assess the usability of mobile devices (PDAs, Tablets) for nurses' information access.
- To explore the link between mobile-supported resources and nursing outcomes.
Main Methods:
- A 12-month longitudinal study in 29 Canadian healthcare organizations.
- Utilized Diffusion of Innovation theory and PARIHS model with 488 frontline nurses.
- Questionnaires evaluated impacts on research utilization barriers, quality of care, and job satisfaction.
Main Results:
- Nurses frequently accessed drug/medical references, Google, and Nursing PLUS.
- Registered Nurses Association of Ontario (RNAO) BPGs were highly rated for usability and satisfaction.
- Significant improvements noted in research awareness and communication among PDA/Tablet users.
- PDA users showed improved perceived quality of care and job satisfaction, particularly in long-term care.
Conclusions:
- Mobile information technologies are feasible for providing nurses with evidence-based practice resources.
- Implementation can effectively reduce barriers to research utilization in nursing practice.
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