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Evidence-based practice among nurses in Italy.

Alberico Filippini¹, Alessandra Sessa, Gabriella Di Giuseppe

¹Department of Public, Clinical and Preventive Medicine, Second University of Naples, Via Luciano Armanni 5, Naples, Italy.

Evaluation & the Health Professions

|December 9, 2010

Summary

Continuing education is crucial for enhancing nurses' knowledge and application of evidence-based practice (EBP). Training and access to scientific journals significantly improve EBP adoption among Italian nurses.

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Area of Science:

Nursing Science
Healthcare Research
Evidence-Based Practice

Background:

Evidence-based practice (EBP) integration is vital for quality patient care.
Assessing nurses' current EBP knowledge, attitudes, and behaviors is essential for targeted interventions.
Understanding factors influencing EBP adoption can optimize healthcare delivery.

Purpose of the Study:

To evaluate the knowledge, attitudes, and behaviors of Italian nurses concerning evidence-based practice (EBP).
To identify factors associated with higher EBP knowledge and perceived importance of guidelines.
To determine predictors of practice modification based on EBP principles.

Main Methods:

A cross-sectional survey was administered to 449 nurses in Italy.
A self-administered questionnaire assessed knowledge, attitudes, and behaviors related to EBP.
Statistical analysis identified factors correlating with EBP knowledge, guideline importance, and practice changes.

Main Results:

Higher EBP knowledge was linked to not working in medical/surgical wards, valuing intervention efficacy, combining clinical experience with evidence, recent EBP courses, and information from courses/journals.
Perceived importance of guidelines was higher among nurses in medical wards, those finding guidelines useful, valuing intervention efficacy, combining experience with evidence, and engaging with EBP education.
Nurses attending EBP courses and regularly reading journals/guidelines were more likely to have modified their practice.

Conclusions:

Continuing education programs are recommended to improve nurses' EBP knowledge and practice in Italy.
Targeted educational initiatives addressing specific barriers and facilitators are needed.
Further research with higher response rates is warranted to confirm these findings.