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Factors affecting evidence translation for general practice nurses.

Jane Mills¹, John Field, Robyn Cant

¹School of Nursing, Midwifery and Nutrition, James Cook University, Cairns Campus, Smithfield, Queensland, Australia. jane.mills@jcu.edu.au

International Journal of Nursing Practice

|September 24, 2011

Summary

This study identified five key domains influencing how practice nurses use clinical evidence. These findings validate a tool for assessing influences on evidence-based practice among Australian nurses.

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Area of Science:

Nursing Research
Evidence-Based Practice
Knowledge Translation

Background:

Understanding factors influencing practice nurses' use of clinical evidence is crucial for improving patient care.
Previous research in the UK identified key domains affecting evidence utilization by nurses.

Purpose of the Study:

To explore and identify the domains of influence affecting practice nurses' ability to find, evaluate, and use clinical evidence.
To replicate a UK study using the Developing Evidence-Based Practice Questionnaire in an Australian context.
To propose a new model explaining influences on knowledge translation into practice for Australian general practice nurses.

Main Methods:

A cross-sectional survey was conducted with 590 general practice nurses in Victoria, Australia.
Principal components analysis was used to analyze the data.
The Developing Evidence-Based Practice Questionnaire was utilized and adapted for the Australian setting (Developing Evidence-Based Practice Questionnaire-Au).

Main Results:

Five domains of influence were identified: skills in finding/reviewing evidence, barriers to finding/reviewing evidence, knowledge from published sources, knowledge from other sources, and barriers or facilitators to change.
Factor analysis confirmed that these domains underlie nurses' relationship with evidence-based practice.
The Developing Evidence-Based Practice Questionnaire-Au was found to be a valid and useful instrument.

Conclusions:

The study successfully identified and validated key domains influencing evidence-based practice among Australian general practice nurses.
A new model is proposed to explain the complex interplay of these domains in knowledge translation.
The findings support the use of the Developing Evidence-Based Practice Questionnaire-Au for future research and practice improvement.