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Cognitive maturity and readiness for evidence-based nursing practice.
Carolyn J Nickerson1, Mary Ann Thurkettle
1Duquesne University, School of Nursing, Pittsburgh, PA, USA. nickersonc@duq.edu
The Journal of Nursing Education
|November 28, 2012
Summary
Cognitive maturity influences nurses' engagement in evidence-based practice (EBP). Educational strategies fostering cognitive development are crucial for preparing nurses for EBP, enhancing their ability to critically evaluate research.
Area of Science:
- Nursing
- Cognitive Psychology
- Medical Education
Background:
- Individual factors significantly impact research utilization and evidence-based practice (EBP).
- Cognitive maturity may be a key determinant in nurses' willingness to engage with clinical inquiry and EBP.
- Adult cognitive development theories suggest that traditional research training alone may be insufficient for EBP readiness.
Purpose of the Study:
- To explore the role of cognitive maturity in nurses' engagement with research utilization and EBP.
- To examine how epistemic assumptions influence the understanding and application of research in nursing practice.
- To advocate for developmentally oriented educational interventions based on the reflective judgment model to enhance EBP competency.
Main Methods:
- The study draws upon adult cognitive development theory and the reflective judgment model.
- Analysis of epistemic assumptions (pre-reflective and quasi-reflective thinking) in relation to EBP.
- Conceptual framework linking cognitive development to research utilization and evidence-based practice.
Main Results:
- Pre-reflective and quasi-reflective thinking present barriers to embracing practice uncertainty and valuing research evidence.
- Nurses may rely on formal logic but also on authority, hindering critical evaluation of evidence.
- Cognitive development is essential for nurses to fully perceive and utilize research in practice.
Conclusions:
- Cognitive maturity is a critical factor for effective engagement in evidence-based practice (EBP).
- Educational initiatives informed by cognitive development theories can foster the necessary skills for EBP.
- Further research on cognitive maturity and EBP is needed to refine educational strategies for nurses.
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