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A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Practice
Joyce Pittman1,2, Andrea Cohee2, Susan Storey2
1Ostomy,Continence Program, Indiana University Health, Indianapolis, IN, USA.
Assessing organizational context is key for evidence-based practice (EBP) sustainability. Nurse characteristics like age and role impact EBP readiness, highlighting the need to foster social capital for improved practice environments.
Area of Science:
- Nursing Science
- Healthcare Management
- Organizational Behavior
Background:
- Implementing and sustaining a culture of evidence-based practice (EBP) requires a systematic approach.
- Baseline assessment of organizational context is crucial for informing EBP implementation efforts.
Purpose of the Study:
- To examine organizational hospital context and provider characteristics associated with EBP readiness.
- To describe the EBP context across different hospital types.
Main Methods:
- A nonexperimental descriptive correlational design was employed.
- A web-based survey using the Alberta Context Tool (ACT) was administered to 701 direct-care registered nurses and 94 nurse managers.
- The study was conducted across a large Midwestern multisite healthcare system.
Main Results:
- Significant relationships were found between nurse characteristics and ACT domains (e.g., younger nurses had higher Leadership, Evaluation, and Formal Interactions).
- Graduate-educated nurses reported lower Social Capital compared to those with bachelor's or associate degrees.
- Direct-care nurses reported lower Culture and Social Capital than managers; full-time employees showed lower Evaluation and Social Capital.
Conclusions:
- Assessing organizational context is the first step toward developing a sustainable culture of inquiry and EBP.
- The Alberta Context Tool (ACT) effectively measures readiness for EBP across diverse settings and disciplines.
- Enhancing organizational context, fostering social capital, and adopting a standardized approach are essential for successful EBP implementation and sustainability in nursing.
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