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Self-Efficacy: Changing the Tide of Evidence-Based Practice.
Carol Boswell1,2, Alyce Ashcraft3, JoAnn Long4
1James A. "Buddy" Davidson Charitable Foundation Endowed Chair for Evidence-Based Practice, Odessa, TX, USA.
Worldviews on Evidence-Based Nursing
|April 4, 2020
Summary
Frontline nurses show a strong correlation between evidence-based practice (EBP) and self-efficacy. Enhancing nursing education and providing supportive management are key to increasing EBP adoption and confidence in clinical settings.
Area of Science:
- Nursing Science
- Healthcare Management
- Professional Development
Background:
- Evidence-based practice (EBP) integration is crucial for quality patient care.
- Frontline registered nurses (RNs) are key in implementing EBP.
- Understanding factors influencing EBP adoption, like self-efficacy, is essential.
Purpose of the Study:
- To describe differences in EBP and self-efficacy among frontline RNs.
- To examine the relationship between organizational/unit culture, EBP, and self-efficacy.
- To identify implications for nursing education, staff development, and management.
Main Methods:
- Descriptive correlational study with 245 frontline RNs in acute care.
- Utilized the Nursing Evidence-Based Practice Survey and Evidence-Based Nursing Practice Self-Efficacy Scale.
- Data collected via the Qualtrics online platform.
Main Results:
- A strong positive correlation was found between EBP and self-efficacy (r = .537, p < .01).
- Unit culture (r = .241, p < .01), organizational culture (r = .570, p < .01), and knowledge, skills, attitude (r = .538, p < .01) were significantly correlated with EBP.
- These findings highlight the interconnectedness of practice, perception, and environment.
Conclusions:
- Nursing education should integrate EBP fundamentals.
- Staff development must build upon existing knowledge to enhance EBP self-efficacy.
- Management should provide resources and policies supporting EBP to improve patient outcomes.
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