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Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
Marleen H Lovink1,2, Frank Verbeek1, Anke Persoon2
1School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands.
International Journal of Environmental Research and Public Health
|February 15, 2022
Summary
Developing an evidence-based nursing (EBN) culture in nursing homes requires creative integration into daily practice. Key factors for success include manager support, inspiring facilitators, and stable teams.
Area of Science:
- Gerontology
- Nursing Science
- Healthcare Management
Background:
- Nursing homes face increasing demands due to aging populations and multimorbidity.
- Enhancing the quality of care in nursing homes is a critical challenge.
- Developing an evidence-based nursing (EBN) culture is a strategic approach to improve care quality.
Purpose of the Study:
- To develop an evidence-based nursing (EBN) culture within nursing homes.
- To identify factors influencing the development of an EBN culture in this setting.
Main Methods:
- Action research was employed across 12 nursing teams in 4 Dutch nursing homes.
- The Practice Development approach guided the EBN culture development.
- Data collection involved questionnaires and interviews at baseline and after 15 months.
Main Results:
- Most teams successfully integrated elements of an EBN culture, including values, attitudes, and behaviors.
- Participants demonstrated increased openness to new information and critical inquiry.
- Effective strategies included keeping EBN manageable, discussing professional literature, and using creative methods like quizzes.
Conclusions:
- Creative and motivating integration of EBN into daily practice fosters an EBN culture in nursing homes.
- Managerial support for EBN processes and content is crucial.
- Internal facilitators collaborating with team 'driving forces' enhances EBN development.
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