Assessing Clinical Nurse Educators’ Perceptions of Factors Influencing Evidence-Based Nursing Policy Implementation Within a Large Pediatric Healthcare System

IF 3.5 3区 医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2025-01-28 DOI:10.1111/jocn.17651
Hannah Lecesne, Laura Kimble, Margaret Gettis, Betsy Dye
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Abstract

Aim

To identify barriers and facilitators to implementation of new evidence-based nursing policies among nurse educators.

Background

Evidence-based practice promotes safe patient care through the combination of the best available research, clinical expertise and patient preferences. Policies are utilised by nursing to drive patient care and thus should be evidence-based. Nurse educators are identified as champions of evidence-based practice and policy dissemination. Therefore, understanding nurse educators' perceptions surrounding barriers and facilitators to nursing policy implementation and attitudes regarding evidence-based practice can help drive successful policy implementation and foster evidence-based practice in patient care.

Design

Descriptive, cross-sectional.

Methods

A 7-item survey was electronically distributed to all nurse educators within a large pediatric healthcare system to assess barriers and facilitators to policy implementation as well as attitudes surrounding evidence-based practice and policies.

Findings

The most significant barriers were lack of time and poor understanding of policy development. The most significant facilitators were a standardised policy dissemination process and leadership support of policy implementation efforts. Most nurse educators agreed that evidence-based practice is valuable to patient care. However, nurse educators report that they have a neutral to poor understanding of evidence-based practice.

Conclusion

Findings were consistent with the literature, thus adding to the body of literature that supports the need for further development around policy dissemination and evidence-based practice education for nurse educators.

Implications for the Profession and/or Patient Care

This paper supports the need for professional development for nurse educators, standardisation of policy dissemination and leadership support of policy dissemination and promotion of evidence-based practice.

Patient or Public Contribution

No patient or public contribution.

Reporting Method

This paper adheres to the SQUIRE 2.0 guidelines.

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评估临床护理教育者对大型儿科医疗保健系统中影响循证护理政策实施的因素的看法。
目的:探讨护士教育工作者实施循证护理新政策的障碍和促进因素。背景:循证实践通过结合现有的最佳研究、临床专业知识和患者偏好来促进安全的患者护理。护理部门利用政策来推动患者护理,因此应该以证据为基础。护士教育工作者被认为是循证实践和政策传播的倡导者。因此,了解护理教育者对护理政策实施的障碍和促进因素的看法,以及对循证实践的态度,有助于推动政策的成功实施,并促进患者护理中的循证实践。设计:描述性、横断面性。方法:通过电子方式向大型儿科医疗保健系统内的所有护士教育工作者分发一份7项调查,以评估政策实施的障碍和促进因素,以及围绕循证实践和政策的态度。研究发现:最重要的障碍是缺乏时间和对政策制定的理解不足。最重要的促进因素是标准化的政策传播过程和领导对政策执行工作的支持。大多数护士教育工作者都认为,循证实践对病人护理是有价值的。然而,护士教育工作者报告说,他们对循证实践的理解是中立的。结论:研究结果与文献一致,因此增加了文献的主体,支持进一步发展政策传播和护理教育者的循证实践教育的必要性。对专业和/或患者护理的影响:本文支持护士教育工作者的专业发展,政策传播的标准化以及政策传播和促进循证实践的领导支持的必要性。患者或公众捐款:没有患者或公众捐款。报告方法:本文遵循SQUIRE 2.0指南。
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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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