RESEARCH USE FROM ITALIANRESEARCH USE FROM ITALIAN
NURSES TO INCREASE THEIRNURSES TO INCREASE THEIR
KNOWLEDGE IN THE CLINI...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
2
Ferrara Italy
BACKGROUND
HE STUDY OF CONTEXT AN...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
3
BACKGROUNDBACKGROUND
““ Will Evidence-Will Evid...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
4
AIM OF THE STUDYAIM OF THE STUDY
Compare the so...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
5
METHODMETHOD
We sent 2642
questionnaires to
nur...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
6
The knowledge that I use in my
practice is base...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
7
RESULTS
1
1,5
2
2,5
3
3,5
4
4,5
5
Myexperience
...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
8
FINDINGSFINDINGS
NURSE WITHNURSE WITH
EBNEBN
KN...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
9
LIMITATIONSLIMITATIONS
Within the Azienda Osped...
28/01/15 Master in EBP e Metodologia
della Ricerca Clinico-assistenziale
10
CONCLUSIONCONCLUSION
Research use is quite unc...
28/01/15 11
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  1. 1. RESEARCH USE FROM ITALIANRESEARCH USE FROM ITALIAN NURSES TO INCREASE THEIRNURSES TO INCREASE THEIR KNOWLEDGE IN THE CLINICALKNOWLEDGE IN THE CLINICAL PRACTICE:PRACTICE: COMPARISON OF THREE ITALIANCOMPARISON OF THREE ITALIAN HOSPITALSHOSPITALS Gloria GianesiniGloria Gianesini Azienda Ospedaliero Universitaria di FerraraAzienda Ospedaliero Universitaria di Ferrara Arcispedale S. AnnaArcispedale S. Anna Ferrara Italy
  2. 2. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 2 Ferrara Italy BACKGROUND HE STUDY OF CONTEXT AND THE ANALYSIS OF OBSTACLEHE STUDY OF CONTEXT AND THE ANALYSIS OF OBSTACLE AGAINST EBP DEVELOPMENT ARE PRECONDITIONSAGAINST EBP DEVELOPMENT ARE PRECONDITIONS FOR EBPFOR EBP
  3. 3. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 3 BACKGROUNDBACKGROUND ““ Will Evidence-Will Evidence- Based NursingBased Nursing Practice MakePractice Make Practice Perfect?”Practice Perfect?” C.A Estabrooks – 1998 Ferrara Italy
  4. 4. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 4 AIM OF THE STUDYAIM OF THE STUDY Compare the sources ofCompare the sources of knowledge for nursingknowledge for nursing clinical practice within threeclinical practice within three hospitals in Northern Italyhospitals in Northern Italy with different Evidence-Basedwith different Evidence-Based Nursing/Evidence-BasedNursing/Evidence-Based Practice (EBN/EBP)Practice (EBN/EBP) backgroundbackground Ferrara Italy
  5. 5. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 5 METHODMETHOD We sent 2642 questionnaires to nurses who care for patients within the following hospitals :  Policlinico S.Policlinico S. Orsola-MalpighiOrsola-Malpighi in Bolognain Bologna  Arcispedale S.Arcispedale S. Anna in FerraraAnna in Ferrara  Treviso HospitalTreviso Hospital 678 167 704 Cross sectionalCross sectional surveysurvey Ferrara Italy Questionnaires received: 1549 (58.5%)
  6. 6. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 6 The knowledge that I use in my practice is based on…. Never Seldom Someti mes Freque ntly Alwa ys Informations that I learn about each patient/clients 1 2 3 4 5 My intuitions about what seems to be “right” for the patient/client 1 2 3 4 5 My personal experience of nursing patients over time 1 2 3 4 5 Information I learned in nursing school 1 2 3 4 5 What physicians discuss with me 1 2 3 4 5 New therapies and medications that I learned about after physicians order them for patients 1 2 3 4 5 Articles published in medical journal 1 2 3 4 5 Articles published in nursing journal 1 2 3 4 5 Articles published in nursing research journal 1 2 3 4 5 Informations in textbooks 1 2 3 4 5 What has worked for me for years 1 2 3 4 5 The ways that I have always done it 1 2 3 4 5 The information my fellow nurses share 1 2 3 4 5 Information I get from attending inservices/conferences 1 2 3 4 5 Information I get from policy and procedure manuals 1 2 3 4 5 Information I get from the media (e. g., popular magazines, television, the internet, etc.) 1 2 3 4 5 The following questions relate to the kind of knowledge yuo use in yuor nursing practice
  7. 7. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 7 RESULTS 1 1,5 2 2,5 3 3,5 4 4,5 5 Myexperience Policyandprocedure Nursingschool Workexperince Inservices/conferences Fellownurse Physicians patients Newprocedure Textbooks ThatIhavealways Nursingjournal Myintuition Nursingresearch juornal Medicaljuornal Media Estabrooks Our study
  8. 8. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 8 FINDINGSFINDINGS NURSE WITHNURSE WITH EBNEBN KNOWLEDGEKNOWLEDGE (656)(656) NURSE WITHOUTNURSE WITHOUT EBNEBN KNOWLEDGEKNOWLEDGE (896)(896) SAMPLESAMPLE Compared to theCompared to the service seniorityservice seniority there are nothere are no statisticallystatistically significantsignificant differencesdifferences Compared to theCompared to the seniorityseniority the group showsthe group shows differentdifferent behavioursbehaviours
  9. 9. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 9 LIMITATIONSLIMITATIONS Within the Azienda OspedalieroWithin the Azienda Ospedaliero Universitaria di Bologna,Universitaria di Bologna, questionnaires have onlyquestionnaires have only been given to EBN-trainedbeen given to EBN-trained personnelpersonnel Ferrara Italy
  10. 10. 28/01/15 Master in EBP e Metodologia della Ricerca Clinico-assistenziale 10 CONCLUSIONCONCLUSION Research use is quite uncommon for Italian nurses. EBP courses overcome differences of clinical experience regarding knowledge source use in nurses clinical practice. Further studies will tell us if EBP training really increases quality of decision making. Ferrara Italy
  11. 11. 28/01/15 11

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