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Park and Jang: Structural Model of Evidence-Based Practice Implementation among Clinical Nurses
Original Article

Journal of Korean Academy of Nursing 2016; 46(5): 697-709.

Published online: 31 October 2016

DOI: https://doi.org/10.4040/jkan.2016.46.5.697

Structural Model of Evidence-Based Practice Implementation among Clinical Nurses

Hyunyoung Park1, Keum Seong Jang2

1Department of Nursing, Honam University, Gwangju, Korea.

2College of Nursing, Chonnam National University·Chonnam Research Institute of Nursing Science, Gwangju, Korea.

Address reprint requests to: Jang, Keum Seong. College of Nursing, Chonnam National University, 160 Baekseo-ro, Dong-gu, Gwangju 61468, Korea. Tel: +82-62-530-4955, Fax: +82-62-227-4009, jangks@jnu.ac.kr

Received 3 March 2016       Revised 4 July 2016       Accepted 4 July 2016

© 2016 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory.

Methods

Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program.

Results

The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses.

Conclusion

The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.

Keywords: Evidence-Based Practice, Nurses, Organizations

Figures and Tables

Figure 1

Conceptual framework.

jkan-46-697-g001
Figure 2

Path diagram for the modified model.

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Table 1

Descriptive Statistics of Observed Variables (N=410)

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EBP=Evidence-based practice.

Table 2

Goodness of Model Fit Indices (N=410)

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TLI=Tuker-Lewis index; CFI=Comparative fit index; RMSEA=Root mean square error of approximation; SRMR=Standardized root mean square residual.

Table 3

Effects of Predictive Variables in the Modified Model (N=410)

jkan-46-697-i003

EBP=Evidence-based practice; β=Standardized regression weights; SE=Standard errors; SMC=Squared multiple correlations.

Notes

This manuscript is a condensed form of the first author's doctoral dissertation from Chonnam National University.

CONFLICTS OF INTEREST The authors declared no conflict of interest.

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