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Adopting evidence-based practice in clinical decision making : nurses' perceptions, knowledge and barriers

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Adopting evidence-based practice in clinical decision making : nurses' perceptions, knowledge and barriers

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dc.contributor.author Majid, Shaheen
dc.contributor.author Foo, Schubert
dc.contributor.author Luyt, Brendan
dc.contributor.author Zhang, Xue
dc.contributor.author Theng, Yin-Leng
dc.contributor.author Chang, Yun-Ke
dc.contributor.author Mokhtar, Intan Azura
dc.date.accessioned 2012-06-15T07:59:09Z
dc.date.available 2012-06-15T07:59:09Z
dc.date.copyright 2011
dc.date.issued 2011
dc.identifier.citation Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y.-L., Chang, Y.-K., & et al. (2011). Adopting evidence-based practice in clinical decision-making : nurses' perceptions, knowledge and barriers. Journal of the medical library association, 99(3), 229-236.
dc.identifier.uri http://hdl.handle.net/10220/8201
dc.description.abstract Objective: Evidence-based practice (EBP) provides nurses with a method to use critically appraised and scientifically proven evidence for delivering quality health care to a specific population. The objective of this study was to explore nurses’ awareness of, knowledge of, and attitude toward EBP and factors likely to encourage or create barriers to adoption. In addition, information sources used by nurses and their literature searching skills were also investigated. Method: A total of 2,100 copies of the questionnaire were distributed to registered nurses in 2 public hospitals in Singapore, and 1,486 completed forms were returned, resulting in a response rate of 70.8%. Results: More than 64% of the nurses expressed a positive attitude toward EBP. However, they pointed out that due to heavy workload, they cannot keep up to date with new evidence. Regarding self-efficacy of EBP-related abilities, the nurses perceived themselves to possess moderate levels of skills. The nurses also felt that EBP training, time availability, and mentoring by nurses with EBP experience would encourage them to implement EBP. The top three barriers to adopting EBP were lack of time, inability to understand statistical terms, and inadequate understanding of the jargon used in research articles. For literature searching, nurses were using basic search features and less than one-quarter of them were familiar with Boolean and proximity operators. Conclusion: Although nurses showed a positive attitude toward EBP, certain barriers were hindering their smooth adoption. It is, therefore, desirable that hospital management in Southeast Asia, particularly in Singapore, develop a comprehensive strategy for building EBP competencies through proper training. Moreover, hospital libraries should also play an active role in developing adequate information literacy skills among the nurses.
dc.language.iso en
dc.relation.ispartofseries Journal of the medical library association
dc.rights © 2011, The Authors. This paper was published in Journal of the Medical Library Association and is made available as an electronic reprint (preprint) with permission of The Authors and Medical Library Association (MLA).The paper can be found at DOI: [http://dx.crossref.org/10.3163%2F1536-5050.99.3.010].  One print or electronic copy may be made for personal use only. Systematic or multiple reproduction, distribution to multiple locations via electronic or other means, duplication of any material in this paper for a fee or for commercial purposes, or modification of the content of the paper is prohibited and is subject to penalties under law.
dc.subject DRNTU::Engineering::Computer science and engineering::Computer applications::Life and medical sciences.
dc.title Adopting evidence-based practice in clinical decision making : nurses' perceptions, knowledge and barriers
dc.type Journal Article
dc.contributor.school Wee Kim Wee School of Communication and Information
dc.identifier.doi http://dx.crossref.org/10.3163%2F1536-5050.99.3.010
dc.description.version Published version

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