Effects of Implementing a Two-Year Training-Supportive Plan on Acquisition of the Evidence-Based Practice Competency by the Nursing Students

Document Type : Original Article

Authors

1 Department of Nursing, Amol Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, sari, Iran

2 Educational Development Center, Mazandaran University of Medical Sciences, Sari, Iran

Abstract

Background: Teaching evidence-based practice in undergraduate nursing students is limited and requires a complex and step-by-step approach. The aim of this study was exploring the effect of a two-year educational-supportive intervention on undergraduate nursing students, evidence-based practice competency.
Method:  This semi-experimental single-group study was conducted in Amol Nursing School from June 2017 to July 2019. Sixty -two undergraduate nursing students who were entered in same academic year, participated in this study as a census.  After assessing the evidence-based practice competency, a two-year educational-supportive intervention was conducted. In the third year, students were taught how to design clinical questions and critique the use of its results in responding. In the fourth year, students performed the above activities under the supervision of faculty members. At the end of the course, the competency level of evidence-based practice was considered as one of the seven test stations, as a post-test.
Results: The average age of the students was 20.46±0.92 years and most of them (51.61%) were women. The evidence-based practice competency score of the students before and after the intervention was 13.71±2.31 and 34.71±5.19, respectively, and this difference was statistically significant (P<0.001). Comparison of evidence-based practice competency scores based on gender did not show any statistical difference (P>0.05).
Conclusions: The findings showed that the educational-supportive intervention implemented to improve evidence-based practice competence of undergraduate nursing students was effective. Therefore, nursing education practitioners and planners can use this model to nursing education.

Keywords

Main Subjects


  1. Fineout‐Overholt E, Stillwell SB, Kent B. Teaching EBP through problem‐based learning. Worldviews Evid.-Based Nurs. 2008;5(4):205-7.
  2. Moch SD, Cronje RJ, Branson J. Part 1. Undergraduate nursing evidence-based practice education: envisioning the role of students.
    J Prof Nurs. 2010;26(1):5-13.
  3. Mantzoukas S. A review of evidence‐based practice, nursing research and reflection: levelling the hierarchy. J Clin Nurs. 2008;17(2):214-23.
  4. Hockenberry M, Brown T, Walden M, Barrera P. Teaching evidence-based practice skills in a hospital. The Journal of Continuing Education in Nursing. 2009;40(1):28-32.
  5. Stichler JF, Fields W, Kim SC, Brown CE. Faculty knowledge, attitudes, and perceived barriers to teaching evidence-based nursing. J Prof Nurs. 2011;27(2):92-100.
  6. Ilic D. Teaching evidence-based practice: perspectives from the undergraduate and post-graduate viewpoint. Ann Acad Med Singap. 2009;38(6):559.
  7. Kermanshahi S, Parvinian AM. Barriers to implementation of evidence-based care: viewpoints of nursing staff. Iranian Journal of Medical Education. 2012 May 10;12(2):84-92. Persian.
  8. Melnyk BM, Fineout-Overholt E, Feinstein NF, Sadler LS, Green-Hernandez C. Nurse practitioner educators' perceived knowledge, beliefs, and teaching strategies regarding evidence-based practice: implications for accelerating the integration of evidence-based practice into graduate programs. J Prof Nurs. 2008;24(1):7-13.
  9. Mohammadi GR, Ebrahimian AA, Mahmoudi H. Evaluating the knowledge of intensive care unit nursing staffs. Iran J Crit Care Nurs 2009; 2: 41–46. Persian.
  10. Prior P, Wilkinson J, Neville S. Practice nurse use of evidence in clinical practice: a descriptive survey. Nurs Prax N Z. 2010;26(2).
  11. Sadeghi-Ghyassi F, Olfati N, Dastgiri S, Maghbouli L. Evidence based practice: perspectives of Iranian urologists. Urology Journal. 2013;10(4):1099-105.
  12. Balakas K, Sparks L. Teaching research and evidence-based practice using a service-learning approach. J Nurs Educ. 2010;49(12):691-5.
  13. Johnson N, List-Ivankovic J, Eboh W, Ireland J, Adams D, Mowatt E, et al. Research and evidence based practice: Using a blended approach to teaching and learning in undergraduate nurse education. Nurs Educ Pract. 2010;10(1):43-7.
  14. Young T, Rohwer A, Volmink J, Clarke M. What are the effects of teaching evidence-based health care (EBHC)? Overview of systematic reviews. PloS one. 2014;9(1):e86706.
  15. Davidson SJ, Candy L. Teaching EBP using game‐based learning: Improving the student experience. Worldviews Evid.-Based Nurs. 2016;13(4):285-93.
  16. Häggman-Laitila A, Mattila L-R, Melender H-L. Educational interventions on evidence-based nursing in clinical practice: A systematic review with qualitative analysis. Nurs educ today. 2016;43:50-9.
  17. Oh EG, Yang YL. Evidence-based nursing education for undergraduate students: A preliminary experimental study. Nurs Educ Pract. 2019;38:45-51.
  18. Hosny S, Ghaly MS. Teaching evidence-based medicine using a problem-oriented approach. Med teach. 2014;36(sup1): 62-8.
  19. Fu L, Su W, Ye X, Li M, Shen J, Chen C, et al. Evidence-based practice competency and related factors among nurses working in public hospitals. Inquiry. 2020;57.
  20. Visconti CF. Problem-based learning: Teaching skills for evidence-based practice. Perspectives on Issues in Higher Education. 2010;13(1):27-31.
  21. Kim JS, Gu MO, Chang H. Effects of an evidence-based practice education program using multifaceted interventions: a quasi-experimental study with undergraduate nursing students. BMC Med Educ. 2019;19(1):1-10.
  22. Ruzafa-Martinez M, Lopez-Iborra L, Moreno-Casbas T, Madrigal-Torres M. Development and validation of the competence in evidence based practice questionnaire (EBP-COQ) among nursing students. BMC Med Educ. 2013;13(1):1-10.
  23. Larsen CM, Terkelsen AS, Carlsen A-MF, Kristensen HK. Methods for teaching evidence-based practice: a scoping review. BMC Med Educ. 2019;19(1):1-33.
  24. Ramis M-A, Chang A, Nissen L. Strategies for teaching evidence-based practice to undergraduate health students: a systematic review protocol. JBI Evid Synth. 2015;13(2):12-25.
  25. Horntvedt M-ET, Nordsteien A, Fermann T, Severinsson E. Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC Med Educ. 2018;18(1):1-11.
  26. Mardanian DL, Ghiyasvandian S. Application of Portfolio in Nursing Education and Assessment of Learning. Journal of Medical Education and Assessment of Learning, 14(2), 136–143. Persian.
  27. Driessen E. Do portfolios have a future? Advances in Health Sciences Education. 2017;22(1):221-8.
  28. Haggerty C, Thompson T. The challenges of incorporating ePortfolio into an undergraduate nursing programme. Open Praxis. 2017;9(2):245-52.
  29. Vaghee S, Banezhad A, Karimi Moonaghi H, Soadatjo SA, Salarhaji A. The Effect of Applying Portfolio on the Level of Learning among Nursing Students in Clerkship of Psychiatry Ward. Future Med Educ J. 2016;6(1):25-30.
  30. Ghaffari R, Shapoori S, Binazir MB, Heidari F, Behshid M. Effectiveness of teaching evidence-based nursing to undergraduate nursing students in Iran: a systematic review. Research and Development in Medical Education. 2018;7(1): 13-8.
  31. Mena-Tudela D, González-Chordá VM, Cervera-Gasch A, Maciá-Soler ML, Orts-Cortés MI. Effectiveness of an Evidence-Based Practice educational intervention with second-year nursing students. Rev Lat Am Enfermagem. 2018;26.
  32. Lehane E, Leahy-Warren P, O’Riordan C, Savage E, Drennan J, O’Tuathaigh C, et al. Evidence-based practice education for healthcare professions: an expert view. BMJ Evid Based Med. 2019;24(3):103-8.
  33. Petrucci C, La Cerra C, Aloisio F, Montanari P, Lancia L. Empathy in health professional students: A comparative cross-sectional study. Nurs educ today. 2016;41:1-5.