Effectiveness of an Evidence-Based Practice educational intervention with second-year nursing students

Mena-Tudela, Desirée; González-Chordá, Víctor Manuel; Cervera-Gasch, Agueda; Maciá-Soler, María Loreto; Orts-Cortés, María Isabel

doi:10.1590/1518-8345.2502.3026

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 26 • 2018 • https://doi.org/10.1590/1518-8345.2502.3026 copy

Effectiveness of an Evidence-Based Practice educational intervention with second-year nursing students¹ 1 Paper extracted from doctoral dissertation “Implantación y evaluación de una estrategia interactiva de Práctica Basada en la Evidencia en alumnos de Enfermería”, presented to Facultad de Ciencias de la Salud, Universitat Jaume I, Castellón de la Plana, Comunidad Valenciana, Spain. Supported by Recognition of Educational Innovation Groups Program, Universitat Jaume I, Spain, grant #095/14.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to evaluate the effectiveness of an educational intervention on the knowledge, skills and attitudes of evidence-based practice among second-year nursing students.

Method:

a quasi-experimental before-and-after study. The study population consisted of 120 students enrolled in the Nursing Care in Healthcare Processes course. The educational intervention was based on theoretical and practical classes about the evidence-based practice process and the use of the critical incident technique during the clinical clerkship. Effectiveness was measured with the Evidence-Based Practice Competence Questionnaire in three paired measures using repeated-measures analysis of variance.

Results:

the mean scores of the Evidence-Based Practice Competence Questionnaire were 79.83 (CI 95% 78.63-81.03) for the basal measurement, 84.53 (CI 95% 83.23-85.83) for the intermediate measurement, and 84.91 (CI 95% 83.26-86.55) for the final measurement, with a statistically significant difference among the three paired measurements (p<0.001). There were statistically significant differences in Attitudes (p = 0.034) and Knowledge (p <0.001) but not in Skills (p = 0.137).

Conclusion:

this educational intervention based on theoretical and practical classes about the evidence-based practice process and the use of the critical incident technique during the clinical clerkship enhances evidence-based practice competence among second-year nursing degree students.

Descriptors:
Nursing; Nursing Education; Education, Nursing, Baccalaureate; Evidence-Based Practice; Nursing Education Research; Nursing Research

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Víctor M González-Chordá Universitat Jaume I. Unidad Pre-departamental de Enfermería Avda. Sos i Baynat, s/n Castellón, 12071, España E-mail: vchorda@uji.es

		BM^†	IM^‡	FM^§
Attitudes	Mean	3.47	3.55	3.55
	SD^\|\|	0.28	0.32	0.39
	95% CI^¶	3.42-3.56	3.51-3.66	3.49-3.68
Knowledge	Mean	2.82	3.36	3.45
	SD^\|\|	0.41	0.35	0.41
	95% CI^¶	2.70-2.91	3.29-3.46	3.41-3.50
Skills	Mean	2.94	2.92	3.02
	SD^\|\|	0.34	0.29	0.35
	95% CI^¶	2.85-3.00	2.86-3.01	2.90-3.05

		Min*	Max^†	Mean	SD^‡	p^§
1. Evidence-based practice helps in regard to making decisions in clinical practice	BM^\|\|	3	5	4.29	0.65	0.099
	IM^¶	3	5	4.47	0.59
	FM**	2	5	4.40	0.62
2. I am confident that I will be able to critically evaluate the quality of a scientific article	BM^\|\|	2	5	3.67	0.81	<0.001
	IM^¶	2	5	3.81	0.70
	FM**	1	5	3.89	0.84
3. The application of evidence-based practice will help to better define the nurse’s role	BM^\|\|	3	5	4.08	0.69	<0.001
	IM^¶	2	5	4.23	0.72
	FM**	2	5	4.22	0.74
4. The nursing contract should include time to read scientific papers and make a critical appraisal of them	BM^\|\|	2	5	3.74	0.74	0.051
	IM^¶	1	5	3.94	0.81
	FM**	2	5	3.88	0.80
5. Widespread evidence-based practice implementation will allow increased nursing autonomy from other professions	BM^\|\|	3	5	4.13	0.74	0.023
	IM^¶	2	5	4.24	0.72
	FM**	3	5	4.30	0.61
6. When I work as a nurse, I will be pleased if evidence-based practices are implemented in my practice	BM^\|\|	2	5	3.97	0.63	0.018
	IM^¶	1	5	4.16	0.83
	FM**	1	5	4.12	0.86
7. The application of evidence-based practice improves patients’ healthcare outcomes	BM^\|\|	3	5	4.21	0.66	0.055
	IM^¶	3	5	4.39	0.62
	FM**	2	5	4.39	0.69
8. In the future, I wish to contribute to the application of evidence-based practice	BM^\|\|	1	5	3.80	0.82	0.047
	IM^¶	1	5	3.83	0.96
	FM**	1	5	3.75	1.05
9. I do not like reading scientific articles^††	BM^\|\|	1	5	2.12	0.86	0.015
	IM^¶	1	5	1.95	0.82
	FM**	1	5	2.08	0.92
10. Patient care will undergo minor changes with the application of evidence-based practice^††	BM^\|\|	1	4	2.04	0.74	0.065
	IM^¶	1	4	1.87	0.82
	FM**	1	5	1.86	0.89
11. I am pleased that evidence-based practice is only a theoretical movement that is not implemented in practice^††	BM^\|\|	1	5	1.83	0.82	0.441
	IM^¶	1	4	1.67	0.68
	FM**	1	4	1.76	0.82
12. If I had the opportunity, I would attend a course on evidence-based practice	BM^\|\|	2	5	3.53	0.79	0.003
	IM^¶	1	5	3.58	0.84
	FM**	1	5	3.49	1.05
13. I would like to have better access to published scientific evidence on nursing	BM^\|\|	1	5	3.83	0.89	0.017
	IM^¶	1	5	4.13	0.67
FM**	1	5	4.10	0.81

		Min*	Max^†	Mean	SD^‡	p^§
1. I feel able to develop a clinical question to start researching the best scientific evidence	BM^\|\|	1	5	3.13	0.79	<0.001
	IM^¶	2	5	3.82	0.60
	FM**	2	5	4.10	0.74
2. I do not feel able to search for scientific evidence in the principle health sciences databases^††	BM^\|\|	1	5	2.71	1.01	<0.001
	IM^¶	1	5	2.11	0.79
	FM**	1	5	2.18	1.00
3. I do not feel able to search for scientific information about the subject in the most important bibliographic indexes^††	BM^\|\|	1	5	2.63	0.92	<0.001
	IM^¶	1	5	2.18	0.81
	FM**	1	4	2.16	0.87
4. I feel able to critically evaluate the quality of a scientific article	BM^\|\|	1	5	2.89	0.83	<0.001
	IM^¶	1	5	3.39	0.82
	FM**	1	5	3.51	0.87
5. I do not feel able to analyse whether the results obtained in a scientific study are valid^††	BM^\|\|	2	5	3.08	0.78	<0.001
	IM^¶	1	4	2.41	0.81
	FM**	1	4	2.39	0.88
6. I feel able to analyse the practical utility of a scientific study	BM^\|\|	2	4	3.20	0.77	<0.001
	IM^¶	2	5	3.65	0.61
FM**	2	5	3.78	0.73

		Min*	Max^†	Mean	SD^‡	p^§
1. I know how to develop clinical questions organised in the PICO^\|\| format	BM^¶	1	5	2.43	0.88	<0.001
	IM**	2	5	4.16	0.75
	FM^††	1	5	4.36	0.69
2. I know the principal sources that offer information that has been revised and catalogued from the evidence point of view	BM^¶	1	5	2.49	0.92	<0.001
	IM**	1	5	3.94	0.86
	FM^††	2	5	4.29	0.80
3. I do not know the most important characteristics of the principal investigation designs^‡‡	BM^¶	1	5	2.92	1.03	<0.001
	IM**	1	4	2.28	0.86
	FM^††	1	5	2.17	0.95
4. I know the different levels of evidence of the investigation study designs	BM^¶	1	5	2.61	0.96	<0.001
	IM**	1	5	3.59	0.88
	FM^††	1	5	3.74	0.92
5. I do not know the different degrees of recommendation about adopting a certain procedure or health intervention^‡‡	BM^¶	1	5	3.39	0.86	<0.001
	IM**	1	4	2.53	0.73
	FM^††	1	5	2.40	0.92
6. I know the principal measures of association and potential impact that allow me to evaluate the magnitude of the analysed effect in research studies	BM^¶	1	5	3.08	1.07	<0.001
	IM**	1	5	3.69	0.99
	FM^††	1	5	3.83	0.94