ABSTRACT
BACKGROUND: International nursing institutions and experts recommend evidence-based practice (EBP) as a core component of the curriculum for nurses. However, the impact of EBP training on the competence of undergraduate nursing students remains unclear. OBJECTIVES: To evaluate the effectiveness of an EBP course on the EBP competence undergraduate nursing students'. DESIGN: Quasi-experimental study carried out in non-randomized intervention and control groups. SETTINGS: The study was conducted in a Spanish public university in 2010. PARTICIPANTS: Out of 420 second- and third-year nursing students, 75 were enrolled in the EBP course, forming the intervention group, and 73 were not enrolled in this course were recruited as controls. PROCEDURE: The educational intervention was a 15-week course designed to teach EBP competence. The EBP Competence Questionnaire (EBP-COQ) was administered before and after the intervention. Repeated-measure ANOVA was used to compare intervention and control group scores before and at two months after the 15-week intervention period. RESULTS: At 2months after the EBP course, mean EBP-COQ scores of the intervention group were significantly improved versus baseline in attitude (4.28 vs. 3.33), knowledge (3.92 vs. 2.82) and skills (4.01 vs. 2.75) dimensions, whereas little change was observed in control group scores over the same time period. Repeated-measures ANOVA revealed a significant effect of Time ×Group interaction on global competence and all three EBP-COQ dimensions. DISCUSSIONS: Undergraduate nursing students experience positive changes in EBP competence, knowledge, skills, and attitude as the result of a 15-week educational intervention on EBP. This EBP course may provide nursing school educators and policymakers with a useful model for integrating EBP teaching within the nursing curriculum.
Subject(s)
Clinical Competence , Evidence-Based Nursing , Students, Nursing/statistics & numerical data , Curriculum , Education, Nursing, Baccalaureate , Educational Measurement , Female , Humans , Male , Nursing Education Research , Spain , Surveys and Questionnaires , Young AdultABSTRACT
BACKGROUND: Nursing educators need rigorously developed instruments to assess competency in evidence based practice (EBP) at undergraduate level. This concept is defined as the capability to choose and use an integrated combination of knowledge, skills and attitudes with the intention to develop a task in a certain context. Also, we understand that EBP is gaining knowledge and skills, as well as increasing positive attitudes toward EBP that will promote a change in behaviour to implement EBP in practice. This study aims to develop a psychometric test of the Evidence Based Practice Evaluation Competence Questionnaire (EBP-COQ) among undergraduate nursing students. METHODS: The questionnaire was developed by item generation through a review of scientific literature and focus groups. The instrument was validated in terms of content validity through an expert review. The EBP-COQ was administered to a cohort of nursing students (n =100) to evaluate test reliability and select the best items. Psychometric properties of the final instrument were assessed in a sample of 261 nursing students. RESULTS: The EBP-COQ consisted of 25 items. A factorial analysis grouped the items into the three categories that define competence relating to EBP: attitude, knowledge and skills. Cronbach's alpha was 0.888 for the entire questionnaire. The factor solution explained 55.55% of the variance. CONCLUSIONS: EBP-COQ appears to measure with adequate reliability the attributes of undergraduate nursing students' competence in EBP. The instrument is quick to disseminate and easy to score, making it a suitable instrument for nursing educators to evaluate students' self-perceived competence in EBP.
Subject(s)
Evidence-Based Nursing/education , Clinical Competence/standards , Educational Measurement/methods , Educational Measurement/standards , Evidence-Based Nursing/standards , Female , Focus Groups , Humans , Male , Reproducibility of Results , Students, Nursing/statistics & numerical data , Surveys and Questionnaires/standards , Young AdultABSTRACT
No disponible
Subject(s)
Humans , Education, Nursing/methods , Evidence-Based Nursing/education , Curriculum , Educational MeasurementABSTRACT
BACKGROUND: A readiness assessment for identifying and measuring variables that can facilitate evidence-based nursing (EBN) is important. Attitude towards EBN is one of its components. However, questionnaires that exclusively measure attitude to EBN do not exist in Spanish-speaking contexts. AIM: This paper is a report of the development and psychometric testing of a Spanish-language assessment tool: the Evidence-Based Nursing Attitude Questionnaire (EBNAQ). METHODS: The questionnaire was developed in three phases: item generation through a review of scientific literature and focus groups; item selection through an expert review; content and construct validity testing, and internal consistency reliability testing. The instrument was validated in terms of construct validity by a factorial analysis and content validity by grouping the items into the three categories of attitude: cognitive, affective and behavioural. Data were collected from May to November of 2008. RESULTS: The questionnaire was validated in a sample of 219 Spanish community nurses, who had a mean age of 43.21 (SD 10.3) years, and 64.5% (141) were women. A total of 54.3% (121) had been working in the community for more than 10 years. The questionnaire consisted of 15 items grouped into the three factors that make up the concept of attitude. Cronbach's alpha was 0.853 for the entire questionnaire. The factor solution explained 54.70% of the variance. CONCLUSIONS: The EBNAQ is brief, making it a user-friendly tool. It is the first Spanish-language questionnaire that exclusively measures attitude towards EBN in nurses who work in the community. The EBNAQ can be used efficiently in research and practice settings to better understand nurses' attitudes towards evidence-based practice.
Subject(s)
Attitude of Health Personnel , Evidence-Based Nursing , Psychometrics , Surveys and Questionnaires/standards , Adult , Female , Humans , Male , Middle Aged , Reproducibility of Results , SpainABSTRACT
OBJECTIVES: To evaluate work satisfaction among Spanish nurses employed by English hospitals, as well as the influence of several social and work-related variables associated with satisfaction. METHODS: We performed a cross-sectional study. All Spanish nurses (n=360) with a contract with any English hospital in April 2003 were included in the study. The self-administered and validated Font Roja work satisfaction questionnaire was used. RESULTS: The response rate was 78.6%. Overall work satisfaction among Spanish nurses was medium. The dimensions with higher work satisfaction were relationships with colleagues and superiors. The dimensions showing lowest work satisfaction were job satisfaction and professional competence. Statistically significant and positive associations were obtained between level of English, professional grade, shift pattern, working in the intensive care unit or accident and emergency department, time worked in English hospitals and degree of work satisfaction. CONCLUSIONS: Employers of Spanish nurses should try to increase job satisfaction and professional competence among these workers. Incentivation and professional promotion systems might help achieve this aim. Employers could also try to improve Spanish nurses' English level before contracts are signed and pay special attention to their needs during the first working year. Spanish nurses job satisfaction would also increase if they were allowed to choose their working shift and the unit or ward where they are going to work.
Subject(s)
Job Satisfaction , Nursing Staff, Hospital , Adult , Analysis of Variance , Cross-Over Studies , Data Interpretation, Statistical , England , Female , Humans , Interpersonal Relations , Male , Nursing Staff, Hospital/organization & administration , SpainABSTRACT
Objetivos: Evaluar la satisfacción laboral de los profesionalesde enfermería españoles que trabajan en hospitales inglesesy la influencia de diversas variables sociolaborales.Métodos: Estudio transversal. Se incluyó a todo el personalde enfermería español que en abril de 2003 tenía contrato laboralen algún hospital inglés (n = 360). Se aplicó el cuestionarioautoadministrado y validado de Font Roja.Resultados: La tasa de respuesta fue del 78,6%. Las enfermerasque trabajan en hospitales ingleses tienen un nivel mediode satisfacción global. Las dimensiones asociadas a una satisfacciónlaboral más alta fueron las relaciones con los compañerosy las relaciones con los jefes; las dimensiones con unasatisfacción laboral más baja fueron la satisfacción por el trabajoy la competencia profesional. Se ha observado una asociaciónpositiva y estadísticamente significativa entre el nivelde satisfacción laboral y las variables nivel de inglés, grado profesionaly tiempo trabajado en Inglaterra; la jornada laboral,®otros» y trabajar en unidades de cuidados intensivos y urgenciastambién se asocian positivamente con la satisfacción laboral.Conclusiones: Los responsables de los hospitales inglesesque contratan profesionales de enfermería españoles deberíanincidir en mejorar su satisfacción por el trabajo y su competenciaprofesional. Para ello, se podrían incluir sistemas deincentivación y promoción profesional, tomar medidas previasa la contratación para mejorar el nivel de inglés, prestar especialatención a las necesidades del personal, sobre tododurante el primer año de trabajo, y facilitar la elección del servicioy la jornada laboral(AU)
Objectives: To evaluate work satisfaction among Spanish nursesemployed by English hospitals, as well as the influenceof several social and work-related variables associated withsatisfaction.Methods: We performed a cross-sectional study. All Spanishnurses (n = 360) with a contract with any English hospital inApril 2003 were included in the study. The self-administeredand validated Font Roja work satisfaction questionnaire wasused.Results: The response rate was 78.6%. Overall work satisfactionamong Spanish nurses was medium. The dimensionswith higher work satisfaction were relationships with colleaguesand superiors. The dimensions showing lowest work satisfactionwere job satisfaction and professional competence.Statistically significant and positive associations were obtainedbetween level of English, professional grade, shift pattern,working in the intensive care unit or accident and emergencydepartment, time worked in English hospitals and degree ofwork satisfaction.Conclusions: Employers of Spanish nurses should try to increasejob satisfaction and professional competence amongthese workers. Incentivation and professional promotion systemsmight help achieve this aim. Employers could also try toimprove Spanish nurses English level before contracts are signedand pay special attention to their needs during the firstworking year. Spanish nurses´ job satisfaction would also increaseif they were allowed to choose their working shift andthe unit or ward where they are going to work(AU)
Subject(s)
Humans , Male , Female , Adult , Job Satisfaction , Nursing/trends , Surveys and Questionnaires , Hospital Administration , Hospital Administration/trends , Primary Health Care/methods , Professional Competence/statistics & numerical data , Interpersonal Relations , Cross-Sectional Studies , Demographic Indicators , Professional Competence/legislation & jurisprudence , Professional Competence/standardsABSTRACT
One of the most urgent situations faced by nurses is cardiac arrest. Knowledge of cardiopulmonary resuscitation (CPR) is essential for survival after intra-or out-of-hospital cardiac arrest. Two of the main factors predicting survival after a cardiopulmonary arrest are the immediate start of CPR and early activation of the survival chain. In 2005 The European Resuscitation Council published new recommendations on CPR. The changes center on simplification of the protocol, giving greater importance to chest compressions than to mouth-to-mouth breath resuscitation. After checking that the victim is not breathing, 30 compressions must be immediately given. The first 2 rescue breaths and carotid pulse checking have been eliminated. The current recommended ratio of chest compressions-breaths is 30:2.
Subject(s)
Cardiopulmonary Resuscitation , Health Personnel/education , Health Planning Guidelines , Adult , HumansABSTRACT
La parada cardiorrespiratoria es una de las situaciones más urgentes a las que se puede enfrentar una enfermera. El conocimiento de la técnica de reanimación cardiopulmonar (RCP) básica es fundamental para la supervivencia de la parada cardiorrespiratoria intra y extrahospitalaria. El inicio precoz de unas maniobras eficaces de RCP y la pronta activación de la cadena de supervivencia son factores pronósticos fundamentales en la supervivencia tras una parada cardiorrespiratoria. En 2005 el European Resuscitation Council publicó unas nuevas recomendaciones en RCP. Los cambios producidos se han centrado en simplificar el protocolo concediéndole una mayor importancia a las compresiones torácicas frente a las insuflaciones boca a boca. Tras la comprobación de la no respiración de la víctima se inician de inmediato las 30 compresiones. Se han eliminado las 2 primeras insuflaciones de rescate y la comprobación del pulso carotídeo. La proporción actual de compresiones-insuflaciones recomendada es de 30:2
One of the most urgent situations faced by nurses is cardiac arrest. Knowledge of cardiopulmonary resuscitation (CPR) is essential for survival after intra-or out-of-hospital cardiac arrest. Two of the main factors predicting survival after a cardiopulmonary arrest are the immediate start of CPR and early activation of the survival chain. In 2005 The European Resuscitation Council published new recommendations on CPR. The changes center on simplification of the protocol, giving greater importance to chest compressions than to mouth-to-mouth breath resuscitation. After checking that the victim is not breathing, 30 compressions must be immediately given. The first 2 rescue breaths and carotid pulse checking have been eliminated. The current recommended ratio of chest compressions-breaths is 30:2
