Evidence‐based nursing—How is it understood by bedside nurses? A phenomenographic study in surgical settings. (17th June 2019)

• Record Type: Journal Article
• Authors: Karlsson, Anna; Lindeborg, Petra; Gunningberg, Lena; Jangland, Eva
• Is Part Of: Journal of nursing management. Volume 27:Number 6(2019)
• Page Start: 1216
• Page End: 1223
• Publication Date: 2019-06-17
• Subjects: evidence‐based nursing -- nursing leader -- phenomenography -- qualitative -- surgical nursing; Nursing services -- Administration -- Periodicals; Nursing services -- Business management -- Periodicals; 610.73068
• DOI: 10.1111/jonm.12802
• Languages: English
• ISSNs: 0966-0429

Abstract

Abstract: Aim: The aim was to identify and describe nurses' understanding of working with evidence‐based nursing (EBN) in clinical practice. Background: Evidence‐based health care is recognized as fundamental to nursing practice, but it is challenging to implement. How nurses understand this part of their work can affect their practice. Methods: Using a qualitative explorative design with a phenomenographic approach, we interviewed 21 nurses working in Swedish surgical wards. Results: We identified three understandings of EBN among nurses in surgical care: A. a fragmentary and difficult concept that is not integrated or used in clinical practice; B. an important approach guided by knowledgeable colleagues and students; and C. a process that nurses are responsible for developing and leading. Conclusion: Nurses' understandings of working with EBN in surgical wards vary widely. Nurse managers have an important task to create a common outlook among nurses about integrating research, patient experience and clinical experience in decision‐making. Implication for nursing management: These findings could inspire nurse managers to reflect on how to move nurses towards a more comprehensive understanding of EBN and how to identify nurses who could act as facilitators in quality improvement work.