Does unit culture matter? The association between unit culture and the use of evidence-based practice among hospital nurses.

Details

• Personal Author:
  Dickson VV ; Jun J ; Kovner CT ; Rosenfeld P ; Stimpfel AW
• Description:
  Registered nurses (nurses) are one of the key stakeholders in the use of evidence-based practice (EBP) in healthcare, an approach that has become the cornerstone of clinical management (Institute of Medicine [IOM], 2009). The National Academy of Medicine has urged that by 2020, 90% of clinical decisions and practices be based on evidence (IOM, 2009). Unfortunately, as 2020 approaches, research indicates that EBP rates are still well below 90% (Alsulami, Choonara, & Conroy, 2014; Ding, Lin, Marshall, & Gillespie, 2017). For example, a recent observational study in the United States showed only 20% of nurses used EBP for surgical wound care (Ding et al., 2017) and only about 30% of pediatric nurses used EBP for pediatric medication administration (Alsulami et al., 2014) These persistent low EBP rates prompted researchers, administrators, and nurse leaders to explore barriers and facilitators in the use of EBP in clinical settings. As a result, negative attitudes toward research and EBP, inadequate knowledge, beliefs, and skills have been identified as common barriers (Majid et al., 2011; Solomons & Spross, 2011). Other barriers included heavy workload, insufficient time, misperceptions of what constituted EBP, a shortage of skills necessary, management or leadership, too few mentors or champions within healthcare systems and a lack of education preparedness (Jansson, AlaKokko, Ylipalosaari, Syrjälä, & Kyngäs, 2013; Solomons & Spross, 2011). At the same time, interventions tailored to address these various barriers, such as continuing education opportunities, have received only mixed results (Hickman et al., 2018). The limited exploration of group-level barriers, including culture and climate, and more explicitly nursing unit culture, could explain these mixed results (Sandström, Borglin, Nilsson, & Willman, 2011). [Description provided by NIOSH]
• Subjects:
  Education Health Personnel Occupational Health Safety Staff Development
• Keywords:
  Author Keywords: Evidence-based Practice; Nursing; Organizational Culture; Nursing Units; Nursing Values Nurses; Nursing; Health Care Workers; Training; Workforce Development; Education; Work Organization;
• ISSN:
  0897-1897
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Michigan ; New York ; OSHA Region 2 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  53
• NIOSHTIC Number:
  nn:20065818
• Citation:
  Appl Nurs Res 2020 Jun; 53:151251
• Contact Point Address:
  Jin Jun PhD, RN, University of Michigan, School of Nursing and the Institute of Healthcare Policy and Innovation, 400 N. Ingalls St, Room 2183, Ann Arbor, MI 48109, United States of America
• Email:
  jinjun@umich.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  Mount Sinai School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Applied Nursing Research
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:01765a5ef529467232ad184f64eb6627ec18aa54ae05a47076590d0453ea1607f9b4f93a1eab85255ad4a8d62d091da735633cf7621b60cf302ea8f9db6657c0
• Download URL:
  https://stacks.cdc.gov/view/cdc/248870/cdc_248870_DS1.pdf
• File Type:
  [PDF - 482.83 KB ]