Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study

Nursing homes face challenges caused by increasing numbers of older adults with multimorbidity and the demand for quality of care. Developing an evidence-based nursing (EBN) culture is a promising strategy to face these challenges. Therefore, the aim of this study was to develop an EBN culture in nu...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-02, Vol.19 (3), p.1733
Main Authors: Lovink, Marleen H, Verbeek, Frank, Persoon, Anke, Huisman-de Waal, Getty, Smits, Marleen, Laurant, Miranda G H, van Vught, Anneke J
Format: Article
Language:English
Subjects:
Action research
Aged
Evidence-based nursing
Evidence-Based Nursing - methods
Focus Groups
Health Services Research
Humans
Industrialized nations
Intervention
Interviews
Leadership
Medical personnel
Nurse practitioners
Nurses
Nursing care
Nursing Homes
Older people
Questionnaires
Teams
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Summary:Nursing homes face challenges caused by increasing numbers of older adults with multimorbidity and the demand for quality of care. Developing an evidence-based nursing (EBN) culture is a promising strategy to face these challenges. Therefore, the aim of this study was to develop an EBN culture in nursing homes and gain insight into the influencing factors. An action research study was conducted with 12 nursing teams in 4 Dutch nursing homes, using the Practice Development approach to develop an EBN culture. The teams (mostly certified nurse assistants) were coached by internal facilitators (bachelor's or master's degree nurses) and external facilitators (nursing teachers). Data were gathered at baseline and after 15 months using questionnaires and individual and focus group interviews. With varying degrees, most nursing teams implemented elements (related to values, attitudes, and behaviors) of an EBN culture with appropriate leadership, advocacy, and training. The team members became open to new insights and asked critical questions. During the project, participants learned how EBN could be incorporated into daily practice, for example, by keeping it small, discussing information from professional journals, and using creative methods such as quizzes. Influencing factors of an EBN culture were: (a) support of managers, (b) inspiring facilitators close to the team, and (c) stable teams with driving forces and student nurses. Integrating EBN into daily practice in creative and motivating ways contributes to the development of an EBN culture in nursing homes. To facilitate this, managers should support teams in the process and content of EBN, and internal facilitators should collaborate with driving forces on the teams.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19031733