liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Sustainability in changing clinical practice promotes evidence-based nursing care
Linköping University, Faculty of Health Sciences. Linköping University, Department of Welfare and Care (IVV), Science in Nursing.
2003 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, Vol. 41, no 5, 509-518 p.Article in journal (Refereed) Published
Abstract [en]

Aim. To examine the relationship between sustained work with quality improvement (QI) and factors related to research utilization in a group of nurses. Design. The study was designed as a comparative survey that included 220 nurses from various health care organizations in Sweden. These nurses had participated in uniformly designed 4-day basic training courses to manage a method for QI. Method. A validated questionnaire covering different aspects of research utilization was employed. The response rate was 70% (154 of 220). Nurses in managerial positions at the departmental level were excluded. Therefore, the final sample consisted of 119 respondents. Four years after the training courses, 39% were still involved in audit-related activities, while 61% reported that they had discontinued the QI work (missing = 1). Results. Most nurses (80-90%) had a positive attitude to research. Those who had continued the QI work over a 4-year period reported more activity in searching research literature compared with those who had discontinued the QI work (P = 0.005). The QI-sustainable nurses also reported more frequent participation in research-related activities, particularly in implementing specific research findings in practice (P = 0.001). Some contextual differences were reported: the QI-sustainable nurses were more likely to obtain support from their chief executive (P = 0.001), consultation from a skilled researcher (P = 0.005) and statistical support (P = 0.001). Within the broader health care organization, the existence of a research committee and a research and development strategy, as well as access to research assistant staff, had a tendency to be more common for nurses who had continued the QI work. Conclusion. Sustainability in QI work was significantly related to supportive leadership, facilitative human resources, increased activity in seeking new research and enhanced implementation of research findings in clinical practice. It appears that these factors constitute a necessary prerequisite for professional development and the establishment of evidence-based practice.

Place, publisher, year, edition, pages
2003. Vol. 41, no 5, 509-518 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-28116DOI: 10.1046/j.1365-2648.2003.02574.xLocal ID: 12927OAI: diva2:248667
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2011-01-13

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Wikblad, Karin
By organisation
Faculty of Health SciencesScience in Nursing
In the same journal
Journal of Advanced Nursing
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 39 hits
ReferencesLink to record
Permanent link

Direct link