Purpose/Objectives: To illuminate the experiences of oncology nurses who participated in an evidence-based practice (EBP) project in an institution with an EBP organizational structure.
Research Approach: A descriptive phenomenologic approach and in-depth interviews with each participant.
Setting: An oncology-focused academic medical center with an established organizational infrastructure for EBP.
Participants: 12 RNs working in an oncology setting who participated in an EBP project.
Methodologic Approach: Descriptive, qualitative phenomenologic approach through use of interviews and analysis of interview text.
Findings: Four essential themes (i.e., support, challenges, evolution, and empowerment) and 11 subthemes emerged that reflected nurses' professional and personal growth, as well as the creation of a culture of EBP in the workplace.
Conclusions: The participants described the EBP project as a positive, empowering personal and professional evolutionary experience with supports and challenges that resulted in improvements in patient care.
Interpretation: To the authors' knowledge, the current study is the first qualitative study to demonstrate improved nursing outcomes (e.g., professional growth, improved nursing performance) and nurses' perception of improved patient outcomes (e.g., ongoing healthcare collaboration, evidence-based changes in practice).
References
Affordable Care Act; PPS-Exempt Cancer Hospital Quality Reporting Program, 78 Fed. Reg. 50837 (August 19, 2013) (to be codified at 42 C. F. R. pts. 412, 413, 414, et al.).
Berger, A. M., Cochrane, B., & Mitchell, S. A. (2009). The 2009-2013 research agenda for oncology nursing [Online exclusive]. Oncology Nursing Forum, 36, E274-E282. doi:10.1188/09.ONF.E274-E282
Carlson, C. L., & Plonczynski, D. J. (2008). Has the BARRIERS Scale changed nursing practice? An integrative review. Journal of Advanced Nursing, 63, 322-333. doi:10.1188/09.ONF.E274-E282
Creswell, J. W. (2007). Qualitative inquiry and research design: Choosing among five approaches (2nd ed.). Thousand Oaks, CA: Sage.
Cummings, G. G., Estabrooks, C. A., Midodzi, W. K., Wallin, L., & Hayduk, L. (2007). Influence of organizational characteristics and context on research utilization. Nursing Research, 56(Suppl.), S24-S39.
Flodgren, G., Rojas-Reyes, M. X., Cole, N., & Foxcroft, D. R. (2012). Effectiveness of organisational infrastructures to promote evidence-based nursing practice. Cochrane Database of Systematic Reviews, 15, CD002212. doi:10.1002/14651858.CD002212.pub2
Gerrish, K., Ashworth, P., Lacey, A., Bailey, J., Cooke, J., Kendall, S., & McNeilly, E. (2007). Factors influencing the development of evidence-based practice: A research tool. Journal of Advanced Nursing, 57, 328-338. doi:10.1111/j.1365-2648.2006.04112.x
Gerrish, K., Nolan, M., McDonnell, A., Tod, A., Kirshbaum, M., & Guillaume, L. (2012). Factors influencing advanced practice nurses' ability to promote evidence-based practice among frontline nurses. Worldviews on Evidence-Based Nursing, 9, 30-39. doi:10.1111/j.1741-6787.2011.00230.x
Husserl, E. (1931). Ideas: General introduction to pure phenomenology. New York, NY: Collier.
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press.
Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Washington, DC: National Academies Press.
Kitson, A. L. (2007). What influences the use of clinical research in practice? Nursing Research, 56, S1-S3. doi:10.1097/01.NNR.0000280639.09397.89
Levin, R. F., Fineout-Overholt, E., Melnyk, B. M., Barnes, M., & Vetter, M. J. (2011). Fostering evidence-based practice to improve nurse and cost outcomes in a community health setting: A pilot test of the advancing research and clinical practice through close collaboration model. Nursing Administration Quarterly, 35, 21-33. doi:10.1097/NAQ.0b013e31820320ff
LoBiondo-Wood, G., & Haber, J. (2013). Nursing research: Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby.
McClure, M., Poulin, M., Sovie, M. D., & Wandeh, M. A. (2010). Magnet hospitals: Attraction and retention of professional nurses. Kansas City, MO: American Nurses Association.
McCorkle, R. (2009). Nurses making a difference: Taking personal responsibility for using research findings. Cancer Nursing, 32, 257-258. doi:10.1097/NCC.0b013e3181aba782
Rutledge, D. N., & Bookbinder, M. (2002). Processes and outcomes of evidence-based practice. Seminars in Oncology Nursing, 18, 3-10. doi:10.1097/NCC.0b013e3181aba782
Rycroft-Malone, J., Harvey, G., Seers, K., Kitson, A., McCormack, B., & Titchen, A. (2004). An exploration of factors that influence the implementation of evidence into practice. Journal of Clinical Nursing, 13, 913-924. doi:10.1111/j.1365-2702.2004.01007.x
Squires, J. E., Estabrooks, C. A., Gustavsson, P., & Wallin, L. (2011). Individual determinants of research utilization by nurses: A systematic review update. Implementation Science, 5, 1. doi:10.1186/1748-5908-6-1
Stetler, C. B., & Caramanica, L. (2007). Evaluation of an evidence-based practice initiative: Outcomes, strengths and limitations of a retrospective, conceptually-based approach. Worldviews on Evidence-Based Nursing, 4, 187-199. doi:10.1111/j.1741-6787.2007.00097.x
Titler, M. G., Everett, L. Q., & Adams, S. (2007). Implications for implementation science. Nursing Research, 56(Suppl.), S53-S59. doi:10.1097/01.NNR.0000280636.78901.7f
Van Manen, M. (1990). Researching lived experience: Human science for an action sensitive pedagogy (2nd ed.). Albany, NY: State University of New York Press.
Wallin, L. (2008). A descriptive feast but an evaluative famine: Implementation research in nursing. Canadian Journal of Nursing Research, 40, 17-23.
Wilkinson, J. E. (2013). Reflections on research utilization: Meaning, measurement, and impact. Worldviews on Evidence-Based Nursing, 10, 1-2. doi:10.1111/wvn.12001
