CNE Article 

Value of, Attitudes Toward, and Implementation of Evidence-Based Practices Based on Use of Self-Study Learning Modules

Rita Lovelace, BSN, RN, CCCTM; Mary Noonen, MSN, RN-BC; James F. Bena, MS; Anne S. Tang, MS; Michelle Angie, MSN, RN, NP-C; Robbi Cwynar, MSN, ACNP-BC; Rosemary Field, MSN, RN, AOCNS; Jayne Rosenberger, BSN, RN, CCRN; Donna Ross, MSN, RN; Donna Walker, MSN, RN; Nancy M. Albert, PhD, RN, CCNS, CHFN, CCRN, NE-BC, FAAN

Abstract

Background:

It is unknown if completing educational modules on understanding, reviewing, and synthesizing research literature is associated with higher value of, attitudes toward, and implementation of evidence-based practices.

Method:

Nurses completed valid, reliable questionnaires on the value of, attitudes toward, and implementation of evidence-based practice 6 months after four educational modules were introduced. Multivariable modeling was used to learn associations of education modules and evidence-based practice themes.

Results:

Of 1,033 participants, 54% completed at least one education module; 22% completed all modules. Value and attitude about evidence-based practice were moderately high, but implementation was low (mean = 15.15 ± 15.72; range = 0 to 72). After controlling for nurse characteristics and experiences associated with evidence-based practice value, attitudes, and implementation scores, education modules completion was associated with the implementation of evidence-based practice (p = .001), but not with value or attitude of evidence-based practices scores.

Conclusion:

Education on reviewing and synthesizing literature strengthened implementation of evidence-based practices.

J Contin Educ Nurs. 2017;48(5):209–216.

How to Obtain Contact Hours by Reading This Issue

Instructions:

1.1 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. In order to obtain contact hours you must:

  1. Read the article, “Value of, Attitudes Toward, and Implementation of Evidence-Based Practices Based on Use of Self-Study Learning Modules,” found on pages 209–216, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz.

  2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study.

  3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated.

This activity is valid for continuing education credit until April 30, 2020.

Contact Hours

This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated.

Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Objectives
  • Describe factors associated with completion of more self-study modules on evidence-based practice.
  • Discuss nurses' perceptions of implementation of evidence-based clinical practices with completion of more self-study modules on evidence-based practice.
Disclosure Statement

Neither the planners nor the authors have any conflicts of interest to disclose.

Do you want to Participate in the CNE activity?

Authors

Ms. Lovelace is Care Coordinator, Stephanie Tubbs-Jones Health Center, East Cleveland; Ms. Noonen is Manager, Nursing Education and Professional Development, Marymount and South Pointe Hospitals; Mr. Bena is Lead Biostatistician, and Ms. Tang is Statistical Programmer, Department of Quantitative Health Sciences, Ms. Cwynar is Acute Care Nurse Practitioner, Critical Care Transport, Dr. Albert is Associate Chief Nursing Officer, Nursing Research and Innovation, Ms. Field is Clinical Nurse Specialist, and Ms. Walker is Advanced Practice Nurse, Office of Advanced Practice Nursing, Cleveland Clinic Health System, Cleveland; Ms. Angie is Nurse Practitioner, Glickman Urological Institute, Beachwood Family Health Center, Beachwood; Ms. Rosenberger is Critical Care and Emergency Nurse, Hillcrest Hospital, Mayfield Heights; and Ms. Ross is Heart Failure Care Coordinator, Lakewood Ambulatory Care, Lakewood, Ohio.

This research was internally funded by the Cleveland Clinic Health System, Nursing Institute.

The authors have disclosed no potential conflicts of interest, financial or otherwise.

Address correspondence to Rita Lovelace, BSN, RN, CCCTM, Care Coordinator, Stephanie Tubbs-Jones Health Center, 13944 Euclid Avenue, East Cleveland, OH 44112; e-mail: rlovelac@ccf.org.

Received: September 01, 2016
Accepted: December 06, 2016

10.3928/00220124-20170418-05

Background:

It is unknown if completing educational modules on understanding, reviewing, and synthesizing research literature is associated with higher value of, attitudes toward, and implementation of evidence-based practices.

Method:

Nurses completed valid, reliable questionnaires on the value of, attitudes toward, and implementation of evidence-based practice 6 months after four educational modules were introduced. Multivariable modeling was used to learn associations of education modules and evidence-based practice themes.

Results:

Of 1,033 participants, 54% completed at least one education module; 22% completed all modules. Value and attitude about evidence-based practice were moderately high, but implementation was low (mean = 15.15 ± 15.72; range = 0 to 72). After controlling for nurse characteristics and experiences associated with evidence-based practice value, attitudes, and implementation scores, education modules completion was associated with the implementation of evidence-based practice (p = .001), but not with value or attitude of evidence-based practices scores.

Conclusion:

Education on reviewing and synthesizing literature strengthened implementation of evidence-based practices.

J Contin Educ Nurs. 2017;48(5):209–216.

How to Obtain Contact Hours by Reading This Issue

Instructions:

1.1 contact hours will be awarded by Villanova University College of Nursing upon successful completion of this activity. A contact hour is a unit of measurement that denotes 60 minutes of an organized learning activity. This is a learner-based activity. Villanova University College of Nursing does not require submission of your answers to the quiz. A contact hour certificate will be awarded after you register, pay the registration fee, and complete the evaluation form online at http://goo.gl/gMfXaf. In order to obtain contact hours you must:

  1. Read the article, “Value of, Attitudes Toward, and Implementation of Evidence-Based Practices Based on Use of Self-Study Learning Modules,” found on pages 209–216, carefully noting any tables and other illustrative materials that are included to enhance your knowledge and understanding of the content. Be sure to keep track of the amount of time (number of minutes) you spend reading the article and completing the quiz.

  2. Read and answer each question on the quiz. After completing all of the questions, compare your answers to those provided within this issue. If you have incorrect answers, return to the article for further study.

  3. Go to the Villanova website to register for contact hour credit. You will be asked to provide your name, contact information, and a VISA, MasterCard, or Discover card number for payment of the $20.00 fee. Once you complete the online evaluation, a certificate will be automatically generated.

This activity is valid for continuing education credit until April 30, 2020.

Contact Hours

This activity is co-provided by Villanova University College of Nursing and SLACK Incorporated.

Villanova University College of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

Objectives
  • Describe factors associated with completion of more self-study modules on evidence-based practice.
  • Discuss nurses' perceptions of implementation of evidence-based clinical practices with completion of more self-study modules on evidence-based practice.
Disclosure Statement

Neither the planners nor the authors have any conflicts of interest to disclose.

Do you want to Participate in the CNE activity?

Ms. Lovelace is Care Coordinator, Stephanie Tubbs-Jones Health Center, East Cleveland; Ms. Noonen is Manager, Nursing Education and Professional Development, Marymount and South Pointe Hospitals; Mr. Bena is Lead Biostatistician, and Ms. Tang is Statistical Programmer, Department of Quantitative Health Sciences, Ms. Cwynar is Acute Care Nurse Practitioner, Critical Care Transport, Dr. Albert is Associate Chief Nursing Officer, Nursing Research and Innovation, Ms. Field is Clinical Nurse Specialist, and Ms. Walker is Advanced Practice Nurse, Office of Advanced Practice Nursing, Cleveland Clinic Health System, Cleveland; Ms. Angie is Nurse Practitioner, Glickman Urological Institute, Beachwood Family Health Center, Beachwood; Ms. Rosenberger is Critical Care and Emergency Nurse, Hillcrest Hospital, Mayfield Heights; and Ms. Ross is Heart Failure Care Coordinator, Lakewood Ambulatory Care, Lakewood, Ohio.

This research was internally funded by the Cleveland Clinic Health System, Nursing Institute.

The authors have disclosed no potential conflicts of interest, financial or otherwise.

Address correspondence to Rita Lovelace, BSN, RN, CCCTM, Care Coordinator, Stephanie Tubbs-Jones Health Center, 13944 Euclid Avenue, East Cleveland, OH 44112; e-mail: rlovelac@ccf.org.

Received: September 01, 2016
Accepted: December 06, 2016
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