Beliefs and implementation of evidence-based practice among nurses and allied healthcare providers in the Valais hospital, Switzerland

Henk Verloo; Mario Desmedt; Diane Morin

doi:10.1111/jep.12653

Beliefs and implementation of evidence-based practice among nurses and allied healthcare providers in the Valais hospital, Switzerland

J Eval Clin Pract. 2017 Feb;23(1):139-148. doi: 10.1111/jep.12653. Epub 2016 Sep 30.

Authors

Henk Verloo^{1

2}, Mario Desmedt³, Diane Morin^{4

5}

Affiliations

¹ University of Applied Sciences and Arts Western Switzerland, 5, Chemin de l'Agasse, CH, -1950, Sion, Switzerland.
² Department of Nursing Sciences, Valais Hospital, 86, Avenue de Grand-Champsec, CH, -1951, Sion, Switzerland.
³ Valais Hospital, Directorate General, 86, Avenue de Grand-Champsec, CH, -1951, Sion, Switzerland.
⁴ Institut Universitaire de Formation et Recherche en Soins (IUFRS), Faculty of Biology and Medicine, University of Lausanne and Lausanne University Hospital, 10, Route de la Corniche, CH, -1010, Lausanne, Switzerland.
⁵ Faculty of Nursing Sciences, Université Laval, Québec, Canada.

PMID: 27687154
DOI: 10.1111/jep.12653

Abstract

Rationale: Evidence-based practice (EBP) is upheld as a means for patients to receive the most efficient care in a given context. Despite the available evidence and positive beliefs about it, implementing EBP as standard daily practice still faces many obstacles.

Aims and objectives: This study investigated the beliefs about and implementation of EBP among nurses and allied healthcare providers (AHP) in 9 acute care hospitals in the canton of Valais, Switzerland.

Materials and methods: A cross-sectional descriptive survey was conducted. The target population was composed of 1899 nurses and 126 AHPs. Beliefs about and implementation of EBP were measured using EBP-Beliefs and EBP-Implementation scales of Melnyk et al.

Results: The initial sample consisted in 491 participants (overall response rate 24.2%): 421 nurses (22.4% response rate) and 78 AHPs (61.9% response rate). The final sample, composed only of those who declared previous exposure to EBP, included 391 participants (329 nurses and 62 AHPs). Overall, participants had positive attitudes towards EBP and were willing to increase their knowledge to guide practice. However, they acknowledged poor implementation of EBP in daily practice. A significantly higher level of EBP implementation was declared by those formally trained in it (P = 0.006) and by those occupying more senior professional functions (P = 0.004). EBP-Belief scores predicted 13% of the variance in the EBP-Implementation scores (R² = 0.13).

Discussion: EBP is poorly implemented despite positive beliefs about it. Continuing education and support on EBP would help to ensure that patients receive the best available care based on high-quality evidence, patient needs, clinical expertise, and a fair distribution of healthcare resources.

Conclusion: This study's results will be used to guide institutional strategy to increase the use of EBP in daily practice.

Keywords: Evidence-based practice-EBP; Switzerland; allied health professions; beliefs; implementation; nursing; survey.

MeSH terms

Adult
Aged
Allied Health Personnel / psychology*
Attitude of Health Personnel*
Cross-Sectional Studies
Evidence-Based Practice / organization & administration*
Female
Health Knowledge, Attitudes, Practice
Hospital Administration / standards*
Humans
Male
Middle Aged
Nurses / psychology*
Socioeconomic Factors
Switzerland