Differences Between Magnet and Non-Magnet-Designated Hospitals in Nurses' Evidence-Based Practice Knowledge, Competencies, Mentoring, and Culture

被引：26

作者：

Melnyk, Bernadette Mazurek ^{[1
,2
,3
,4
]}

Zellefrow, Cindy ^{[3
,4
]}

Tan, Alai ^{[5
]}

Hsieh, Andreanna Pavan ^{[6
]}

机构：

[1] Ohio State Univ, Hlth Promot, Columbus, OH 43210 USA

[2] Ohio State Univ, Helene Fuld Hlth Trust Natl Inst Evidence Based P, Columbus, OH 43210 USA

[3] Ohio State Univ, Clin Practice, Columbus, OH 43210 USA

[4] Ohio State Univ, Helene Fuld Hlth Trust Natl Inst Evidence Based P, Acad Core, Columbus, OH 43210 USA

[5] Ohio State Univ, Coll Nursing, Ctr Res Hlth Analyt, Columbus, OH 43210 USA

[6] Ohio State Univ, Coll Nursing, Columbus, OH 43210 USA

来源：

WORLDVIEWS ON EVIDENCE-BASED NURSING | 2020年 / 17卷 / 05期

关键词：

evidence-based practice; advanced practice; advanced nursing practice; administration; management; leadership; organization; nurse-patient relations; nurse patient relationship; mentorship; quality improvement; Quality of care; Quality of services; HEALTH-CARE QUALITY; PATIENT; IMPLEMENTATION; EXCELLENCE(R); RELIABILITY; OUTCOMES; PATHWAY;

D O I：

10.1111/wvn.12467

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background Obtaining Magnet recognition is important to hospitals as it has been linked to positive nursing and patient outcomes. Evidence-based practice (EBP) also has been shown to positively impact these same outcomes. However, the effect that Magnet designation has on different facets of EBP when compared to non-designated institutions is less understood. Aims To determine the differences between Magnet-designated versus non-Magnet-designated hospitals on nurses' EBP knowledge, competency, mentoring, and culture. Methods A secondary analysis was performed on data obtained from the Melnyk et al. (2018) national study of U.S. nurses' EBP competencies. Results 2,344 nurses completed the survey (n = 1,622 Magnet andn = 638 non-Magnet). Magnet-designated hospital nurses had higher scores in EBP knowledge (mean +/- SD: 19.9 +/- 6.8 vs. 19.1 +/- 7.0, Cohen'sd = 0.12), mentoring (22.6 +/- 11.1 vs. 18.6 +/- 10.1,d = 0.38), and culture (82.9 +/- 21.8 vs. 74.1 +/- 21.3,d = 0.41). There was no difference between the two groups in EBP competency scores (53.8 +/- 16.2 vs. 53.0 +/- 15.9,d = 0.05), and average scores for the 24 EBP competency items were less than competent in both groups. Linking Evidence to Practice Despite having higher knowledge, stronger perceived EBP cultures, and greater EBP mentoring than non-Magnet-designated nurses, Magnet nurses did not meet the EBP competencies. A tremendous need exists to provide nurses with the knowledge and skills to achieve the EBP competencies in both Magnet and non-Magnet-designated hospitals. A critical mass of EBP mentors who also meet the EBP competencies is needed to work with point-of-care nurses to ensure that EBP competency is achieved in order to ultimately ensure healthcare quality and safety. Rigorous studies are needed to determine which interventions at the academic and clinical education level result in improved EBP competency.

引用

页码：337 / 347

页数：11

共 31 条

[21] The Establishment of Evidence-Based Practice Competencies for Practicing Registered Nurses and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to Improve Healthcare Quality, Reliability, Patient Outcomes, and Costs [J].