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EBP Educational Programme in Nursing Students' EBP Beliefs and Knowledge, and the Extent of Their EBP Implementation

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ClinicalTrials.gov Identifier: NCT03411668
Recruitment Status : Completed
First Posted : January 26, 2018
Last Update Posted : January 23, 2019
Sponsor:
Collaborator:
University of Coimbra
Information provided by (Responsible Party):
Daniela Cardoso, Escola Superior de Enfermagem de Coimbra

Brief Summary:
Evidence-based practice (EBP) prevents unsafety/inefficiency and improves healthcare quality. However, EBP implementation and sustainment are challenging for healthcare organizations and providers considering gaps between research and practice. An educational preparation of the future healthcare professionals can minimize these gaps. Thus, it is mandatory that undergraduate curricula in health sciences, namely in nursing, promote an EBP culture so that future health professionals use it into clinical practice. Within the Portuguese context, there is no available scientific literature about the current state of EBP integration in the undergraduate nursing curricula. Thereby, the investigators intend to verify if an EBP educational programme would be successful in improving the undergraduate nursing students' EBP knowledge and beliefs and, and the extent of their EBP implementation This will be tested using a prospective cluster randomized control trial with two-armed parallel group design.

Condition or disease Intervention/treatment Phase
Evidence-Based Nursing Other: EBP Educational Programme Not Applicable

Detailed Description:

Evidence-Based Practice (EBP), also known as Evidence-Informed Practice, could be defined as a "clinical decision-making that considers the best available evidence; the context in which the care is delivered; client preference; and the professional judgment of the health professional".

It has been recognizing that the adoption, implementation and sustainment of EBP in healthcare organizations are very important to promotes high-value health care, improves the patient experience and health outcomes, and reduces health care costs.

In consequence, several organizations acclaim EBP implementation, because this implementation improves the quality of care; reduces the uncertainty, risk and variability; and becomes the decision-making more simplified. Moreover, Dawes et al at the "Sicily statement on evidence-based practice" highlighted that "all health care professionals need to understand the principles of EBP, recognize EBP in action, implement evidence-based policies, and have a critical attitude to their own practice and to evidence".

Nevertheless, nowadays EBP is not the standard of care in the world and some studies recognized education as a strategy to promotes the adoption, implementation and sustainment of EBP.

In fact, the Committee on the Health Professions Education Summit in 2003 recommended the development of competencies regarding the EBP use in all health professional educational programs. Therefore, it is important that undergraduate nursing curricula are based on EBP principles to educate the future nurses to use EBP into clinical practice. This will, consequently, improve health outcomes, with a positive impact in patients' safety, costs and health systems. Regardless of the above recommendation, the nursing curricula still provide contents related to traditional nursing research and do not integrate the EBP content and process.

Therefore, this randomized control trial aims to evaluate the effectiveness of an educational EBP programme in undergraduate nursing students' EBP beliefs and knowledge, and the extent of their EBP implementation. This study will have two arms: experimental group (EBP educational program) and control group (no intervention - education as usual) and it will have the following methodology:

  • Sample: For sample size calculation it was used the software G*Power 3.1.9.2. Power analysis was based on a type I error of 0.05; power of 0.80; effect size f=0.25; and ANOVA: repeated measures between factors determined a total sample size of 92. In a Portuguese nursing school, six optional courses of the 8th semester of the nursing graduation were randomly assigned to experimental (EBP educational programme) or control group (no intervention - education as usual). An independent researcher performed this assignment using random.org.
  • Intervention: The EBP educational programme will be implemented over 17 weeks (12 hours of lessons - expositive method and practice method and 3 sessions of mentorship to small groups of students - 2/3 students - with the duration of 2 hours each).
  • Assessment: All participants will be assessed before (week 0) and after the intervention (week 18) by a blind assessor using the validated instruments to assess undergraduate nursing students' EBP beliefs, the extent of their EBP implementation and their knowledge in EBP.
  • Data analysis: The data will be analyzed using Statistical Package for the Social Sciences (SPSS) to conduct a descriptive and inferential analysis. To minimize the noncompliance impact, the intention to treat analysis - Last observation carried forward will be used.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 149 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Masking Description: The assignment to the arms will be made by an independent researcher using random.org.
Primary Purpose: Other
Official Title: The Effectiveness of an Evidence Based Practice (EBP) Educational Programme in Undergraduate Nursing Students' EBP Beliefs and Knowledge, and the Extent of Their EBP Implementation: A Cluster Randomized Control Trial
Actual Study Start Date : February 14, 2018
Actual Primary Completion Date : June 22, 2018
Actual Study Completion Date : June 22, 2018

Arm Intervention/treatment
Experimental: EBP Educational Programme
The educational EBP programme will include 12 hours of classroom lessons regarding EBP more 6 hours of mentorship made to a small groups of students (2 or 3 students per group).
Other: EBP Educational Programme
The educational EBP programme will include 12 hours of classroom lessons regarding EBP more 6 hours of mentorship made to a small groups of students (2 or 3 students per group).

No Intervention: Usual Educational Programme
Without intervention. The participants in this group will be maintain usual educational programme.



Primary Outcome Measures :
  1. Change from Baseline in the participant's Evidence Based Practice knowledge [ Time Frame: Post-intervention assessment (week 18) ]
    Outcome measure: "Fresno Test" of Ramos, Schafer, & Tracz (2003) - adapted to nursing students and Portuguese population


Secondary Outcome Measures :
  1. Change from Baseline in the participant's Evidence Based Practice beliefs [ Time Frame: Post-intervention assessment (week 18) ]

    Outcome measure: Evidence Based Practice beliefs scale of Melnyk, Fineout-Overholt, & Mays (2008) - Portuguese version.

    Minimum score: 16; maximum score: 80. Higher values represent a better outcome.


  2. Change from Baseline in the participant's Evidence Based Practice implementation [ Time Frame: Post-intervention assessment (week 18) ]

    Outcome measure: Evidence Based Practice implementation scale for students of Melnyk, Fineout-Overholt, & Mays (2008) - Portuguese version.

    Minimum score: 0; maximum score: 72. Higher values represent a better outcome.




Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 65 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Undergraduate nursing students, aged 18 years or older, attending the 8th semester of the degree course in nursing at a nursing school in Portugal

Exclusion Criteria:

-


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03411668


Locations
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Portugal
ESEnfC
Coimbra, Portugal, 3046-851
Sponsors and Collaborators
Escola Superior de Enfermagem de Coimbra
University of Coimbra
Investigators
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Principal Investigator: Daniela Cardoso, RN UICISA: E, ESEnfC/Faculty of Medicine, University of Coimbra
Publications:
Directorate-General of Health, Ministry of Health. (2012). National Health Plan 2012-2016. Lisbon, Portugal: author. Retrieved from http://pns.dgs.pt/pns-versao-completa/
International Council of Nurses. (2012). Closing the Gap: from Evidence to Action. Geneva: author. ISBN: 978-92-95094-75-8
Ordem dos Enfermeiros. (2006). Tomada de Posição sobre Investigação em Enfermagem. Lisboa: author. Retrieved from http://www.ordemenfermeiros.pt/tomadasposicao/Documents/TomadaPosicao_26Abr2006.pdf
Mohsen, M. M., Safaan, N. A., & Okby, O. M. (2016). Nurses' Perceptions and Barriers for Adoption of Evidence Based Practice in Primary Care: Bridging the Gap. American Journal of Nursing Research, 4(2), 25-33.

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Responsible Party: Daniela Cardoso, Researcher Grant Holder, Escola Superior de Enfermagem de Coimbra
ClinicalTrials.gov Identifier: NCT03411668    
Other Study ID Numbers: EBP_Educ_Nurs
First Posted: January 26, 2018    Key Record Dates
Last Update Posted: January 23, 2019
Last Verified: January 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Daniela Cardoso, Escola Superior de Enfermagem de Coimbra:
undergraduate nursing students
evidence based practice beliefs
evidence based practice knowledge
evidence based practice implementation
Evidence based practice Education programme