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© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Background: Nursing homes face challenges caused by increasing numbers of older adults with multimorbidity and the demand for quality of care. Developing an evidence-based nursing (EBN) culture is a promising strategy to face these challenges. Therefore, the aim of this study was to develop an EBN culture in nursing homes and gain insight into the influencing factors. Methods: An action research study was conducted with 12 nursing teams in 4 Dutch nursing homes, using the Practice Development approach to develop an EBN culture. The teams (mostly certified nurse assistants) were coached by internal facilitators (bachelor’s or master’s degree nurses) and external facilitators (nursing teachers). Data were gathered at baseline and after 15 months using questionnaires and individual and focus group interviews. Results: With varying degrees, most nursing teams implemented elements (related to values, attitudes, and behaviors) of an EBN culture with appropriate leadership, advocacy, and training. The team members became open to new insights and asked critical questions. During the project, participants learned how EBN could be incorporated into daily practice, for example, by keeping it small, discussing information from professional journals, and using creative methods such as quizzes. Influencing factors of an EBN culture were: (a) support of managers, (b) inspiring facilitators close to the team, and (c) stable teams with driving forces and student nurses. Conclusions: Integrating EBN into daily practice in creative and motivating ways contributes to the development of an EBN culture in nursing homes. To facilitate this, managers should support teams in the process and content of EBN, and internal facilitators should collaborate with driving forces on the teams.

Details

Title
Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study
Author
Lovink, Marleen H 1   VIAFID ORCID Logo  ; Verbeek, Frank 2   VIAFID ORCID Logo  ; Persoon, Anke 3 ; Getty Huisman-de Waal 4   VIAFID ORCID Logo  ; Smits, Marleen 5 ; Laurant, Miranda G H 5 ; van Vught, Anneke J 2   VIAFID ORCID Logo 

 School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands; [email protected] (F.V.); [email protected] (M.S.); [email protected] (M.G.H.L.); [email protected] (A.J.v.V.); Department of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands; [email protected] 
 School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands; [email protected] (F.V.); [email protected] (M.S.); [email protected] (M.G.H.L.); [email protected] (A.J.v.V.) 
 Department of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands; [email protected] 
 Scientific Center for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands; [email protected] 
 School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands; [email protected] (F.V.); [email protected] (M.S.); [email protected] (M.G.H.L.); [email protected] (A.J.v.V.); Scientific Center for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands; [email protected] 
First page
1733
Publication year
2022
Publication date
2022
Publisher
MDPI AG
ISSN
1661-7827
e-ISSN
1660-4601
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2627533601
Copyright
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.