Factors influencing the contribution of advanced practice nurses to promoting evidence-based practice among front-line nurses: findings from a cross-sectional survey
2011; Wiley; Volume: 67; Issue: 5 Linguagem: Inglês
10.1111/j.1365-2648.2010.05560.x
ISSN1365-2648
AutoresKate Gerrish, Louise Guillaume, Marilyn Kirshbaum, Ann McDonnell, Angela Tod, Mike Nolan,
Tópico(s)Health Policy Implementation Science
ResumoJournal of Advanced NursingVolume 67, Issue 5 p. 1079-1090 ORIGINAL RESEARCH Factors influencing the contribution of advanced practice nurses to promoting evidence-based practice among front-line nurses: findings from a cross-sectional survey Kate Gerrish, Kate Gerrish Kate Gerrish B.Nurs MSc PhD RN Professor of Nursing Centre for Health and Social Care Research, Sheffield Hallam University and Sheffield Teaching Hospitals NHS Foundation Trust, UKSearch for more papers by this authorLouise Guillaume, Louise Guillaume Louise Guillaume BA (Hons) MSc PhD Information Specialist School of Health and Related Research, University of Sheffield, UKSearch for more papers by this authorMarilyn Kirshbaum, Marilyn Kirshbaum Marilyn Kirshbaum MSc PhD RN Reader in Nursing School of Human and Health Sciences, University of Huddersfield, UKSearch for more papers by this authorAnn McDonnell, Ann McDonnell Ann McDonnell MSc PhD RN Reader Centre for Health and Social Care Research, Sheffield Hallam University, UKSearch for more papers by this authorAngela Tod, Angela Tod Angela Tod MSc PhD RN Principal Research Fellow Centre for Health and Social Care Research, Sheffield Hallam University, UKSearch for more papers by this authorMike Nolan, Mike Nolan Mike Nolan PhD RN Professor of Gerontological Nursing Sheffield Institute for Studies in Ageing, University of Sheffield, UKSearch for more papers by this author Kate Gerrish, Kate Gerrish Kate Gerrish B.Nurs MSc PhD RN Professor of Nursing Centre for Health and Social Care Research, Sheffield Hallam University and Sheffield Teaching Hospitals NHS Foundation Trust, UKSearch for more papers by this authorLouise Guillaume, Louise Guillaume Louise Guillaume BA (Hons) MSc PhD Information Specialist School of Health and Related Research, University of Sheffield, UKSearch for more papers by this authorMarilyn Kirshbaum, Marilyn Kirshbaum Marilyn Kirshbaum MSc PhD RN Reader in Nursing School of Human and Health Sciences, University of Huddersfield, UKSearch for more papers by this authorAnn McDonnell, Ann McDonnell Ann McDonnell MSc PhD RN Reader Centre for Health and Social Care Research, Sheffield Hallam University, UKSearch for more papers by this authorAngela Tod, Angela Tod Angela Tod MSc PhD RN Principal Research Fellow Centre for Health and Social Care Research, Sheffield Hallam University, UKSearch for more papers by this authorMike Nolan, Mike Nolan Mike Nolan PhD RN Professor of Gerontological Nursing Sheffield Institute for Studies in Ageing, University of Sheffield, UKSearch for more papers by this author First published: 13 January 2011 https://doi.org/10.1111/j.1365-2648.2010.05560.xCitations: 66 K. Gerrish: e-mail: k.gerrish@shu.ac.uk Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract gerrish k., guillaume l., kirshbaum m., mcdonnell a., tod a. & nolan m. (2011) Factors influencing the contribution of advanced practice nurses to promoting evidence-based practice among front-line nurses: findings from a cross-sectional survey. Journal of Advanced Nursing67(5), 1079–1090. Abstract Aim. This paper is a report of a study to identify factors influencing advanced practice nurses’ contribution to promoting evidence-based practice among front-line nurses. Background. Despite widespread recognition that care should be evidence-based, nurses experience challenges implementing evidence-based practice. As opinion leaders, advanced practice nurses can influence the practice of front-line nurses by promoting research use. Little is known about how advanced practice nurses use evidence and their influence on care given by front-line nurses. Method. A cross-sectional survey of 855 advanced practice nurses working in 87 hospital/primary care settings in England. The questionnaire examined understandings of evidence-based practice, sources of evidence used, ways of working with front-line nurses, perceived impact on front-line nurses, skills in evidence-based practice and barriers to promoting evidence-based practice. Data were collected in 2005 and analysed using descriptive statistics. Comparisons were made between advanced practice nurses with Masters qualifications and those with lower qualifications. Findings. Advanced practice nurses used different sources of evidence. They engaged in various activities to promote evidence-based practice and had a positive influence on front-line nurses’ practice. Advanced practice nurses’ skills in evidence-based practice varied with few considering themselves expert. Advanced practice nurses with Masters qualifications perceived themselves to be more skilled in all aspects of evidence-based practice than those with lower qualifications. Conclusion. Advanced practice nurses are well placed as clinical leaders to promote evidence-based practice by frontline nurses but require further development of their skills in evidence-based practice. In order to maximize their potential, advanced practice nurses require Master’s preparation. 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