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First line nurse managers' experience of opportunities and obstacles to support evidence-based nursing
Örebro University, School of Health Sciences. Department of Health Care Science, Ersta Sköndal Bräcke University College, Stockholm, Sweden. (Care about caring)ORCID iD: 0000-0002-4531-0454
School of Education, Health and Social Studies, Dalarna University, Falun, Sweden.
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-5996-2584
Department of Health Care Science, Ersta Sköndal Bräcke University College, Stockholm, Sweden.
2018 (English)In: Nursing Open, E-ISSN 2054-1058, Vol. 5, no 4, p. 634-641Article in journal (Refereed) Published
Abstract [en]

Aim: The aim was to explore first line nurse managers’ experiences of opportunities and obstacles to support evidence‐based nursing.

Design: A qualitative study with a phenomenographical approach.

Method: Data were collected through focus group interviews with 15 first line nurse managers’ in four settings.

Results: The results are presented in four categories of description headed: Manage the everyday work vs. evidence‐based nursing; Uncertainties about evidence‐based nursing and nursing research; Time as a reality, as an approach; and Shaping awareness—towards an active approach to evidence‐based nursing. The overarching category of description has been formulated as follows: The internal relation—how active leadership influences evidence‐based nursing. The outcome space is presented as: The individual path—how to make vision and reality become a working entity around evidence‐based nursing.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018. Vol. 5, no 4, p. 634-641
Keywords [en]
Coherent strategy, evidence‐based nursing, first line nurse manager, leadership, phenomenography, reflection
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-68352DOI: 10.1002/nop2.172ISI: 000446838700020PubMedID: 30338109OAI: oai:DiVA.org:oru-68352DiVA, id: diva2:1236997
Available from: 2018-08-07 Created: 2018-08-07 Last updated: 2020-05-15Bibliographically approved
In thesis
1. Evidence-based nursing - reflections from different perspectives
Open this publication in new window or tab >>Evidence-based nursing - reflections from different perspectives
2020 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to describe the use of evidence-based nursing (EBN) with respect to the four cornerstones of EBN: research, nursing theory, the patient’s perspective and clinical competence. Study I explored registered nurses (RNs) self-reported research utilization (RU) in relation to their work climate. A quantitative approach was used; further analyze led to a cluster solution of the measured variables, and low reported RU were compared with higher reported RU. The result showed that an academic degree underpinned the instrumental research utilization (IRU), also women reported higher use of conceptual research utilization (CRU). An association between low RU and dynamism/liveliness was seen, and younger RNs and RNs with shorter working experience reported higher scores for playfulness/humor and conflicts. Study II described how nurses conceived working in a ward where a nursing philosophy had been implemented. A phenomenographic method was used. The philosophy supported the clinical work and underpinned reflection and shared values. A prerequisite was a dedicated leader. The RNs described the care being of high quality. First line nurse managers (FLNMs) role and their experience of opportunities and obstacles to support EBN, was explored in study III. Data was collected using focus groups and analysed using phenomenography. The result showed that the FLNMs need to make an entity of vision and reality to be supportive according of EBN. The last study was an integrative literature review and the perspective of the patient in articles reporting on interventions designed to improve nursing was in focus. The result in study IV showed that the perspective of the patient represents five aspects, and that reporting clinical implications is important. In conclusion; the different perspectives all relates to EBN. Registered nurses need to be encouraged to develop their academic training, to be able to work according to EBN. A nursing philosophy provides time for reflection and a feeling of performing care of high quality. FLNMs need to take their role to support the RNs in order to work evidence-based. Conscious and communicated aspects supported the perspective of the patient.

Place, publisher, year, edition, pages
Örebro: Örebro University, 2020. p. 70
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 213
Keywords
clinical competence, evidence-based nursing, nursing research, nursing theory, patient’s perspective
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-80888 (URN)978-91-7529-340-0 (ISBN)
Public defence
2020-06-12, Örebro universitet, Forumhuset, Hörsal F, Fakultetsgatan 1, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2020-03-27 Created: 2020-03-27 Last updated: 2020-05-15Bibliographically approved

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Karlberg-Traav, MalinEriksson, Mats

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