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Evidence-based nursing - reflections from different perspectives
Örebro University, School of Health Sciences.ORCID iD: 0000-0002-4531-0454
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 [en]
clinical competence, evidence-based nursing, nursing research, nursing theory, patient’s perspective
National Category
Other Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-80888ISBN: 978-91-7529-340-0 (print)OAI: oai:DiVA.org:oru-80888DiVA, id: diva2:1417225
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
List of papers
1. Registered nurses’ self-rated research utilization in relation to their work climate – using cluster analysis to search for patterns
Open this publication in new window or tab >>Registered nurses’ self-rated research utilization in relation to their work climate – using cluster analysis to search for patterns
(English)Manuscript (preprint) (Other academic)
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-81865 (URN)
Available from: 2020-05-15 Created: 2020-05-15 Last updated: 2020-05-15Bibliographically approved
2. Conceptions of an implemented nursing philosophy: A phenomenographic study
Open this publication in new window or tab >>Conceptions of an implemented nursing philosophy: A phenomenographic study
2014 (English)In: Clinical Nursing Studies, ISSN 2324-7940, E-ISSN 2324-7959, Vol. 2, no 3, p. 86-96Article in journal (Refereed) Published
Abstract [en]

Aim: The aim of this study was to describe how nurses conceive their work on a ward where a nursing philosophy has been systematically implemented.

Introduction: There is no international consensus today in relation to the organizing of nursing on the basis of an established nursing theory.

Design and method: This study has a phenomenographic methodology, with an epistemological base in life-world perspective. Data were collected through thematized interviews with nurses on a ward where a nursing philosophy has been implemented for several years.

Result: The conceptions of working with a nursing philosophy is described in an overarching statement formulated as a movement From implicit to explicit - where openness and freedom to speak are essential based on five categories of description (conceptions): Making it happen – the manager´s significance for implementation, Integrating the philosophy within me – creating a collective platform, “Welcome to us” – a caring atmosphere, The patient’s sense of being confirmed – establishing quality of care, “Us and them” –being inside or outside.

Conclusion: Working with an implemented nursing philosophy seemed to provide support to the nurse in day-to-day work and thereby contributes to shared values. On the basis of the results we are not able to state that the specific nursing philosophy used can be the only contribution to the experienced support.

Place, publisher, year, edition, pages
Sciedu Press, 2014
Keywords
Nursing philosophy, Reflections, Feeling of confidence, Theory, Phenomenography
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-81864 (URN)10.5430/cns.v2n3p86 (DOI)
Available from: 2020-05-15 Created: 2020-05-15 Last updated: 2020-05-15Bibliographically approved
3. First line nurse managers' experience of opportunities and obstacles to support evidence-based nursing
Open this publication in new window or tab >>First line nurse managers' experience of opportunities and obstacles to support evidence-based nursing
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
Keywords
Coherent strategy, evidence‐based nursing, first line nurse manager, leadership, phenomenography, reflection
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-68352 (URN)10.1002/nop2.172 (DOI)000446838700020 ()30338109 (PubMedID)
Available from: 2018-08-07 Created: 2018-08-07 Last updated: 2020-05-15Bibliographically approved
4. Is the patient’s perspective taken into account? – Interventions to improve evidence-based nursing: An integrative literature review
Open this publication in new window or tab >>Is the patient’s perspective taken into account? – Interventions to improve evidence-based nursing: An integrative literature review
(English)Manuscript (preprint) (Other academic)
National Category
Other Health Sciences
Identifiers
urn:nbn:se:oru:diva-81866 (URN)
Available from: 2020-05-15 Created: 2020-05-15 Last updated: 2020-05-15Bibliographically approved

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