Objective: This study was aimed at evaluating the experiences, views, and opinions of senior nursing students on evidence-based practices for the clinical environment just before graduation. Material and Methods: The research was performed in the interpretive paradigm using a hermeneutic phenomenological approach. Data were collected from 15 students who were going to graduate from the nursing department of an eastern Türkiye university from May 2019-July 2019. The data were collected by the first researcher using the individual, face-to-face interview method. The data were collected through detailed individual interviews, using the ''Personal Information Form'' and the ''Semi-Structured Interview Form.'' The Personal Information Form included questions on the participants'' age, year at school, sex, academic achievement, information about evidence-based practices, and reading status. Results: The opinions of the nursing undergraduate students on evidence-based practices were analysed, and 8 themes were created in 4 categories. Data analyses yielded the following 3 categories: ''scientific product'', ''vital for the quality of patient care and the professionalization of nurses'', ''applicability in patient care'' and ''the power to referral evidence-based practice in patient care.'' Conclusion: It was determined that some of the nursing students did not learn evidence-based practices at all, and the most important reason for this was the students'' indifference, and clinical nurses'' lack of knowledge and the academic nurses'' lack of attention regarding evidence-based learning.
Keywords: Evidence-based nursing; education; students; hermeneutic phenomenological approach
Amaç: Bu çalışma, hemşirelik son sınıf öğrencilerinin mezuniyetten hemen önce klinik ortam için kanıta dayalı uygulamalara ilişkin deneyim, düşünceleri ve görüşlerini değerlendirmeyi amaçlamaktadır. Gereç ve Yöntemler: Araştırma, hermeneutik fenomenolojik yaklaşım ile yorumlayıcı paradigma kullanılarak yapıldı. Araştırmanın verileri, Mayıs 2019-Temmuz 2019 tarihleri arasında Türkiye'nin doğusundaki bir üniversitenin hemşirelik bölümünden mezun olacak 15 öğrenciden toplandı. Veriler, ilk araştırmacı tarafından bireysel, yüz yüze görüşme yöntemi kullanılarak toplandı. Veriler, ''Kişisel Bilgi Formu'' ve ''Yarı Yapılandırılmış Görüşme Formu'' kullanılarak detaylı bireysel görüşmeler yoluyla toplandı. Kişisel Bilgi Formu, katılımcıların yaşı, okuldaki yılı, cinsiyeti, akademik başarısı, kanıta dayalı uygulama hakkındaki bilgileri ve okuma durumu ile ilgili soruları içermektedir. Bulgular: Hemşirelik lisans öğrencilerinin kanıta dayalı uygulamalara ilişkin görüşleri incelendi ve 4 kategoride 8 tema oluşturuldu. Veri analizlerinde belirlenen 3 kategori şöyledir: ''bilimsel ürün'', ''hasta bakımının kalitesi ve hemşirelerin profesyonelleşmesi için hayati öneme sahip'', ''hasta bakımında uygulanabilirlik'' ve ''hasta bakımında kanıta dayalı uygulamayı yönetme gücü.'' Sonuç: Hemşirelik öğrencilerinin bir kısmının kanıta dayalı uygulamaları hiç öğrenemediği ve bunun en önemli nedenlerinin öğrencilerin ilgisizliği, klinik hemşirelerinin bilgi eksikliği ve akademisyen hemşirelerin kanıta dayalı uygulamalara yeterince özen göstermemesi olduğu belirlendi.
Anahtar Kelimeler: Kanıta dayalı hemşirelik; eğitim; öğrenciler; hermeneutik fenomenolojik yaklaşım
- André B, Aune AG, Brænd JA. Embedding evidence-based practice among nursing undergraduates: Results from a pilot study. Nurse Educ Pract. 2016;18:30-5. [Crossref] [PubMed]
- Patelarou A, Katsouli K, Stamou A, Vivilaki V, Kovkia E, Sifaki-Pistolla D, et al. Attitudes, knowledge and perceptions of psychiatric nurses about evidence-based practice. Arch Hell Med. 2017;34(5):636-42. [Link]
- Horntvedt MT, Nordsteien A, Fermann T, Severinsson E. Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC Med Educ. 2018;18(1):172. [Crossref] [PubMed] [PMC]
- Hickman LD, DiGiacomo M, Phillips J, Rao A, Newton PJ, Jackson D, et al. Improving evidence based practice in postgraduate nursing programs: a systematic review: Bridging the evidence practice gap (BRIDGE project). Nurse Educ Today. 2018;63:69-75. [Crossref] [PubMed]
- Kristensen N, Nymann C, Konradsen H. Implementing research results in clinical practice- the experiences of healthcare professionals. BMC Health Serv Res. 2016;16:48. [Crossref] [PubMed] [PMC]
- Oh EG, Yang YL. Evidence-based nursing education for undergraduate students: a preliminary experimental study. Nurse Educ Pract. 2019;38:45-51. [Crossref] [PubMed]
- Cardoso D, Rodrigues MA, Apóstolo J. Evidence-based practice educational program: a Portuguese experience with undergraduate nursing students. Int J Evid Based Healthc. 2019;17 Suppl 1:S72-4. [Crossref] [PubMed]
- Melnyk BM, Fineout-Overholt E. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. 2nd ed. Philadelphia: Wolters Kluwer; 2015.
- Duff J, Cullen L, Hanrahan K, Steelman V. Determinants of an evidence-based practice environment: an interpretive description. Implement Sci Commun. 2020;1:85. [Crossref] [PubMed] [PMC]
- Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators. J Nurs Adm. 2012;42(9):410-7. [Crossref] [PubMed]
- Fu L, Su W, Ye X, Li M, Shen J, Chen C, et al. Evidence-based practice competency and related factors among nurses working in public hospitals. Inquiry. 2020;57:46958020927876. [Crossref] [PubMed] [PMC]
- Ruzafa-Martínez M, López-Iborra L, Armero Barranco D, Ramos-Morcillo AJ. Effectiveness of an evidence-based practice (EBP) course on the EBP competence of undergraduate nursing students: a quasi-experimental study. Nurse Educ Today. 2016;38:82-7. [Crossref] [PubMed]
- Moch SD, Quinn-Lee L, Gallegos C, Sortedahl CK. Navigating evidence-based practice projects: the faculty role. Nurs Educ Perspect. 2015;36(2):128-30. [Crossref] [PubMed]
- American Association of Colleges of Nursing (AACN) [Internet]. 2022 by American Association of Colleges of Nursing (AACN). [Cited: January 15, 2022]. Baccalaureate Education. 2011. Available from: [Link]
- Lehane E, Leahy-Warren P, O'Riordan C, Savage E, Drennan J, O'Tuathaigh C, et al. Evidence-based practice education for healthcare professions: an expert view. BMJ Evid Based Med. 2019;24(3):103-8. [Crossref] [PubMed] [PMC]
- Davidson SJ, Candy L. Teaching EBP using game-based learning: improving the student experience. Worldviews Evid Based Nurs. 2016;13(4):285-93. [Crossref] [PubMed]
- Kim JS, Gu MO, Chang H. Effects of an evidence-based practice education program using multifaceted interventions: a quasi-experimental study with undergraduate nursing students. BMC Med Educ. 2019;19(1):71. [Crossref] [PubMed] [PMC]
- Kaplan Serin E, Alp Dal N, Ikde Oner O. A study of midwifery and nursing students' attitudes toward evidence-based nursing. Journal of Inonu University Health Services Vocational School. 2020;8(2):472-82. [Crossref]
- Hung HY, Wang YW, Feng JY, Wang CJ, Lin EC, Chang YJ. Evidence-based practice curriculum development for undergraduate nursing students: the preliminary results of an action research study in Taiwan. J Nurs Res. 2019;27(4):e30. [Crossref] [PubMed] [PMC]
- Abu-Baker NN, AbuAlrub S, Obeidat RF, Assmairan K. Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nurs. 2021;20(1):13. [Crossref] [PubMed] [PMC]
- Manen MV. Writing in the Dark: Phenomenological Studies in Interpretive Inquiry. 1st ed. Abingdon: Routledge; 2002.
- Cresswell JW, Poth NC. Qualitative Inquiry and Research Design: Choosing Among Five Approaches. 4th ed. California: Sage Publications; 2017.
- Sale JEM, Thielke S. Qualitative research is a fundamental scientific process. J Clin Epidemiol. 2018;102:129-33. [Crossref] [PubMed]
- Lindseth A, Norberg A. A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci. 2004;18(2):145-53. [Crossref] [PubMed]
- Brooke J, Hvalič-Touzery S, Skela-Savič B. Student nurse perceptions on evidence-based practice and research: an exploratory research study involving students from the University of Greenwich, England and the Faculty of Health Care Jesenice, Slovenia. Nurse Educ Today. 2015;35(7):e6-e11. [Crossref] [PubMed]
- Ashktorab T, Pashaeypoor S, Rassouli M, Alavi-Majd H. Nursing students' competencies in evidence-based practice and its related factors. Nurs Midwifery Stud. 2015;4(4):e23047. [Crossref] [PubMed] [PMC]
- Al-Busaidi IS, Al Suleimani SZ, Dupo JU, Al Sulaimi NK, Nair VG. Nurses' knowledge, attitudes, and implementation of evidence-based practice in oman: a multi-institutional, cross-sectional study. Oman Med J. 2019;34(6):521-7. [Crossref] [PubMed] [PMC]
- AbuRuz ME, Hayeah HA, Al-Dweik G, Al-Akash HY. Knowledge, attitudes, and practice about evidence-based practice: a Jordanian study. Health Science Journal. 2017;11(1):1-8. [Crossref]
- Gifford W, Zhang Q, Chen S, Davies B, Xie R, Wen SW, et al. When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China. BMC Nurs. 2018;17:26. [Crossref] [PubMed] [PMC]
- Ozga D, Jędrzejczyk-Cwanek M, Woźniak K, Niemczyk E, Mędrzycka-Dąbrowska W. Knowledge, behaviors, and attitudes of polish nurses as compared with evidence-based practice in relation to the Guidelines of the European Resuscitation Council. Glob Adv Health Med. 2019;8:2164956119897566. [Crossref] [PubMed] [PMC]
- Allen N, Lubejko BG, Thompson J, Turner BS. Evaluation of a web course to increase evidence-based practice knowledge among nurses. Clin J Oncol Nurs. 2015;19(5):623-7. [Crossref] [PubMed]
- Al Khalaileh M, Al Qadire M, Musa AS, Al-Khawaldeh OA, Al Qudah H, Alhabahbeh A. Closing the gap between research evidence and clinical practice: Jordanian nurses' perceived barriers to research utilisation. JEP. 2016;7(8):52-7. [Link]
.: Process List