PURPOSE The purpose of this study was to explore how knowledge management of hospital and nurses' beliefs and competences on evidence-based practice can affect evidence-based decision making. METHODS In this descriptive study, a total of 184 nurses who were working in the five general hospitals participated. The data were collected through a self-administered questionnaire in September, 2014. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and step-wise multiple regression with SPSS/WIN Statistics 21.0 program. RESULTS Evidence-based decision making was correlated with EBP beliefs (r=.55, p<.001), EBP competence (r=.57, p<.001), and knowledge management (r=.50, p<.001). Hierarchical regression analysis showed that EBP beliefs (β=.18, p=.005), EBP competence (β=.37, p<.001), organizational knowledge management (beta=.27, p<.001) explained 48.6% of evidence based decision making (p<.001). CONCLUSION The study results indicated that evidence-based practice competences, organizational knowledge management, and evidence-based practice beliefs were important factors on evidence-based decision making. In order to improve evidence-based practice among nurses through organizational knowledge management, EBP beliefs and competence at individual level need to be considered and incorporated into any systemic training of EBP.
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PURPOSE The purpose of this study is to identify health beliefs and knowledge related to hepatitis A vaccination (HAV). Preventative behaviors related to HAV were also examined. METHODS The convenience sample of 332 students were drawn from a university in Chung-nam province. The results were analyzed using descriptive statistics, t-test, ANOVA, Scheffetest, Pearson's correlation coefficient, and stepwise multiple regression with SPSS for Windows 21.0 software. RESULTS Vaccination rates for hepatitis A were 23.4%. The mean scores of health beliefs, knowledge and preventative behaviors related to hepatitis A were 2.38+/-0.25, 0.34+/-0.30, and 3.15+/-0.40 respectively. The factors found to be related to hepatitis A preventative behaviors were HAV, having the HAV antibody and health beliefs. CONCLUSION An experience of HAV, having HAV antibody, and positive health beliefs related to hepatitis A may be necessary to increase voluntary hepatitis A preventive behaviors among university students. It is essential to develop the strategy of educating university students about HAV and having HAV antibody as well as reinforcing health beliefs about hepatitis A which prevent the hepatitis A occurrence.
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