PURPOSE Nurses lead Evidence-Based Practice (EBP) in the healthcare system. To facilitate the evidence-based nursing process, nurses must have the knowledge and skills to formulate clinical questions in a searchable format. The purpose of this study was to develop an e-learning program on steps of EBP, especially focusing on clinical questioning to assess its effects. METHODS This research utilized a quasi-experimental study with a nonequivalent control group pre-post test design. The experimental group was provided an e-learning program with case-based animation. The control group was provided written material about EBP. The e-learning program was performed from October to November 2015. To evaluate the effects of the program, knowledge of EBP, attitude towards EBP, practice of EBP, clinical questioning confidence, and clinical questioning knowledge were evaluated. RESULTS There were significant differences in attitude towards EBP (t=2.08, p=.042), practice of EBP (t=2.06, p=.044), clinical questioning confidence (t=2.05, p=.045) and clinical questioning knowledge (t=2.08, p=.042). However, there was no significant difference between the experimental and control groups in knowledge of EBP (t=1.20, p=.237). CONCLUSION The e-learning program with case-based animation was an effective method to provide the EBP education to nurses. Further researches are needed to disseminate the case-based education to nurses and nursing students and to develop more diverse educational media.
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PURPOSE This study developed a program to facilitate evidence-based practice (EBP) in one nursing organization, and identifies the effects of the program on the nurses' EBP facilitators. METHODS The program was based on the Transtheoretical Model of stages of organizational change, a literature review, the cases of hospitals overseas, and a prior study. To identify the effects of the program, a one-group pretest-posttest study was conducted with 45 nurses who participated in the EBP implementation. RESULTS The program consisted of EBP educational sessions, consultations with academic nursing faculty and clinical EBP mentors, and support from the administration and relevant departments. After the EBP program, there was a statistically significant difference in belief in the value of EBP between the pretest and the posttest (t=2.31, p=.026). However, no significant differences were found between the pretest and the posttest for organizational support to develop EBP (t=0.62, p=.537), skills in locating and evaluating research reports (s=-1.00, p=.987), knowledge of research language and skills (s=-1.00, p=.986), and time to devote to EBP (s=-23.00, p=.711). CONCLUSION The findings provide important data that can be used to develop and implement strategies for enhancing EBP in clinical settings in Korea.
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