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Original Article

Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model

Myung Sook Cho1, Yong Ae Cho1, Mi Ra Song2, Mi Kyung Kim3, Sun Kyung Cha4
Korean Journal of Adult Nursing 2013;25(2):136-147.
Published online: April 30, 2013

1Graduate School of Clinical Nursing Science, Sungkyunkwan University School of Medicine, Seoul, Korea.

2Nursing Professional Development, Samsung Medical Center, Seoul, Korea.

3Nursing Staff Development, Samsung Medical Center, Seoul, Korea.

4Department of Nursing, Cheongju University, Cheongju, Korea.

Corresponding author: Cha, Sun Kyung. Department of Nursing, College of Health Science, Cheongju University, 298 Daesung-ro, Sangdang-gu, Cheongju 360-764, Korea. Tel: +82-43-229-7969, Fax: +82-43-229-8969, skc0701@hanmail.net
• Received: January 24, 2013   • Revised: March 8, 2013   • Accepted: April 20, 2013

© 2013 Korean Society of Adult Nursing

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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.
  • Key Words: Evidence-based practice; Program development

This research was supported by a grant from IN-SUNG Foundation for Medical Research.

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Figure 1

Program to facilitate EBP (2009–2010).

kjan-25-136-g001.jpg
Figure 2

Process of program development.

kjan-25-136-g002.jpg
Table 1

General Characteristics of the Subjects (N=45)

kjan-25-136-i001.jpg
Table 2

Comparison of the EBP Facilitators after the Program (N=45)

kjan-25-136-i002.jpg

EBP=evidence-based practice.

†Wilcoxon signed rank test.

Figure & Data

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      Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model
      Korean J Adult Nurs. 2013;25(2):136-147.   Published online April 30, 2013
      DOI: https://doi.org/10.7475/kjan.2013.25.1.136
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      Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model
      Korean J Adult Nurs. 2013;25(2):136-147.   Published online April 30, 2013
      DOI: https://doi.org/10.7475/kjan.2013.25.1.136
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      Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model
      Image Image
      Figure 1 Program to facilitate EBP (2009–2010).
      Figure 2 Process of program development.

      Figure 1

      Figure 2

      Development of a Program to Facilitate Evidence-Based Practice Based on the Transtheoretical Model

      General Characteristics of the Subjects (N=45)

      Comparison of the EBP Facilitators after the Program (N=45)

      EBP=evidence-based practice.

      †Wilcoxon signed rank test.
      Table 1 General Characteristics of the Subjects (N=45)

      Table 2 Comparison of the EBP Facilitators after the Program (N=45)

      EBP=evidence-based practice.

      †Wilcoxon signed rank test.

      Table 1

      Table 2

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