INTENSIVE CARE UNIT NURSES' KNOWLEDGE, ATTITUDES, AND PERCEIVED BARRIERS REGARDING EARLY MOBILIZATION OF PATIENTS
Main Article Content
Keywords
.
Abstract
Background Intensive care units (ICUs) require rapid adaptation of medical service delivery practices and adherence to infection prevention and control (IPC) instructions, which leads to increased pressure on nurses in intensive care units (ICU). However, customers should not be left complaining, especially when solutions are available; Every patient has the right to have their pain evaluated and managed in the best possible way.
Objectives To determine ICU nurses’ IPC-related knowledge, attitudes, practices, and perceptions in Kingdom of Saudi Arabia.
Method A descriptive cross-sectional design was used to conveniently recruit 132 participants. Self-reported questionnaires were utilized including the Evidence-Based Practice Questionnaire and Evidence-Based Practice barrier scale.
Results In total, 132 ICU nurses Participants’ rate of evidence-based practice was 60% (M = 4.2/7), which was significantly correlated with their knowledge (r = 0.739, P < .01) and attitudes (r = 0.564, P < .01) of evidence-based practice. The results revealed a 2-predictor model that explained 62.2% of the variance in evidence-based practice among intensive care unit nurses. The 2 variables were attitude (β = 0.245) and knowledge (β = 0.563).
Conclusion This research reveals the knowledge, attitudes and practice gap among working nurses. Therefore, adequate and effective plans should target ICU nurses to enhance their level of knowledge and direct attitudes toward enhancing nursing care. Nursing schools must also update their curricula to explain the importance of evidence-based practice and enhance students' competencies in using research and statistical skills.
References
2. Phillips C. Relationships between duration of practice, educational level, and perception of barriers to implement evidence-based practice among critical care nurses. Int J Evid Based Healthc. 2015;13(4):224-232.
3. Day L. Evidence-based practice, rule-following, and nursing expertise. Am J Crit Care. 2009;18(5):479-482.
4. Flodgren G, Rojas-Reyes MX, Cole N, Foxcroft DR. Effectiveness of organisational infrastructures to promote evidence-based nursing practice. Cochrane Database Syst Rev. 2012(2):CD002212.
5. Brown CE, Wickline MA, Ecoff L, Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. J Adv Nurs. 2009;65(2):371-381.
6. Melnyk BM, Fineout-Overholt E, Giggleman M, Cruz R. Correlates among cognitive beliefs, EBP implementation, organizational culture, cohesion and job satisfaction in evidence-based practice mentors from a community hospital system. Nurs Outlook. 2010;58(6):301-308.
7. Majid S, Foo S, Luyt B, et al. Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. J Med Libr Assoc. 2011;99(3):229-236.
8. Cohen J. Statistical Power Analysis for the Behavioral Sciences. Routledge; 2013.
9. Brown CE, Wickline MA, Ecoff L, Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. J Adv Nurs. 2009;65(2):371-381.
10. Roberts TK, Fantz CR. Barriers to quality health care for the transgender population. Clin Biochem. 2014;47(10-11):983-987.
11. Friesen-Storms JH, Moser A, van der Loo S, Beurskens AJ, Bours GJ. Systematic implementation of evidence-based practice in a clinical nursing setting: a participatory action research project. J Clin Nurs. 2015;24(1-2):57-68.
12. Shifaza F, Evans D, Bradley H. Nurses’ perceptions of barriers and facilitators to implement EBP in the Maldives. Advances in Nursing. 2014;2014:698604.
13. Forberg U, Wallin L, Johansson E, Ygge BM, Backheden M, Ehrenberg A. Relationship between work context and adherence to a clinical practice guideline for peripheral venous catheters among registered nurses in pediatric care. Worldviews Evid Based Nurs. 2014;11(4):227-239.
14. Griffiths J, Bryar R, Closs S, et al. Barriers to research implementation by community nurses. Br J Community Nurs. 2001;6(10):501-510.
15. Rizzuto C, Bostrom J, Suter WN, Chenitz WC. Predictors of nurses’ involvement in research activities. West J Nurs Res. 1994;16(2):193-204.
