Construction Of Competencies And Training System Of Evidence-based Practice For Clinical Nurses

BackgroundIt is the trend and core of nursing discipline development to carry out high-quality evidence-based practice education and training and cultivate high-quality evidencebased practice nursing talents.Although evidence-based practice has been included as a routine course in medical education in many medical colleges and universities,the existing training content and quality of evidence-based practice are uneven.There is a lack of clear expectations and standards for the competencies of clinical nurses to implement evidence-based practice,and there is a lack of competence-oriented,scientific,and systematic education and training system.ObjectiveTo construct a set of evidence-based practice competencies and the training system of evidence-based practice of clinical nurses,which can provide references for the cultivation,assessment,and evaluation of clinical nurses’ evidence-based practice ability.Methods1.Literature analysis:A systematic literature search was performed to analyze the research situation of evidence-based practice competence and its education and training at home and abroad,which can provide the theoretical basis for the preliminary construction of the competencies and training system of evidence-based practice for clinical nurses.2.Qualitative method:The phenomenological research method of qualitative research was used in the study.Semi-structured interviews with clinical nurses who had participated in evidence-based practice training were conducted to deeply understand the feelings and needs of clinical nurses on evidence-based practice training,which can provide references for the construction of evidence-based practice training system for clinical nurses.3.Modified Delphi technique:The experts in the field of evidence-based practice,nursing education,and clinical nursing were invited to rate the importance of each item and provide qualitative comments on their ratings.After two rounds of expert consultation,a set of evidence-based practice competencies and the evidence-based practice training system of clinical nurses were formed.Results1.Construction of evidence-based practice competencies for clinical nurses:The response rates of the first round and the second round in this study were 90%and 88.89%respectively,and the authority coefficients were 0.90 and 0.89 respectively.The Kendall coefficient was 0.110-0.212(P<0.05).After two rounds of expert consultation,all items achieved consensus based on the predefined criteria.A list of EBP competencies including 34 items was established,which were grouped into seven domains:ask,acquire,critique,synthesize,apply,evaluate,and disseminate.2.Interview results on experience of clinical nurses in evidence-based practice training:Clinical nurses had strong enthusiasm to participate in evidence-based practice training.They said that the training can help them improve their knowledge and skills of evidence-based practice,change their thinking of clinical work,obtain the benefit of career development,and enhance their professional identity.But they also hoped that the evidence-based practice training should be further improved from the aspects of improving the training curriculum,increasing the diversity of training methods,and strengthening the training faculty.3.Construction of the evidence-based practice training system for clinical nurses:The response rates of the two rounds of the Delphi survey were 80%and 100%,respectively,and the authority coefficient of the expert panel was 0.93,and the Kendall coefficient was 0.125～0.369(P<0.05).The finally evidence-based practice training system includes 5 first-level indicators,23 second-level indicators,and 61 third-level indicators.ConclusionThe evidenced-based practice competencies and their training system for clinical nurses constructed in this study are scientific and reliable,which have reference value for improving the level of evidence-based practice of nurses and promoting the development of evidence-based practice education.