1. Strategies for teaching evidence-based practice in nursing education: a thematic literature review
- Author
-
Torbjørg Fermann, Anita Nordsteien, Elisabeth Severinsson, and May Elin Thengs Horntvedt
- Subjects
Evidence-based practice ,education ,lcsh:Medicine ,CINAHL ,Education ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,Humans ,Learning ,030212 general & internal medicine ,Nurse education ,Education, Nursing ,Medical education ,lcsh:LC8-6691 ,030504 nursing ,lcsh:Special aspects of education ,Teaching ,Information literacy ,lcsh:R ,Education, Nursing, Baccalaureate ,Evidence-Based Nursing ,General Medicine ,Critical appraisal ,Teaching strategies ,Students, Nursing ,Patient Safety ,Curriculum ,Nursing education ,Learning outcome ,0305 other medical science ,Psychology ,Inclusion (education) ,Research Article ,Qualitative research - Abstract
his article is distributed under the terms of the Creative Commons Attribution 4.0 International License which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver applies to the data made available in this article, unless otherwise stated. Background: Evidence-based practice (EBP) is imperative for ensuring patient safety. Although teaching strategies to enhance EBP knowledge and skills are recommended, recent research indicates that nurses may not be well prepared to apply EBP. A three-level hierarchy for teaching and learning evidence-based medicine is suggested, including the requirement for interactive clinical activities in EBP teaching strategies. This literature review identifies the teaching strategies for EBP knowledge and skills currently used in undergraduate nursing education. We also describe students’ and educators’ experiences with learning outcomes and barriers. Methods: We conducted literature searches using Medline, Embase, CINAHL, ERIC and Academic Search Premier. Six qualitative studies and one mixed-method study met the inclusion criteria and were critically evaluated based on the Critical Appraisal Skills Programme. Using Braun and Clarke’s six phases, the seven studies were deductively and thematically analysed to discover themes. Results: Four teaching strategy themes were identified, including subthemes within each theme: i.e., interactive teaching strategies; interactive and clinical integrated teaching strategies; learning outcomes; and barriers. Although four studies included a vague focus on teaching EBP principles, they all included research utilisation and interactive teaching strategies. Reported learning outcomes included enhanced analytical and critical skills and using research to ensure patient safety. Barriers included challenging collaborations, limited awareness of EBP principles and poor information literacy skills. Conclusion: Four of the seven analysed studies included a vague focus on the use of EBP teaching strategies. Interactive teaching strategies are used, but primary strategies focus on searching for and critically appraising research for practice-based application. Although this review included a relatively small sample of literature, the findings indicate a need for more qualitative research investigating interactive and clinically integrated teaching strategies towards further enhancing EBP undergraduate nursing students’ knowledge and skills.
- Published
- 2018
- Full Text
- View/download PDF