MONITORING THE EFFICACY AND DEVISING A MODEL FOR ENHANCING THE INSTRUCTION OF EVIDENCE-BASED NURSING

Abstract

Introduction. Evidence-based nursing (EBN) integrates clinical expertise, patient preferences, and robust scientific evidence to guide nursing interventions, crucial for enhancing patient outcomes and safety. EBN training enhances nurses' critical thinking, bridges academic research with clinical practice, and promotes a culture of continuous learning and standardized care protocols. The objective of our study is to assess the core domains of understanding, mindset, and application concerning EBN, with the subsequent formulation of an action plan aimed at optimizing academic support. Materials and methods. The study utilized a quasi-experimental design with 145 academic bachelors from NJSC "Semey Medical University" who underwent advanced training in EBN. Two online surveys, based on the "Assessing teaching and learning of evidence-based practice through assessment of knowledge, attitudes, and behavior" questionnaire adapted for nursing, were administered before and after the training. Data analysis was conducted using IBM SPSS Statistics 26.0, employing standard descriptive and analytical statistics, including paired Student’s T-test to compare scores before and after the EBN training, with statistical significance set at p < 0.05. Results. The study participants predominantly comprised women (n=143), with an average age of 44.31±10.81 years among undergraduate students. There was a statistically noteworthy rise observed in the overall average score pertaining to "Knowledge". Conversely, there was a significant decrease noted in the overall score within the domain of "Attitude", dropping from 23.3 to 17.3. Moreover, there was a statistically significant increase in the average score within the subject area of "Personal application", rising from 20.6 to 23.3 points. Lastly, the "Future Use of Evidence-Based Practice" domain also exhibited an improvement, with indicators increasing from 34.1 to 36.2. Conclusions. Based on the data gathered, we have formulated models aimed at enhancing the efficacy of EBN training specifically designed for academic nursing students. The educational model is designed to provide comprehensive support from medical institutions to assist nurses in acquiring the knowledge and skills necessary for evidence-based nursing.