Korean J Adult Nurs.  2016 Feb;28(1):83-94. 10.7475/kjan.2016.28.1.83.

Knowledge Management, Beliefs, and Competence on Evidence-Based Practice, Evidence-Based Decision Making of Nurses in General Hospitals

• Jang IS
• Park M

• KMID: 2221711
• DOI: http://doi.org/10.7475/kjan.2016.28.1.83

Abstract

PURPOSE
The purpose of this study was to explore how knowledge management of hospital and nurses' beliefs and competences on evidence-based practice can affect evidence-based decision making.
METHODS
In this descriptive study, a total of 184 nurses who were working in the five general hospitals participated. The data were collected through a self-administered questionnaire in September, 2014. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and step-wise multiple regression with SPSS/WIN Statistics 21.0 program.
RESULTS
Evidence-based decision making was correlated with EBP beliefs (r=.55, p<.001), EBP competence (r=.57, p<.001), and knowledge management (r=.50, p<.001). Hierarchical regression analysis showed that EBP beliefs (β=.18, p=.005), EBP competence (β=.37, p<.001), organizational knowledge management (beta=.27, p<.001) explained 48.6% of evidence based decision making (p<.001).
CONCLUSION
The study results indicated that evidence-based practice competences, organizational knowledge management, and evidence-based practice beliefs were important factors on evidence-based decision making. In order to improve evidence-based practice among nurses through organizational knowledge management, EBP beliefs and competence at individual level need to be considered and incorporated into any systemic training of EBP.

MeSH Terms

Decision Making*
Evidence-Based Practice*
Hospitals, General*
Knowledge Management*
Mental Competency*

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