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A Critical Synthesis of Literature Review on the Selected John Hopkins Nursing Evidence Based Practice Model



Abstract:

Nursing administrators of various healthcare organizations are required to improve nursing practice outcomes. A means toward the improvement of nursing practice outcomes is research utilization. Understanding internal organizational factors that increase nurses’ research utilization can help nursing administrators in managing their organization to have a climate of evidence based practice and to facilitate the practicing nurses utilizing research evidence in their practice. This systematic review of the literature examined the strength of the relationships between internal organizational factors and research utilization in nursing practice.. In addition, it mapped the internal organizational factors against a well used model of evidence based practice. There were five key activities in the systematic review: searching, retrieving, categorizing, analyzing and synthesizing literature. Electronic search and retrieval of two online databases and a manual search of specific journals were done. Inclusion criteria of the selected studies were; 1.Published in English, 2.Had internal organizational factors as independent variables and research utilization as a dependent variable, and 3.Relevant to clinical nursing practice. The steps of categorizing and analyzing included the appraisal of the selected studies for quality of design, sample, measurement and statistical analysis. Lastly, semi-structured data abstraction tools and group consensus were used to synthesize findings. Eleven articles met the search criteria. They range from case reports to quantitative studies. Eight factors were identified as having a statistically significant relationship with research utilization, namely  organizational climate, education & research training, role and responsibility, access to human resources, access to material resources, support, time, and multi-faceted access to research related resources. The strength of the relationship between the eight internal organizational factors and nurses’ research utilization was low to moderate. . The results of internal organizational factors were fit to dimensions of internal organizational factors in the selected John Hopkins Nursing Evidence Based Practice Model.

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