KMID : 0367020160280010083
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Journal of Korean Academic of Adult Nursing 2016 Volume.28 No. 1 p.83 ~ p.94
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Knowledge Management, Beliefs, and Competence on Evidence-Based Practice, Evidence-Based Decision Making of Nurses in General Hospitals
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ÀåÀμ÷:Jang In-Sook
¹Ú¸íÈ:Park Myoung-Hwa
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Abstract
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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 (¥â=.18, p=.005), EBP competence (¥â=.37, p<.001), organizational knowledge management (¥â=.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.
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KEYWORD
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Evidence-based practice, Knowledge management, Decision making, Beliefs, Competence
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