University of Oulu

Koota, E., Kääriäinen, M., Kyngäs, H., Lääperi, M. and Melender, H.‐L. (2021), Effectiveness of Evidence‐Based Practice (EBP) Education on Emergency Nurses’ EBP Attitudes, Knowledge, Self‐Efficacy, Skills, and Behavior: A Randomized Controlled Trial. Worldviews on Evidence‐Based Nursing, 18: 23-32.

Effectiveness of evidence‐based practice (EBP) education on emergency nurses’ EBP attitudes, knowledge, self‐efficacy, skills, and behavior : a randomized controlled trial

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Author: Koota, Elina1,2; Kääriäinen, Maria1,3; Kyngäs, Helvi1,3;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
2HUS Joint Resources, Research and Education, Helsinki University Hospital, Helsinki, Finland
3Oulu University Hospital, Oulu, Finland
4Emergency Medicine and Services, Helsinki University Hospital and University of Helsinki, Helsinki, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
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Language: English
Published: John Wiley & Sons, 2021
Publish Date: 2021-04-16


Background: Emergency care clinicians are expected to use the latest research evidence in practice. However, emergency nurses do not always consistently implement evidence‐based practice (EBP). An educational intervention on EBP was implemented to promote emergency nurses’ use of EBP, and the effectiveness of it was evaluated.

Aims: This study aimed to evaluate the effectiveness of an EBP educational intervention on emergency nurses’ EBP attitudes, knowledge, self‐efficacy, skills, and behavior. The study also examined learners’ satisfaction with the EBP educational intervention.

Methods: A randomized controlled trial with parallel groups with evaluations before the education, immediately after it, and 6 and 12 months after the education was conducted at four emergency departments in two university hospitals. The experimental group (N = 40) received EBP education while the control group (N = 40) completed self‐directed EBP education. The primary outcomes were emergency nurses’ EBP attitudes, knowledge, self‐efficacy, skills, and behavior, while the secondary outcome was satisfaction with the EBP education.

Results: Thirty‐five participants of an experimental and 29 participants of a control group completed the study. There were no statistically significant (p < 0.05) improvements and differences between groups in EBP attitude, self‐efficacy, or behavior immediately after the EBP education. At the 6‐month measurement point, the experimental group showed significantly better EBP attitudes, behavior, knowledge, and self‐efficacy than the control group. At the 12‐month measurement point, the improvements began to decrease. The groups also differed significantly in terms of participant satisfaction with how the teacher encouraged learners to ask clinical questions.

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Series: Worldviews on evidence-based nursing
ISSN: 1545-102X
ISSN-E: 1741-6787
ISSN-L: 1545-102X
Volume: 18
Issue: 1
Pages: 23 - 32
DOI: 10.1111/wvn.12485
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Copyright information: © 2021 The Authors. Worldviews on Evidence‐based Nursing published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.