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Factors influencing advanced practice nurses' ability to promote evidence-based prectice among frontline nurses

Gerrish, Kate, Nolan, Mike, McDonnell, Ann, Kirshbaum, Marilynne and Guillaume, Louise (2012). Factors influencing advanced practice nurses' ability to promote evidence-based prectice among frontline nurses. World Views on Evidence-Based Nursing,9(1):30-39.

Document type: Journal Article
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Title Factors influencing advanced practice nurses' ability to promote evidence-based prectice among frontline nurses
Author Gerrish, Kate
Nolan, Mike
McDonnell, Ann
Kirshbaum, Marilynne
Guillaume, Louise
Journal Name World Views on Evidence-Based Nursing
Publication Date 2012
Volume Number 9
Issue Number 1
ISSN 1741-6787   (check CDU catalogue open catalogue search in new window)
Start Page 30
End Page 39
Total Pages 9
Place of Publication United States of America
Publisher Wiley-Blackwell Publishing, Inc.
1110 - Nursing
Abstract Background: Advanced practice nurses (APNs) have an important role in promoting evidence-based practice (EBP) among frontline nurses (FLNs). Factors influencing FLNs’ engagement with EBP are well documented but little is known about factors that affect APNs’ ability to facilitate evidence in practice.
Aims: To identify factors that influence APNs’ ability to promote EBP among FLNs.
Methods: A multiple case study of 23 APNs from hospital and primary care settings across seven English health authorities was undertaken. Data collection comprised interviews and observation of APNs and interviews with FLNs and other healthcare professionals. Data were analysed using the Framework approach.
Findings: Four groups of influencing factors were identified: (1) Personal attributes of APNs included knowledge and skills in EBP, clinical credibility with frontline staff and leadership style. (2) Relationships with stakeholders included APNs’ interactions with FLNs and the level of support from managers and medical colleagues. (3) Aspects of the APN role included their sphere of responsibility and workload. (4) Organisational context included the organisational culture, FLNs’ workload, professional networks and available resources.
Implications: Educational preparation for APNs should enable them to develop expertise in EBP plus interpersonal and leadership skills to manage relational dynamics in clinical settings. APN role specifications should provide the opportunity to promote EBP. The organisational culture should be conducive to enabling EBP with managers supportive of this aspect of the APNs’ role.
Conclusions: APNs need to be supported to address the individual, interpersonal and organisational factors, which influence their ability to promote EBP. Organisational commitment at the highest level is key to APNs’ ability to fulfil this aspect of their role.
Keywords Evidence-based practice
Advanced practice nurses
Frontline nurses
Case study
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Created: Tue, 20 Jan 2015, 09:11:56 CST by Marion Farram