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Translation to Practice: A Randomised, Controlled Study of an Evidence-BAsed Booklet for Brest-Care Nurses in the United Kingdom

Kirshbaum, Marilynne (2008). Translation to Practice: A Randomised, Controlled Study of an Evidence-BAsed Booklet for Brest-Care Nurses in the United Kingdom. Worldviews on Evidence-Based Nursing,5(2):60-74.

Document type: Journal Article
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Title Translation to Practice: A Randomised, Controlled Study of an Evidence-BAsed Booklet for Brest-Care Nurses in the United Kingdom
Author Kirshbaum, Marilynne
Journal Name Worldviews on Evidence-Based Nursing
Publication Date 2008
Volume Number 5
Issue Number 2
eISSN 1741-6787
Start Page 60
End Page 74
Total Pages 14
Place of Publication United States of America
Publisher Wiley-Blackwell Publishing, Inc.
Field of Research MEDICAL AND HEALTH SCIENCES
1110 - Nursing
Abstract Background: In the United Kingdom (UK), it was documented that a problem of knowledge transfer existed within the speciality of breast-cancer care, thus depriving patients of receiving optimal care. Despite increasingly robust research evidence indicating recommendation of whole body exercise for people affected by breast cancer, commensurate changes to practice were not noted amongst breast-care nurses (BCNs).

Aim:
To evaluate the effect of a targeted booklet, Exercise and Breast Cancer: A Booklet for Breast-Care Nurses, on changes in knowledge, reported practice, and attitudes of BCNs in the UK.

Method:
A prospective, experimental approach was used for designing a pre- and post-test randomised controlled study. Comparisons of knowledge, reported practice, and attitudes based on responses to a questionnaire were made at two time-points in two groups of BCNs (control and experimental). The unit of randomisation and analysis was hospital clusters of BCNs. The sample comprised 92 nurses from 62 hospitals. Analysis consisted of descriptive statistics and clustered regression techniques: clustered logistic regression for knowledge items, clustered linear regression for knowledge scores, ologit for attitude and reported practice items, and clustered multiple regression for paired and multiple variable analysis.

Results:
A statistically significant increase in knowledge and changes in reported practice and attitudes were found. Robust variables affecting knowledge acquisition were: promotion of health, promotion of exercise, and understanding how exercise can reduce cancer-related fatigue.

Discussion:
The study has shown that evidence-based printed material, such as an information booklet, can be used as an effective research dissemination method when developed for needs, values, and context of a target audience.

Conclusions: This practical approach to research dissemination could be replicated and applied to other groups of nurses.
Keywords Breast care
Evidence-based practice
Knowledge transfer
RCT
Exercise and breast cancer
Health promotion
Knowledge transfer
Research Dissemination
DOI http://dx.doi.org/10.1111/j.1741-6787.2008.00113.x   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Wed, 21 Jan 2015, 11:08:25 CST by Marion Farram