Monica Bianchi1, Annamaria Bagnasco2, Valentina Bressan3, Michela Barisone2, Fiona Timmins4, Silvia Rossi2, Ramona Pellegrini2, Giuseppe Aleo2, Loredana Sasso2. 1. Department of Business Economics, Health and Social Care, University of Applied Science and Arts of Southern Switzerland, Manno, Switzerland. 2. Department of Health Sciences, University of Genoa, Genoa, Italy. 3. Department of Otolaryngology / Head and Neck Surgery, University Hospital Santa Maria della Misericordia, Udine, Italy. 4. School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Abstract
AIM: This integrative review aims to explore how nursing leadership influences evidence-based practice in contemporary health care settings. BACKGROUND: Although managers and environmental ward culture have long been identified as being among the main barriers to evidence-based practice, there is little overall conceptualization and understanding of the specific role of nurse leaders in directly influencing and supporting this. EVALUATION: The team carried out an integrative literature review (n = 28) utilizing PubMed, CINAHL and the Cochrane Library (2006-2016). KEY ISSUES: The key role of leadership, the methodology used, and understanding and addressing barriers to or facilitators of the implementation of evidence-based practice emerged as key issues. CONCLUSION: Nurse managers have a particular influential role on the implementation of evidence-based practice in terms of providing a supportive culture and environment. For this they need to have an underlying knowledge but also to be aware of and address barriers to implementation, and understand the key role of nurse managers in creating and supporting the optimum environment. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers need to facilitate and enhance nurses' use of evidence-based practice. Both managers and nurses need to have the necessary academic preparation, support and resources required for practising using an evidence base.
AIM: This integrative review aims to explore how nursing leadership influences evidence-based practice in contemporary health care settings. BACKGROUND: Although managers and environmental ward culture have long been identified as being among the main barriers to evidence-based practice, there is little overall conceptualization and understanding of the specific role of nurse leaders in directly influencing and supporting this. EVALUATION: The team carried out an integrative literature review (n = 28) utilizing PubMed, CINAHL and the Cochrane Library (2006-2016). KEY ISSUES: The key role of leadership, the methodology used, and understanding and addressing barriers to or facilitators of the implementation of evidence-based practice emerged as key issues. CONCLUSION: Nurse managers have a particular influential role on the implementation of evidence-based practice in terms of providing a supportive culture and environment. For this they need to have an underlying knowledge but also to be aware of and address barriers to implementation, and understand the key role of nurse managers in creating and supporting the optimum environment. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse managers need to facilitate and enhance nurses' use of evidence-based practice. Both managers and nurses need to have the necessary academic preparation, support and resources required for practising using an evidence base.
Authors: Cristina Lavareda Baixinho; Óscar Ferreira; Marcelo Medeiros; Ellen Synthia Fernandes de Oliveira Journal: Int J Environ Res Public Health Date: 2022-05-06 Impact factor: 4.614
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