Nurse manager's education, experience influence use of evidence-based practices, survey shows

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Nursing home closures have been concentrated in poor, urban areas, study finds
Nursing home closures have been concentrated in poor, urban areas, study finds

Longtime nurse managers or directors are the biggest barriers to implementing new evidence-based care practices, a survey finds.

The longer a registered nurse has worked in the healthcare industry, the less likely he or she is to have confidence try evidenced-based approaches to care, according to results of a survey of 1,000 registered nurses. However, nurses who have had more education, such as those with bachelors or masters degrees, are more likely to be open to evidence-based practices, Ohio State University researchers asserted. When respondents were asked to rank barriers to evidence-based care, nurses ranked resistance from nurse managers as their top complaint.

In this survey, evidence-based practices mean making decisions about patient care based on evidence produced through trials and studies. For example, it's common for physicians to prescribe antidepressants for mild-to-moderate depression, even though studies have shown that psychotherapy is more effective than medication.

“When new graduates who have learned to take an evidence-based approach to care are meeting these nurses in real-world settings, they encounter this prevalence of a ‘this is the way we do it here' culture,” lead investigator Bernadette Melnyk, Ph.D., R.N., said.

“It's going to be a long haul until every clinician in this country consistently delivers evidence-based care,” she said.

The Institute of Medicine has said 90% of all patient-care decisions should be based on evidence by 2020. The research was published in the September issue of the Journal of Nursing Administration.

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