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Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study

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  • Marleen H. Lovink

    (School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands
    Department of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands)

  • Frank Verbeek

    (School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands)

  • Anke Persoon

    (Department of Primary and Community Care, Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands)

  • Getty Huisman-de Waal

    (Scientific Center for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands)

  • Marleen Smits

    (School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands
    Scientific Center for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands)

  • Miranda G. H. Laurant

    (School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands
    Scientific Center for Quality of Healthcare (IQ healthcare), Radboud University Medical Center, Radboud Institute for Health Sciences, 6500 HB Nijmegen, The Netherlands)

  • Anneke J. van Vught

    (School of Health Studies, HAN University of Applied Sciences, 6525 EN Nijmegen, The Netherlands)

Abstract

Background: Nursing homes face challenges caused by increasing numbers of older adults with multimorbidity and the demand for quality of care. Developing an evidence-based nursing (EBN) culture is a promising strategy to face these challenges. Therefore, the aim of this study was to develop an EBN culture in nursing homes and gain insight into the influencing factors. Methods: An action research study was conducted with 12 nursing teams in 4 Dutch nursing homes, using the Practice Development approach to develop an EBN culture. The teams (mostly certified nurse assistants) were coached by internal facilitators (bachelor’s or master’s degree nurses) and external facilitators (nursing teachers). Data were gathered at baseline and after 15 months using questionnaires and individual and focus group interviews. Results: With varying degrees, most nursing teams implemented elements (related to values, attitudes, and behaviors) of an EBN culture with appropriate leadership, advocacy, and training. The team members became open to new insights and asked critical questions. During the project, participants learned how EBN could be incorporated into daily practice, for example, by keeping it small, discussing information from professional journals, and using creative methods such as quizzes. Influencing factors of an EBN culture were: (a) support of managers, (b) inspiring facilitators close to the team, and (c) stable teams with driving forces and student nurses. Conclusions: Integrating EBN into daily practice in creative and motivating ways contributes to the development of an EBN culture in nursing homes. To facilitate this, managers should support teams in the process and content of EBN, and internal facilitators should collaborate with driving forces on the teams.

Suggested Citation

  • Marleen H. Lovink & Frank Verbeek & Anke Persoon & Getty Huisman-de Waal & Marleen Smits & Miranda G. H. Laurant & Anneke J. van Vught, 2022. "Developing an Evidence-Based Nursing Culture in Nursing Homes: An Action Research Study," IJERPH, MDPI, vol. 19(3), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1733-:d:741172
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    References listed on IDEAS

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    1. Trondsen, Marianne & Sandaunet, Anne-Grete, 2009. "The dual role of the action researcher," Evaluation and Program Planning, Elsevier, vol. 32(1), pages 13-20, February.
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    Cited by:

    1. Marijke Mansier-Kelderman & Marleen Lovink & Anke Persoon, 2024. "The Relationship between Bachelor’s-Level Nursing Roles and Job Satisfaction in Nursing Homes: A Descriptive Study," IJERPH, MDPI, vol. 21(2), pages 1-15, February.
    2. Rachida Handor & Anke Persoon & Famke van Lieshout & Marleen Lovink & Hester Vermeulen, 2022. "The Required Competencies of Bachelor- and Master-Educated Nurses in Facilitating the Development of an Effective Workplace Culture in Nursing Homes: An Integrative Review," IJERPH, MDPI, vol. 19(19), pages 1-20, September.

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