Volume 10, Issue 2 (Summer 2024)
JMIS 2024, 10(2): 152-163 |
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Tajafari M, Fanoodi N, Tanhaye Reshvanloo F. The Mediating Role of Knowledge and Attitude in the Relationship Between Self-efficacy and Evidence-based Nursing Practice. JMIS 2024; 10 (2) :152-163
URL: http://jmis.hums.ac.ir/article-1-540-en.html
URL: http://jmis.hums.ac.ir/article-1-540-en.html
Department of Knowledge and Information Science, Faculty of Education Sciences and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran.
Abstract: (577 Views)
Objective Evidence-based nursing (EBN) is a useful approach for clinical care and improving the quality of treatment. One of the factors that plays an important role in improving the EBN of nurses is self-efficacy. This study aims to investigate the mediating role of knowledge and attitude in the relationship between self-efficacy and EBN practice.
Methods This is a descriptive and cross-sectional study. Participants were 250 nurses employed in hospitals affiliated to Mashhad University of Medical Sciences, Iran in 2023. They were selected by multi-stage cluster sampling method. The data collection tool was a five-part questionnaire, including a sociodemographic part, general self-efficacy scale, and knowledge, attitude and practice scales. Data analysis was done using descriptive statistics, Pearson correlation test and path analysis in SPSS software, version 27 and AMOS software, version 24.
Results Self-efficacy had a direct effect on the EBN practice (β=0.308). It also had an indirect effect on the EBN practice through knowledge of EBN and attitude toward EBN (β=0.013). The designed model had a good fit to the data (χ2/df=1.131, GFI=0.988, CFI=0.993, IFI=0.994, TLI=0.988, RMSEA=0.023).
Conclusion Considering the important role of self-efficacy in EBN, it is recommended that medical universities and medical centers pay special attention to the nurses’ self-efficacy. Improving their self-efficacy, EBN knowledge, and attitude towards EBN by holding workshops or training courses should be a priority in medical centers. Adopting strategies to motivate and encourage nurses to use EBN can also be useful.
Methods This is a descriptive and cross-sectional study. Participants were 250 nurses employed in hospitals affiliated to Mashhad University of Medical Sciences, Iran in 2023. They were selected by multi-stage cluster sampling method. The data collection tool was a five-part questionnaire, including a sociodemographic part, general self-efficacy scale, and knowledge, attitude and practice scales. Data analysis was done using descriptive statistics, Pearson correlation test and path analysis in SPSS software, version 27 and AMOS software, version 24.
Results Self-efficacy had a direct effect on the EBN practice (β=0.308). It also had an indirect effect on the EBN practice through knowledge of EBN and attitude toward EBN (β=0.013). The designed model had a good fit to the data (χ2/df=1.131, GFI=0.988, CFI=0.993, IFI=0.994, TLI=0.988, RMSEA=0.023).
Conclusion Considering the important role of self-efficacy in EBN, it is recommended that medical universities and medical centers pay special attention to the nurses’ self-efficacy. Improving their self-efficacy, EBN knowledge, and attitude towards EBN by holding workshops or training courses should be a priority in medical centers. Adopting strategies to motivate and encourage nurses to use EBN can also be useful.
Type of Study: Research |
Subject:
Special
Received: 2024/04/16 | Accepted: 2024/06/21 | Published: 2024/07/1
Received: 2024/04/16 | Accepted: 2024/06/21 | Published: 2024/07/1
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