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Evidence-Based PracticeNCT04483713

Evidence-Based Practice: Proposed Application of Facilitating Tools for Clinical Nurses

A study testing Educational Workshop and Educational Workshop plus J. H. N. EBP Guide Tools in people with Evidence-Based Practice, run by Hospital Israelita Albert Einstein at 1 site in Brazil.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Randomized study of educational intervention, comparative and prospective about Evidence Based Practice (EBP) and its application by clinical nurses in the implementation of EBP projects in search of best practice in nursing processes. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Evidence-Based Practice
What is being tested?
Educational Workshop and Educational Workshop plus J. H. N. EBP Guide Tools
Could I receive a placebo?
No, everyone receives an active treatment
How many people
29 participants
Where
1 siteBrazil
Study dates
13 Dec 2020to 30 Oct 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Clinical nurse with a minimum of two years of training in nursing undergraduate
  • Self-referred intermediate English for reading

Who cannot join

  • -Have previously participated in an EBP project, EBP council or research project, or have a master's or doctor's degree.

Trial locations and contacts

1 site in 1 country.

Brazil1 site
  • Hospital Israelita Albert Einstein

    São Paulo, 05652-000

Other trials in Brazil

About this study

Randomized study of educational intervention, comparative and prospective about Evidence Based Practice (EBP) and its application by clinical nurses in the implementation of EBP projects in search of best practice in nursing processes.

Read the detailed description

Evidence Based Practice (EBP) has become an important issue in nursing. It is considered a process consisting of sequential steps. Multiple barriers are found, among them, time restriction, lack of personal motivation, professional resistance to research and inadequate knowledge. The proposal of this study is to provide Brazilian clinical nurses with tools to be used as a guide, with a structured process in stages as a facilitator of the implementation of EBP projects in search of best practice in nursing processes, for this the investigators will verify the adequacy of authorized translation of the Portuguese version of the Johns Hopkins Center for Evidence-Based Practice guide tools and whether these tools are facilitators in structuring and describing an EBP project from the perspective of the clinical nurse, in addition to verifying whether the EBP project met the requirements of preparation from the perspective of the researcher.

Being tested
Educational Workshop, Educational Workshop plus J. H. N. EBP Guide Tools
Keywords
Evidence-Based Practice, Evidence-Based Nursing, Education, Nursing

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Educational WorkshopBehavioural

    The workshop proposes a review of all stages of EBP which includes approaches to clinical care based on science and the quality of evidence, with the ultimate goal of promoting safe and quality care.

    The workshops comprise one for each group with a total workload of six (6) hours divided into two days, lasting three hours each day. The first day will be a theoretical approach and the second day a practical approach.

    The workshops with theoretical content and practical classes will be held in rooms of Albert Einstein Hospital.

    All participants of both educational strategies will answer the same questionnaires.

  • Educational Workshop plus J. H. N. EBP Guide ToolsBehavioural

    In addition to the workshop. It will follow the same molds as the case of group "Educational Workshop" plus the Johns Hopkins Nursing Evidence-based Practice guide tools since the beginning of this practical class, when the participant will receive a description of a problem as a basis for elaborating their clinical question, and thus, move on to the next stage.

    The tools will be offered in the case of this group: question development, evidence level and quality guide, research evidence assessment tool, individual evidence tool, evidence synthesis and recommendation tool, action planning tool and tool dissemination.

Study groups in NCT04483713
Study groupRoleWhat they receive
Educational WorkshopActive comparatorWill receive theoretical and practical training in EBP through a workshop in a structured model with themes related to the introduction to EBP, with the final proposal of a practical class that aims to structure and describe an individual case through an exercise formulated to go through the phases of a project of EBP, to base this exercise we will use a finished and consolidated project, this will be used as a template of the exercise, the description of this exercise is in the programmatic content.
Receives: Behavioral: Educational Workshop
Educational Workshop plus J. H. N. EBP Guide ToolsActive comparatorWill receive the same training as group "Educational Workshop", plus the presentation and availability of the Johns Hopkins Nursing Evidence-based Practice guide tools to be used in the practice class for the structuring and individual description of the EBP exercise case. The same theme of the case will be used in both groups.
Receives: Behavioral: Educational Workshop; Behavioral: Educational Workshop plus J. H. N. EBP Guide Tools

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Questionnaire to check the suitability of the authorized translation of the portuguese language version of the johns hopkins evidence-based practice guide tools.

    The questionnaire have closed-ended question about the intelligibility of translation for experts, with the possibility of answering yes or no, and an open field for suggestions for changes. In case of inadequacy (which we define as less than four yes answers for the tools), we will make the changes cited by the experts and submit the changed tools to a further expert evaluation.

    Measured: Change from Baseline suitability of the translation of the portuguese language version of the johns hopkins PBE guide tools at immediate post this intervention, an average of 3 months.

  2. Questionnaire for the evaluation of the structuring process and description of an evidence-based practice project, from the perspective of the clinical nurse.

    The instrument has seven questions and one open for comments. The closed questions are related to the description of a clinical question with answer possibilities (very slow; slow; fast; very fast), ease in searching for evidence (challenging; difficult; easy; very easy), understanding of scientific articles (not understandable; partially understandable; understandable; totally understandable), ease in summarizing and classifying the levels of evidence and ease in describing the application of evidence with (challenging; difficult; easy; very easy), elaborating an action plan for disseminating the evidence, in addition to the ease of going through all the phases of a PBE project in relation to the material offered during the workshop (with or without Johns Hopkins tools) with answer possibilities (not helpful; partially helpful; helpful; very helpful), the latter responses are associated with greater ease in the process of structuring and describing an evidence-based practice project.

    Measured: Change from Baseline evaluation of the structuring process and description of an evidence-based practice project, from the perspective of the clinical nurse, at immediate post intervention, through study completion, an average 1 year.

  3. Compliance verification questionnaire in the exercise of preparing a PBE project, from the researcher's perspective.

    This tool have five closed questions to verify compliance with the basic requirements and key elements of an EBP project. The closed questions are related to the description of a clinical question with answer possibilities (yes; no), about survey of bibliographic articles with answer possibilities (Sufficient; Partially sufficient; Insufficient), about the classification of evidence according to the level of quality, elaboration of synthesis of the findings relating to the levels of evidence and ability to develop a dissemination plan for the implementation of the PBE project , with answer possibilities ( Yes; Partially; No). The latter answers are associated with a poor conformity in the exercise of structuring and describing an evidence-based practice project from the researcher's perspective.

    Measured: Change from Baseline Compliance verification in the exercise of preparing a PBE project, from the researcher's perspective, at immediate post intervention, through study completion, an average 1 year.

Secondary outcomes (1)
  1. Evidence-Based Practice Questionnaire (EBPQ)

    It is a self-applicable instrument, considered important for assessing the use, opinions and knowledge of nurses about this practice. The instrument assesses attitudes, knowledge and implementation of PBE, uses a Likert-type scale with a score from one, just like never to seven equal to often, in three domains: practice, attitudes and knowledge related to PBE, with higher scores indicating more positive attitudes toward EBP.

    Measured: Change from de Baseline Evidence-Based Practice at immediate post intervention, through study completion, an average 1 year.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Jul 2020
  2. Study start13 Dec 2020
  3. Primary completion30 Sep 2021
  4. Study completion30 Oct 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04483713
Sponsor's protocol ID
EBP nursing Brazil
Status last verified
Feb 2021
First submitted
6 Jul 2020
Last updated
26 Sep 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Pereira F, Salvi M, Verloo H. Beliefs, Knowledge, Implementation, and Integration of Evidence-Based Practice Among Primary Health Care Providers: Protocol for a Scoping Review. JMIR Res Protoc. 2017 Aug 1;6(8):e148. doi: 10.2196/resprot.7727.

    PubMed 28765102
  • Friesen-Storms JH, Moser A, van der Loo S, Beurskens AJ, Bours GJ. Systematic implementation of evidence-based practice in a clinical nursing setting: a participatory action research project. J Clin Nurs. 2015 Jan;24(1-2):57-68. doi: 10.1111/jocn.12697. Epub 2014 Sep 25.

    PubMed 25258116
  • Danski MTR OG, Pedrolo E, Lind J, Johann D. A Importância da Prática Baseada em Evidências nos Processos de Trabalho do Enfermeiro. Cienc Cuid Saude 2017 Abr-Jun; 16(2). 2017

  • Schneider LR, Pereira RPG, Ferraz L. A prática baseada em evidência no contexto da Atenção Primária à Saúde. Saúde debate. 2018;42(118):594-605

  • Warren JI, McLaughlin M, Bardsley J, Eich J, Esche CA, Kropkowski L, Risch S. The Strengths and Challenges of Implementing EBP in Healthcare Systems. Worldviews Evid Based Nurs. 2016 Feb;13(1):15-24. doi: 10.1111/wvn.12149.

    PubMed 26873372
  • Pintz C, Zhou QP, McLaughlin MK, Kelly KP, Guzzetta CE. National Study of Nursing Research Characteristics at Magnet(R)-Designated Hospitals. J Nurs Adm. 2018 May;48(5):247-258. doi: 10.1097/NNA.0000000000000609.

    PubMed 29629911
  • Wilson M, Sleutel M, Newcomb P, Behan D, Walsh J, Wells JN, Baldwin KM. Empowering nurses with evidence-based practice environments: surveying Magnet(R), Pathway to Excellence(R), and non-magnet facilities in one healthcare system. Worldviews Evid Based Nurs. 2015 Feb;12(1):12-21. doi: 10.1111/wvn.12077. Epub 2015 Jan 16.

    PubMed 25598144
  • Magnet Recognition Program [homepage na internet]. ANCC Magnet Recognition Program® [acesso em 15/09/2019]. https://www.nursingworld.org/organizational-programs/magnet/.

  • Leao ER, Farah OG, Reis EA, Barros CG, Mizoi CS. Academic profile, beliefs, and self-efficacy in research of clinical nurses: implications for the Nursing Research Program in a Magnet Journey hospital. Einstein (Sao Paulo). 2013 Dec;11(4):507-13. doi: 10.1590/s1679-45082013000400018.

    PubMed 24488393
  • Camargo FC IH, Pereira GA, Souza RM, Garcia LAA, Monteiro DAT et al. . Estratégias para o ensino da prática baseada em evidências na formação de enfermeiros: Revisão Intergrativa. REFACS (online) 2018; 6(Supl 1):363-374.

  • Camargo FC PG, Iwamoto HH, Lorena LT, Goulart MB, Contim B. Oficinas para o desenvolvimento da prática baseada em evidências entre lideranças de enfermagem: estudo piloto. Rev Eletr Enf [Internet]. 2017;19:a50

  • Ashktorab T, Pashaeypoor S, Rassouli M, Alavi-Majd H. Nursing Students' Competencies in Evidence-Based Practice and Its Related Factors. Nurs Midwifery Stud. 2015 Dec;4(4):e23047. doi: 10.17795/nmsjournal23047. Epub 2015 Dec 1.

    PubMed 26835462
  • Kim JS, Gu MO, Chang H. Effects of an evidence-based practice education program using multifaceted interventions: a quasi-experimental study with undergraduate nursing students. BMC Med Educ. 2019 Mar 4;19(1):71. doi: 10.1186/s12909-019-1501-6.

    PubMed 30832639
  • Camargo FC, Iwamoto HH, Galvao CM, Pereira GA, Andrade RB, Masso GC. Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review. Rev Bras Enferm. 2018 Jul-Aug;71(4):2030-2038. doi: 10.1590/0034-7167-2016-0617. English, Portuguese.

    PubMed 30156693
  • Schaffer MA, Sandau KE, Diedrick L. Evidence-based practice models for organizational change: overview and practical applications. J Adv Nurs. 2013 May;69(5):1197-209. doi: 10.1111/j.1365-2648.2012.06122.x. Epub 2012 Aug 9.

    PubMed 22882410

Questions about this trial

What is this clinical trial studying?

A study testing Educational Workshop and Educational Workshop plus J. H. N. EBP Guide Tools in people with Evidence-Based Practice, run by Hospital Israelita Albert Einstein at 1 site in Brazil.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Brazil. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Questionnaire to check the suitability of the authorized translation of the portuguese language version of the johns hopkins evidence-based practice guide tools. (time frame: Change from Baseline suitability of the translation of the portuguese language version of the johns hopkins PBE guide tools at immediate post this intervention, an average of 3 months.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04483713, which also lists 26 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2023; AzTrials last refreshed its copy on 6 Nov 2026.

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