Cent Eur J Nurs Midw 2021, 12(2):376-384 | DOI: 10.15452/cejnm.2021.12.0013

Slovenian nursing students’ competence in research utilization, and the support they received during clinical practice

Asta Heikkilä1,2, Boris Miha Kaučič3, Bojana Filej3, Leena Salminen1, Jouko Katajisto4, Helena Leino-Kilpi1,2
1 Department of Nursing Science, University of Turku, Finland
2 Turku University Hospital, Finland
3 College of Nursing in Celje, Slovenia
4 Department of Mathematics and Statistics, University of Turku, Finland

Aim: Research utilization is at the core of evidence-based practice. The aim of the study was to describe Slovenian nursing students’ competence in research utilization (attitudes, knowledge, and skills) on graduation, and the support they received in learning research utilization during clinical practice.

Design: A descriptive, cross-sectional study design.

Methods: The participants were graduating Slovenian bachelor-level nursing students (n = 220). Data were collected using the Competence in Research Utilization instrument, and analyzed statistically.

Results: Students’ attitudes to research utilization were positive, but their knowledge was rather limited. Skills were self-assessed as above moderate. The majority of the students had received support in learning research utilization during their most recent clinical practice period. The support received was related to students’ attitudes and skills.

Conclusion: Educational institutions should pay attention to improving nursing students’ competence in research utilization, especially regarding their knowledge. Further research is needed to explore the most effective pedagogical strategies, including clinical practice, to improve students’ competence in research utilization and to gain a better understanding of multidimensional research utilization competence assessment.

Keywords: competence, evidence-based practice, nursing education, nursing student, research utilization

Received: November 21, 2020; Revised: January 25, 2021; Accepted: March 3, 2021; Prepublished online: April 27, 2021; Published: June 4, 2021  Show citation

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Heikkilä A, Kaučič BM, Filej B, Salminen L, Katajisto J, Leino-Kilpi H. Slovenian nursing students’ competence in research utilization, and the support they received during clinical practice. Central European Journal of Nursing and Midwifery. 2021;12(2):376-384. doi: 10.15452/cejnm.2021.12.0013.
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    References

    1. Adamson, E., King, L., Foy, L., McLeod, M., Traynor, J. Watson, W., & Gray, M. (2018). Feedback in clinical practice: enhancing the students' experience through action research. Nurse Education in Practice, 31, 48-53. https://doi.org/10.1016/j.nepr.2018.04.012 Go to original source... Go to PubMed...
    2. Aglen, B. (2016). Pedagogical strategies to teach bachelor students evidence-based practice: a systematic review. Nurse Education Today, 36, 255-263. https://doi.org/10.1016/j.nedt.2015.08.025 Go to original source... Go to PubMed...
    3. Al Qadire, M. (2019). Undergraduate student nurses' knowledge of evidence-based practice: a short online survey. Nurse Education Today, 72, 1-5. https://doi.org/10.1016/j.nedt.2018.10.004 Go to original source... Go to PubMed...
    4. Blackman, I. R., & Giles, T. M. (2017). Can nursing students practice what is preached? Factors impacting graduating nurses' abilities and achievement to apply evidence-based practices. Worldviews on Evidence-Based Nursing, 14(2), 108-117. https://doi.org/10.1111/wvn.12205 Go to original source... Go to PubMed...
    5. Bohinc, M., & Cibic, D. (2005). Country profile: Slovenia. Nursing Ethics, 12(3), 317-322. https://doi.org/10.1191/0969733005ne793oa Go to original source... Go to PubMed...
    6. Brooke, J., Hvalič-Touzery, S., & Skela-Savič, B. (2015). Student nurse perceptions on evidence-based practice and research: an exploratory research study involving students from the University of Greenwich, England and the Faculty of Health Care Jesenice, Slovenia. Nurse Education Today, 35(7), 6-11. https://doi.org/10.1016/j.nedt.2015.02.026 Go to original source... Go to PubMed...
    7. DeVellis, R. F. (2012). Scale development. Theory and applications (3rd ed.). Sage.
    8. European Union. (2005, September). Directive 2005/36/EC of the European parliament and of the council of 7 September 2005 on the recognition of professional qualifications. Official Journal of the European Union. https://eurlex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2005:255:0022:0142:EN:PDF
    9. European Union. (2013, December). Directive 2013/55/EU of the European parliament and of the council of 20 November 2013. Official Journal of the European Union. https://eurlex.europa.eu/LexUriServ/LexUriServ.do?uri=OJ:L:2013:354:0132:0170:en:PDF
    10. European Federation of Nurses Associations (EFN). (2015, May). EFN Competency Framework. EFN Guideline to implement Article 31 into national nurses' education programmes. http://www.efnweb.be/wp-content/uploads/EFN-Competency-Framework-19-05-2015.pdf
    11. Fiset, V. J., Graham, I. D., & Davies, B. L. (2017). Evidence-based practice in clinical nursing education: a scoping review. Journal of Nursing Education, 56(9), 534-541. https://doi.org/10.3928/01484834-20170817-04 Go to original source... Go to PubMed...
    12. Florin, J., Ehrenberg, A., Wallin, L., & Gustavsson, P. (2012). Educational support for research utilisation and capability beliefs regarding evidence-based practice skills: a national survey of senior nursing students. Journal of Advanced Nursing, 68(4), 888-897. https://doi.org/10.1111/j.1365-2648.2011.05792.x Go to original source... Go to PubMed...
    13. Florczak, K. L. (2016). Evidence-based practice: what's new is old. Nursing Science Quarterly, 29(2), 108-112. https://doi.org/10.1177/0894318416630096 Go to original source... Go to PubMed...
    14. Heikkilä, A. (2005). Ammattikorkeakoulusta valmistuvien hoitotyön opiskelijoiden tutkitun tiedon käyttö [Research knowledge utilisation of polytechnic nursing students on graduation]. [Unpublished doctoral dissertation]. University of Turku.
    15. Heikkilä, A., Hupli, M., Katajisto, J., & Leino-Kilpi, H. (2018). Finnish graduating nursing students' research utilization competence. Journal of Nursing Education and Practice, 8(8), 119-127. https://doi.org/10.5430/jnep.v8n8p119 Go to original source...
    16. Heikkilä, A., Kwiecień-Jaguś, K., Hupli, M., Kero, J., Katajisto, J., Salminen, L., & Leino-Kilpi, H. (2019). Polish and Finnish nursing students' attitudes, knowledge and skills related to research utilisation. Medycyna Ogólna i Nauki o Zdrowiu, 25(3), 181-186. https://doi.org/10.26444/monz/111726 Go to original source...
    17. Jansson, I., & Ene, K. W. (2016). Nursing students' evaluation of quality indicators during learning in clinical practice. Nurse Education in Practice, 20, 17-22. https://doi.org/10.1016/j.nepr.2016.06.002 Go to original source... Go to PubMed...
    18. Kajander-Unkuri, S., Meretoja, R., Katajisto, J., Saarikoski, M., Salminen, L., Suhonen, R., & Leino-Kilpi, H. (2014). Self-assessed level of competence of graduating nursing students and factors related to it. Nurse Education Today, 34(5), 795-801. https://doi.org/10.1016/j.nedt.2013.08.009 Go to original source... Go to PubMed...
    19. Labrague, L. J., McEnroe-Pettite, D., Tsaras, K., D'Souza, M. S., Fronda, D. C., Mirafuentes, E. C., Al Yahyei, A., & Graham, M. (2019). Predictors of evidence-based practice knowledge, skills, and attitudes among nursing students. Nursing Forum, 54(2), 238-245. https://doi.org/10.1111/nuf.12323 Go to original source... Go to PubMed...
    20. Lam, C. K., & Schubert, C. (2019). Evidence-based practice competence in nursing students: An exploratory study with important implications for educators. Worldviews on Evidence-Based Nursing, 16(2), 161-168. https://doi.org/10.1111/wvn.12357 Go to original source... Go to PubMed...
    21. Leach, M. J., Hofmeyer, A., & Bobridge, A. (2016). The impact of research education on student nurse attitude, skill and uptake of evidence-based practice: a descriptive longitudinal survey. Journal of Clinical Nursing, 25(1-2), 194-203. https://doi.org/10.1111/jocn.13103 Go to original source... Go to PubMed...
    22. Maneesriwongul, W., & Dixon, J. K. (2004). Instrument translation process: a methods review. Journal of Advanced Nursing, 48(2), 175-186. https://doi.org/10.1111/j.1365-2648.2004.03185.x Go to original source... Go to PubMed...
    23. Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5-15. https://doi.org/10.1111/wvn.12021 Go to original source... Go to PubMed...
    24. Moore, F., & Tierney, S. (2019). What and how … but where does the why fit in? The disconnection between practice and research evidence from the perspective of UK nurses involved in a qualitative study. Nurse Education in Practice, 34, 90-96. https://doi.org/10.1016/j.nepr.2018.11.008 Go to original source... Go to PubMed...
    25. Patelarou, A. E., Mechili, E. A., Ruzafa-Martinez, M., Dolezel, J., Gotlib, J., Skela-Savič, B., Ramos-Morcillo, A. J., Finotto, S., Jarosova, D., Smodiš, M., Mecugni, D., Panczyk, M., & Patelarou, E. (2020). Educational interventions for teaching evidence-based practice to undergraduate nursing students: a scoping review. International Journal of Environmental Research and Public Health, 17(17), 6351. https://doi.org/10.3390/ijerph17176351 Go to original source... Go to PubMed...
    26. Ramis, M.-A., Chang, A., & Nissen, L. (2018). Undergraduate health students' intention to use evidence-based practice after graduation: a systematic review of predictive modeling studies. Worldviews on Evidence-Based Nursing, 15(2), 140-148. https://doi.org/10.1111/wvn.12268 Go to original source... Go to PubMed...
    27. Ross, J. G., & Burrell, S. A. (2019). Nursing students' attitudes toward research: an integrative review. Nurse Education Today, 82, 79-87. https://doi.org/10.1016/j.nedt.2019.08.006 Go to original source... Go to PubMed...
    28. Ruzafa-Martínez, M. (2019). EBP e-Toolkit project: providing a teaching and learning open and innovative toolkit for evidence-based practice to nursing European curriculum [Editorial]. Central European Journal of Nursing and Midwifery, 10(2), 1017-1018. https://doi.org/10.15452/CEJNM.2019.10.0008 Go to original source...
    29. Ryan, E. J. (2016). Undergraduate nursing students' attitudes and use of research and evidence-based practice - an integrative literature review. Journal of Clinical Nursing, 25(11-12), 1548-1556. https://doi.org/10.1111/jocn.13229 Go to original source... Go to PubMed...
    30. Skela-Savič, B., Pesjak, K., & Lobe, B. (2016). Evidence-based practice among nurses in Slovenian hospitals: a national survey. International Nursing Review, 63(1), 122-131. https://doi.org/10.1111/inr.12233 Go to original source... Go to PubMed...
    31. Skela-Savič, B., Hvalič-Touzery, S., & Pesjak, K. (2017). Professional values and competencies as explanatory factors for the use of evidence-based practice in nursing. Journal of Advanced Nursing, 73(8), 1910-1923. https://doi.org/10.1111/jan.13280 Go to original source... Go to PubMed...
    32. Skela-Savič, B, Gotlib, J., Panczyk, M., Patelarou, A. E., Bole, U., Ramos-Morcillo, A. J., Finotto, S., Mecugni, D., Jarosova, D., Patelarou, E., Dolezel, J., & Ruzafa-Martínez, M. (2020). Teaching evidence-based practice (EBP) in nursing curricula in six European countries - a descriptive study. Nurse Education Today, 94, 104561. https://doi.org/10.1016/j.nedt.2020.104561 Go to original source... Go to PubMed...
    33. Smith-Strøm, H., Oterhals, K., Rustad, E. C., & Larsen, T. (2012). Culture crash regarding nursing students' experience of implementation of EBP in clinical practice. Nordic Journal of Nursing Research, 32(4), 55-59. https://doi.org/10.1177/010740831203200412 Go to original source...
    34. Strandberg, E., Eldh, A. C., Forsman, H., Rudman, A., Gustavsson, P., & Wallin, L. (2014). The concept of research utilization as understood by Swedish nurses: demarcations of instrumental, conceptual, and persuasive research utilization. Worldviews on Evidence-Based Nursing, 11(1), 55-64. https://doi.org/10.1111/wvn.12013 Go to original source... Go to PubMed...
    35. World Health Organization. (2015). European strategic directions for strengthening nursing and midwifery towards Health 2020 goals. WHO Regional Office for Europe. https://www.euro.who.int/__data/assets/pdf_file/0004/274306/European-strategic-directions-strengthening-nursing-midwifery-Health2020_en-REV1.pdf

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