We profile @DanielaFilipa89 & her impact story as part of our 25th anniversary celebrations. Read thread below for insights on 'Evidence-based practice capacity building: a Portuguese experience with undergraduate nursing students'. #WeAreJBI
Studies have identified education and training as a strategy to promote evidence-based practice (EBP) implementation, and to close the gap between research and practice.
A team at The Portugal Centre for Evidence Based Practice designed & implemented a project to integrate EBP into undergraduate nursing curricula within 9 nursing education institutions.
Using translated & cross-culturally adapted measurement instruments, the team synthesised data on current Portuguese beliefs about EBP and students’ & nursing educators’ levels of implementation knowledge. This evidence was used to develop an educational EBP program.
The program’s effectiveness was evaluated by measuring EBP knowledge & skills in 74 4th-year undergraduate nursing students at the Nursing School of Coimbra at the conclusion of the project.
The implementation of the educational EBP program contributed to the improvement of EBP knowledge and skills of 4th-year undergraduate nursing students, specifically at the level of review question formulation.
Despite the positive results of the project, the designed and tested intervention was limited (17 weeks) and was delivered only to 4th-year undergraduate nursing students, which limits the curricula-wide integration of EBP.
Curricula-wide integration of EBP remains a challenge that needs to be addressed by introducing EBP training earlier in undergraduate education.
It has not yet been possible to integrate EBP into undergraduate curricula, however, the team has designed a postgraduate course in evidence-informed healthcare.
This postgraduate course offered in 2021 aimed to contribute to the training of health professionals so their clinical decision-making is informed by the best scientific evidence.
In 2021, 20 nurses from clinical and academic contexts successfully graduated from the course, in the first steps for curricula-wide integration of EBP and, consequently, for improving the use of EBP in clinical contexts, mainly in the field of nursing.
🧵Globally, migrant nurses and midwives make up a significant proportion of healthcare workers, and trends indicate an exponential rise in #nurse & #midwife migration globally. #JBIEBHC 1/8
The @WHO healthcare workforce report predicts a shortfall of ~ 6 million nurses by 2030 2/8
Many countries rely on nurse and midwife migration to manage their shortfall of healthcare professionals 3/8
🧵In hospitals, paediatric patients aged 1-3 are at higher risk of falls, with most falls occurring from an inpatient bed in the presence of a caregiver #JBIEBHC 1/6
JBI Evidence Summaries bring together world-class evidence in a single, easy to read summary crafted by review experts and are found in the JBI #EBP Database wolterskluwer.com/en/know/jbi-re… @ovid_wkhealth
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On #IND2022 we reflect on JBI’s origins as the ‘Joanna Briggs Institute for Evidence Based Nursing’ and the continuing importance, 25 years on, of evidence-based nursing research and clinical practice #JBIEBHC 🧵 1/7
Quality healthcare services require that clinical decision-making in #nursing is based on evidence, particularly in standardising and aligning healthcare practices with evidence at the point of care. JBI was founded by Emeritus Professor Alan Pearson to address this very need 2/7
‘When I was involved in setting up JBI in the 1990s, #EBM was increasingly adopted across the world, but #EBN was in its infancy. Since then, JBI has played a stellar role in developing great models and systems to support the implementation of evidence into nursing practice' 3/7
Read this Tweetorial on relative ranks for methodological quality assessment by Jennifer Stone, Research Fellow in the JBI #EBHC Research Division, for #JBImethodology month 1/7
Did you know that there’s an alternative bias assessment method for primary studies in meta-analyses and systematic reviews that does not require reviewer judgments? 2/7
This approach uses relative ranks that are based on quality counts.
#Qualitative evidence synthesis seeks to provide an understanding of meanings, practices and processes associated with social experience, behaviour and culture 2/10
Qualitative evidence synthesis involves the identification and synthesis of qualitative studies to provide insights related to a focused question 3/10
A/Prof Edoardo Aromataris gives key points on umbrella reviews in this tweetorial. #JBImethodology
With the ever-increasing number of systematic reviews and research syntheses available to inform topics in healthcare, SRs of existing reviews, or #umbrellareviews, are increasingly being conducted to summarise a broad scope of issues related to a given topic.
An umbrella review is also ideal in highlighting if the evidence base around a topic or question is consistent or if contradictory or discrepant findings exist, and in exploring and detailing the reasons why.