Other Titles
Pioneering Practices: The Journey to EBP Excellence in Healthcare [Symposium Title]
Abstract
Aims. Report on the on the psychometric properties for three shortened EBP (EBP Beliefs, EBP Implementation Scale, and the Organizational Culture and Readiness for System-Wide Integration of EBP) and the EBP Mentoring Scale.
Background. Melnyk and colleagues developed several scales to measure nurses’ beliefs, knowledge, and competencies, as well as scales to measure organizational readiness and support of EBP. However, the initial instruments were extensive and ranged from 18 to 29 items, making the combination of the tools lengthy. These instruments were all adapted to shortened scales and preliminary reliability has been reported. On all 3 shortened scales (EBP Beliefs, Implementation, and Culture and Readiness), participants respond on a 5-point Likert type scale (1=Strongly Disagree; 5=Strongly Agree). Preliminary psychometrics for the scales were strong, however, they have not been extensively used. The EBP Mentoring scale is an 8-question 5-point Likert type scale (1=Not at All; 5=Very much so).
Methods. This study was a one-time, cross-sectional, descriptive, correlational study consisting of nurses spanning 6 states and 36 hospitals from a large healthcare system in the western United States completing a survey with EBP-based scales. Psychometric testing was performed using SPSS (IBM SPSS Statistics v.21)
Results. Prior to launch of the study, the project team reviewed all items included in the scales to assess validity. Nurses (N=1468) from a single, large healthcare system participated in this study. Data were analyzed to confirm reliability of the three shortened scales and the mentoring scale. All three shortened scales showed good to excellent internal consistency with the Implementation Scale having the highest Cronbach's alpha (0.906) followed by Culture and Readiness (0.893) and Beliefs (0.84). All items on all three short scales were highly correlated (Beliefs: 0.51 to 0.779; Implementation: 0.74 to 0.802; Culture and Readiness: 0.681 to 0.775; p< 0.001 for all).
Conclusions/Implications. The recently developed scales appear to be both valid and reliable. All items show a strong positive relationship indicating assessment of related EBP measures. The scales can be applied to assess the application of EBP in healthcare organizations. Having shortened instruments to assess EBP application will decrease the time burden for respondents as well as enable leaders to quickly and efficiently access different EBP constructs.
Notes
References:
Connor L, Dean J, McNett M, et al. Evidence based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews Ev Based Nurs. 2023;20(1):6-15.
Melnyk BM, Gallagher Ford L, Zellefrow C, et al. The first U.S. study on nurses’ evidence based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews Ev Based Nurs. 2018;15(1):16-25.
Melnyk BM, Fineout Overholt E, Mays MZ. The evidence based practice beliefs and implementation scales: psychometric properties of two new instruments. Worldviews Evid Based Nurs. 2008;5(4):208-216.
Melnyk BM, Tan A, Hsieh AP, Gallagher Ford L. Evidence Based Practice Culture and Mentorship Predict EBP Implementation, Nurse Job Satisfaction, and Intent to Stay: Support for the ARCC© Model: Worldviews on Evidence Based Nursing. WORLDVIEWS EVID BASED NURS. 2021;18(4):272-281.
Melnyk BM, Hsieh AP, Mu J. Psychometric properties of the Organizational Culture and Readiness Scale for System Wide Integration of Evidence Based Practice. Worldviews Evid Based Nurs. 2022;19(5):380-387.
Melnyk BM, Hsieh AP, Gallagher Ford L, et al. Psychometric properties of the short versions of the EBP Beliefs Scale, the EBP Implementation Scale, and the EBP Organizational Culture and Readiness Scale. Worldviews Evid Based Nurs. 2021;18(4):243-250.
Sigma Membership
Mu
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Other
Research Approach
Quantitative Research
Keywords:
Evidence-based Practice, EBP Beliefs, EBP Implementation Scale, Organizational Culture, EBP Readiness, EBP Mentoring Scale, Mentoring and Coaching
Recommended Citation
Gallegos, Cara; Saul, Trisha; and Bindler, Ross, "Verification of Psychometrics for Three Shortened Nursing EBP Scales and an EBP Mentoring Scale" (2025). International Nursing Research Congress (INRC). 301.
https://www.sigmarepository.org/inrc/2025/presentations_2025/301
Conference Name
36th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Seattle, Washington, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Verification of Psychometrics for Three Shortened Nursing EBP Scales and an EBP Mentoring Scale
Seattle, Washington, USA
Aims. Report on the on the psychometric properties for three shortened EBP (EBP Beliefs, EBP Implementation Scale, and the Organizational Culture and Readiness for System-Wide Integration of EBP) and the EBP Mentoring Scale.
Background. Melnyk and colleagues developed several scales to measure nurses’ beliefs, knowledge, and competencies, as well as scales to measure organizational readiness and support of EBP. However, the initial instruments were extensive and ranged from 18 to 29 items, making the combination of the tools lengthy. These instruments were all adapted to shortened scales and preliminary reliability has been reported. On all 3 shortened scales (EBP Beliefs, Implementation, and Culture and Readiness), participants respond on a 5-point Likert type scale (1=Strongly Disagree; 5=Strongly Agree). Preliminary psychometrics for the scales were strong, however, they have not been extensively used. The EBP Mentoring scale is an 8-question 5-point Likert type scale (1=Not at All; 5=Very much so).
Methods. This study was a one-time, cross-sectional, descriptive, correlational study consisting of nurses spanning 6 states and 36 hospitals from a large healthcare system in the western United States completing a survey with EBP-based scales. Psychometric testing was performed using SPSS (IBM SPSS Statistics v.21)
Results. Prior to launch of the study, the project team reviewed all items included in the scales to assess validity. Nurses (N=1468) from a single, large healthcare system participated in this study. Data were analyzed to confirm reliability of the three shortened scales and the mentoring scale. All three shortened scales showed good to excellent internal consistency with the Implementation Scale having the highest Cronbach's alpha (0.906) followed by Culture and Readiness (0.893) and Beliefs (0.84). All items on all three short scales were highly correlated (Beliefs: 0.51 to 0.779; Implementation: 0.74 to 0.802; Culture and Readiness: 0.681 to 0.775; p< 0.001 for all).
Conclusions/Implications. The recently developed scales appear to be both valid and reliable. All items show a strong positive relationship indicating assessment of related EBP measures. The scales can be applied to assess the application of EBP in healthcare organizations. Having shortened instruments to assess EBP application will decrease the time burden for respondents as well as enable leaders to quickly and efficiently access different EBP constructs.
Description
Overall Symposium Summary: EBP results in the best outcomes for patients, nurses, and healthcare organizations. However, many barriers exist to implementation. The ARCC model is a framework to navigate challenges and foster the culture of EBP within a large healthcare system. The results of a large EBP with a diverse group of hospitals, describe the psychometric properties of three new EBP instruments, and describe two educational initiatives aimed at improving staff competency, and preparing EBP mentors and leaders.
To locate the other presentations in this symposium, search the repository by the Symposium Title shown in the Other Title field of this item record.