Other Titles
The Relationship Between Point-of-Care Tool Use and Nurses’ Self Efficacy [Title Slide]
Abstract
Improving access to evidence-based guidelines may impact nurses’ confidence and ability to provide high-quality care (Melnyk, 2014). The purpose of this study was to evaluate use of Point of Care Tools (PoCTs) and relationship between PoCTs use and nurses’ confidence in their ability to perform their job. Information about other sources of evidence nurses utilize for clinical guidance was sought to gain a deeper understanding of where nurses obtain answers to clinical questions.
A descriptive correlational design with a 26-question survey was administered to a convenience sample of 52 nurses at a 500-bed community hospital. Survey used was a modified version of Bandura’s original validated Self-Efficacy Scale, with 10 items created to capture information specific to nursing (Bandura, 1994). The convenience sample varied in years of nursing experience, with most having at least 3 years of practice.
On average, participants scored 86.90 points on the combined Self-Efficacy Scale (0-100), indicating a high level of self-efficacy related to their nursing skills. Half of the sample (n=26) reported using PoCTs during their regular workday to answer clinical questions, review procedures, and find patient educational materials. Self-efficacy was significantly correlated with resource use, as nurses reporting lower self-efficacy are more likely to use colleagues as a resource. Additionally, nurses reported obtaining information from hospital policy/procedures (73.1%), employer-provided educational materials (69.2%), Google internet search (63.5%), and YouTube online videos (48.1%).
In this study, all participants reported using EBP to guide clinical practice, yet many participants contain healthcare information from internet sources and colleagues. Healthcare information found on internet sources is variable in quality, accuracy, and foundation in evidence (Battineni et al., 2020; Onder & Zengin, 2021; Kington et al., 2021). Research demonstrates that nurses known for using EBP make better clinical decisions in patient care (Alatawi, 2020). Despite reporting a need for using EBP in clinical practice, nurses rely on information from potentially unreliable sources. Nurse leaders and administrators can advocate for access and use of EBP resources to be integrated into nurses’ daily workflow to seamlessly provide answers to clinical questions at the point of care (Caramanica, 2018; Clarke, 2021).
Notes
References: Alatawi, M., Aljuhani, E., Alsufiany, F., et al. (2020). Barriers of implementing evidence-based practice in nursing profession: a literature review. American Journal of Nursing Science, 9(1), 35-42. doi:10.11648/j.ajns.20200901.16.
Bandura, A. (1994). Self-efficacy. In V.S. Ramachaudran (Ed.), Encyclopedia of human behavior (pp. 71-81). New York: Academic Press.
Battineni, G., Baldoni, S., Chintalapudi, N., et al. (2020). Factors affecting the quality and reliability of online health information. Digital Health, 6:1-11. doi:10.1177/2055207620948996.
Caramanica, L. & Spiva, L. (2018). Exploring nurse manager support of evidence-based practice: clinical nurse perceptions. Journal of Nursing Administration, 48(5), 272–278. https://doi.org/10.1097/NNA.0000000000000612.
Clarke, V., Lehane, E., Mulcahy, H., et al. (2021). Nurse practitioners’ implementation of evidence based practice into routine care: a scoping review. Worldviews on Evidence-Based Nursing, 18(3), 180-189. doi: 10.1111/wvn.12510.
Kington, R.S., Arnesen, S., Chou, W.S., et al. (2021). Identifying credible sources of health
information in social media: principles and attributes. National Academy of Medicine Perspectives. 1-37. doi: 10.31478/202107a.
Melnyk, B.M., Gallagher-Ford, L., Long, L.E., et al. (2014). The establishment of evidence
based 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. doi: 10.1111/wvn.12021.
Onder, M.E. & Zengin, O. (2021). YouTube as a source of information on gout: a quality
analysis. Rheumatology International, 41(7):1321–1328. https://doi.org/10.1007/s00296-021-04813-7.
Sigma Membership
Epsilon Sigma at-Large
Type
Presentation
Format Type
Text-based Document
Study Design/Type
Descriptive/Correlational
Research Approach
Pilot/Exploratory Study
Keywords:
Competence, Teaching Learning Strategies, Transition to Practice, Onboarding, Evidence-based Practice, EBP Tools
Recommended Citation
Knowles, Amy and Neal, Penelope, "Evidence Based Practice Tools and Nurses’ Self-Efficacy" (2025). International Nursing Research Congress (INRC). 45.
https://www.sigmarepository.org/inrc/2025/presentations_2025/45
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
Evidence Based Practice Tools and Nurses’ Self-Efficacy
Seattle, Washington, USA
Improving access to evidence-based guidelines may impact nurses’ confidence and ability to provide high-quality care (Melnyk, 2014). The purpose of this study was to evaluate use of Point of Care Tools (PoCTs) and relationship between PoCTs use and nurses’ confidence in their ability to perform their job. Information about other sources of evidence nurses utilize for clinical guidance was sought to gain a deeper understanding of where nurses obtain answers to clinical questions.
A descriptive correlational design with a 26-question survey was administered to a convenience sample of 52 nurses at a 500-bed community hospital. Survey used was a modified version of Bandura’s original validated Self-Efficacy Scale, with 10 items created to capture information specific to nursing (Bandura, 1994). The convenience sample varied in years of nursing experience, with most having at least 3 years of practice.
On average, participants scored 86.90 points on the combined Self-Efficacy Scale (0-100), indicating a high level of self-efficacy related to their nursing skills. Half of the sample (n=26) reported using PoCTs during their regular workday to answer clinical questions, review procedures, and find patient educational materials. Self-efficacy was significantly correlated with resource use, as nurses reporting lower self-efficacy are more likely to use colleagues as a resource. Additionally, nurses reported obtaining information from hospital policy/procedures (73.1%), employer-provided educational materials (69.2%), Google internet search (63.5%), and YouTube online videos (48.1%).
In this study, all participants reported using EBP to guide clinical practice, yet many participants contain healthcare information from internet sources and colleagues. Healthcare information found on internet sources is variable in quality, accuracy, and foundation in evidence (Battineni et al., 2020; Onder & Zengin, 2021; Kington et al., 2021). Research demonstrates that nurses known for using EBP make better clinical decisions in patient care (Alatawi, 2020). Despite reporting a need for using EBP in clinical practice, nurses rely on information from potentially unreliable sources. Nurse leaders and administrators can advocate for access and use of EBP resources to be integrated into nurses’ daily workflow to seamlessly provide answers to clinical questions at the point of care (Caramanica, 2018; Clarke, 2021).
Description
The purpose of this pilot study was to evaluate use of Point of Care Tools (PoCTs) and the relationship between PoCTs use and nurses' confidence in their ability to perform their job. Information about other sources of evidence nurses utilize for clinical guidance was sought to gain understanding of where nurses obtain answers to clinical questions.