Instruments measuring evidence-based practice behavior, attitudes, and self-efficacy among healthcare professionals: a systematic review of measurement properties
Abstract Background Evidence-based practice (EBP) is well known to most healthcare professionals. Implementing EBP in clinical practice is a complex process that can be challenging and slow. Lack of EBP knowledge, skills, attitudes, self-efficacy, and behavior can be essential barriers that should b...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Implementation Science |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13012-023-01301-3 |
| _version_ | 1797557576687157248 |
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| author | Nils Gunnar Landsverk Nina Rydland Olsen Therese Brovold |
| author_facet | Nils Gunnar Landsverk Nina Rydland Olsen Therese Brovold |
| author_sort | Nils Gunnar Landsverk |
| collection | DOAJ |
| description | Abstract Background Evidence-based practice (EBP) is well known to most healthcare professionals. Implementing EBP in clinical practice is a complex process that can be challenging and slow. Lack of EBP knowledge, skills, attitudes, self-efficacy, and behavior can be essential barriers that should be measured using valid and reliable instruments for the population in question. Results from previous systematic reviews show that information regarding high-quality instruments that measure EBP attitudes, behavior, and self-efficacy in various healthcare disciplines need to be improved. This systematic review aimed to summarize the measurement properties of existing instruments that measure healthcare professionals’ EBP attitudes, behaviors, and self-efficacy. Methods We included studies that reported measurement properties of instruments that measure healthcare professionals’ EBP attitudes, behaviors, and self-efficacy. Medline, Embase, PsycINFO, HaPI, AMED via Ovid, and Cinahl via Ebscohost were searched in October 2020. The search was updated in December 2022. The measurement properties extracted included data on the item development process, content validity, structural validity, internal consistency, reliability, and measurement error. The quality assessment, rating of measurement properties, synthesis, and modified grading of the evidence were conducted in accordance with the COSMIN methodology for systematic reviews. Results Thirty-four instruments that measure healthcare professionals’ EBP attitudes, behaviors or self-efficacy were identified. Seventeen of the 34 were validated in two or more healthcare disciplines. Nurses were most frequently represented (n = 53). Despite the varying quality of instrument development and content validity studies, most instruments received sufficient ( +) ratings on content validity, with the quality of evidence graded as “very low” in most cases. Structural validity and internal consistency were the measurement properties most often assessed, and reliability and measurement error were most rarely assessed. The quality assessment results and overall rating of these measurement properties varied, but the quality of evidence was generally graded higher for these properties than for content validity. Conclusions Based on the summarized results, the constructs, and the population of interest, several instruments can be recommended for use in various healthcare disciplines. However, future studies should strive to use qualitative methods to further develop existing EBP instruments and involve the target population. Trial registration This review is registered in PROSPERO. CRD42020196009. Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020196009 |
| first_indexed | 2024-03-10T17:18:46Z |
| format | Article |
| id | doaj.art-f2df728e93bf4116a3f09ee45fa5f1f4 |
| institution | Directory Open Access Journal |
| issn | 1748-5908 |
| language | English |
| last_indexed | 2024-03-10T17:18:46Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Implementation Science |
| spelling | doaj.art-f2df728e93bf4116a3f09ee45fa5f1f42023-11-20T10:25:17ZengBMCImplementation Science1748-59082023-09-0118111910.1186/s13012-023-01301-3Instruments measuring evidence-based practice behavior, attitudes, and self-efficacy among healthcare professionals: a systematic review of measurement propertiesNils Gunnar Landsverk0Nina Rydland Olsen1Therese Brovold2Department of Rehabilitation Science and Health Technology, Faculty of Health Science, Oslo Metropolitan UniversityDepartment of Health and Functioning, Faculty of Health and Social Sciences, Western Norway University of Applied SciencesDepartment of Rehabilitation Science and Health Technology, Faculty of Health Science, Oslo Metropolitan UniversityAbstract Background Evidence-based practice (EBP) is well known to most healthcare professionals. Implementing EBP in clinical practice is a complex process that can be challenging and slow. Lack of EBP knowledge, skills, attitudes, self-efficacy, and behavior can be essential barriers that should be measured using valid and reliable instruments for the population in question. Results from previous systematic reviews show that information regarding high-quality instruments that measure EBP attitudes, behavior, and self-efficacy in various healthcare disciplines need to be improved. This systematic review aimed to summarize the measurement properties of existing instruments that measure healthcare professionals’ EBP attitudes, behaviors, and self-efficacy. Methods We included studies that reported measurement properties of instruments that measure healthcare professionals’ EBP attitudes, behaviors, and self-efficacy. Medline, Embase, PsycINFO, HaPI, AMED via Ovid, and Cinahl via Ebscohost were searched in October 2020. The search was updated in December 2022. The measurement properties extracted included data on the item development process, content validity, structural validity, internal consistency, reliability, and measurement error. The quality assessment, rating of measurement properties, synthesis, and modified grading of the evidence were conducted in accordance with the COSMIN methodology for systematic reviews. Results Thirty-four instruments that measure healthcare professionals’ EBP attitudes, behaviors or self-efficacy were identified. Seventeen of the 34 were validated in two or more healthcare disciplines. Nurses were most frequently represented (n = 53). Despite the varying quality of instrument development and content validity studies, most instruments received sufficient ( +) ratings on content validity, with the quality of evidence graded as “very low” in most cases. Structural validity and internal consistency were the measurement properties most often assessed, and reliability and measurement error were most rarely assessed. The quality assessment results and overall rating of these measurement properties varied, but the quality of evidence was generally graded higher for these properties than for content validity. Conclusions Based on the summarized results, the constructs, and the population of interest, several instruments can be recommended for use in various healthcare disciplines. However, future studies should strive to use qualitative methods to further develop existing EBP instruments and involve the target population. Trial registration This review is registered in PROSPERO. CRD42020196009. Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020196009https://doi.org/10.1186/s13012-023-01301-3Evidence-based practiceHealthcare professionalAttitudesSelf-efficacyBehaviorDevelopment |
| spellingShingle | Nils Gunnar Landsverk Nina Rydland Olsen Therese Brovold Instruments measuring evidence-based practice behavior, attitudes, and self-efficacy among healthcare professionals: a systematic review of measurement properties Implementation Science Evidence-based practice Healthcare professional Attitudes Self-efficacy Behavior Development |
| title | Instruments measuring evidence-based practice behavior, attitudes, and self-efficacy among healthcare professionals: a systematic review of measurement properties |
| title_full | Instruments measuring evidence-based practice behavior, attitudes, and self-efficacy among healthcare professionals: a systematic review of measurement properties |
| title_fullStr | Instruments measuring evidence-based practice behavior, attitudes, and self-efficacy among healthcare professionals: a systematic review of measurement properties |
| title_full_unstemmed | Instruments measuring evidence-based practice behavior, attitudes, and self-efficacy among healthcare professionals: a systematic review of measurement properties |
| title_short | Instruments measuring evidence-based practice behavior, attitudes, and self-efficacy among healthcare professionals: a systematic review of measurement properties |
| title_sort | instruments measuring evidence based practice behavior attitudes and self efficacy among healthcare professionals a systematic review of measurement properties |
| topic | Evidence-based practice Healthcare professional Attitudes Self-efficacy Behavior Development |
| url | https://doi.org/10.1186/s13012-023-01301-3 |
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