Evidence-based nursing-How is it understood by bedside nurses? A phenomenographic study in surgical settings.
AIM
The aim was to identify and describe nurses' understanding of working with evidence-based nursing (EBN) in clinical practice.


BACKGROUND
Evidence-based health care is recognized as fundamental to nursing practice, but it is challenging to implement. How nurses understand this part of their work can affect their practice.


METHODS
Using a qualitative explorative design with a phenomenographic approach, we interviewed 21 nurses working in Swedish surgical wards.


RESULTS
We identified three understandings of EBN among nurses in surgical care: A. a fragmentary and difficult concept that is not integrated or used in clinical practice; B. an important approach guided by knowledgeable colleagues and students; and C. a process that nurses are responsible for developing and leading.


CONCLUSION
Nurses' understandings of working with EBN in surgical wards vary widely. Nurse managers have an important task to create a common outlook among nurses about integrating research, patient experience and clinical experience in decision-making.


IMPLICATION FOR NURSING MANAGEMENT
These findings could inspire nurse managers to reflect on how to move nurses towards a more comprehensive understanding of EBN and how to identify nurses who could act as facilitators in quality improvement work.
['Karlsson|Anna|A|http://orcid.org/0000-0001-9110-219X', 'Lindeborg|Petra|P|https://orcid.org/0000-0002-7767-9977', 'Gunningberg|Lena|L|https://orcid.org/0000-0002-0026-0414', 'Jangland|Eva|E|https://orcid.org/0000-0001-6888-3792']
D000328:Adult D001291:Attitude of Health Personnel D055318:Evidence-Based Nursing D005260:Female D006801:Humans D007407:Interviews as Topic D007858:Learning D008297:Male D008875:Middle Aged D009726:Nurses D013527:Perioperative Nursing D036301:Qualitative Research D013548:Sweden
evidence-based nursing qualitative nursing leader phenomenography surgical nursing