Journal of Research in Medical and Dental Science
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Research Article - (2019) Volume 7, Issue 1

Investigating the Effect of Two Evidence-based and Routine-based Learning Techniques on the Clinical Competency of Cardio-pulmonary Resuscitation on Emergency Ward Nurses in Imam Khomeini Dehdasht Hospital in 2017

Moslem MoslemiRad1, Marziyeh Asadi Zaker2*, Nasrin Elahi2 and Mohammad Hossein Haghighizadeh3

*Correspondence: Marziyeh Asadi Zaker, School of Nursing and Midwifery, Ahvaz, Iran, Email:

Author info »

Abstract

Introduction and Objective: Nursing education has a mission to prepare graduates with the ability to identify the needs of patients in a changing community and clinic, and provide the best possible care in the light of the best scientific evidence. Today, evidence-based education has also been considered in the field of nursing education with the aim of using the serious, explicit and rational use of the best evidence for decision making. Evidence-based care is a problem-solving approach to health problems that derives from the best evidence based on well-designed studies. This practice applies to scientific fields, various medical and nursing procedures, including cardiopulmonary resuscitation (CPR). Given that nurses are the first to come to the patient at the time of cardiopulmonary arrest, their knowledge and skills in implementing the most up-to-date and most effective cardiopulmonary restraint protocols can help to increase the success rate and reduce the time of CPR and thus reduce the mortality rate and its complications have an effective role. Therefore, this study was conducted with the aim of determining the Effect of Two Evidence-Based and Routine-Based Learning Techniques on the Clinical Competency of Cardio-pulmonary resuscitation on Emergency Ward Nurses in Imam Khomeini Dehdasht Hospital in 2017.

Methods: This is a semi-experimental interventional study that was performed on 44 nurses working in Emergency wards of Imam Khomeini hospital in Dehdasht hospital in 2017. After selecting qualified individuals, census and random allocation were divided into two groups, which were divided into two groups of 22, the first group was influenced by evidence-based education and the second group was influenced by routine training. In the first group, evidence-based education included: two research workshops for 4 sessions in two consecutive weeks (a total of 8 hours), followed by two evidence-based care workshops for 4 sessions over a two-week consecutive (total of 8 hours) The content of the introduction to evidence-based nursing, how to set the clinical question, how to use information sources, and how to critique the articles. Following the implementation of the evidence-based care workshop on CPR and in line with the latest changes to the 2015 CPR guidelines, the nurses learned in practice, with evidence-based care, and appropriate for CPR. During the two months of each week for an hour (a total of 8 sessions per hour), the problem was addressed and the learning of these people was followed up. Before and two months after the intervention, their clinical competence was assessed using a researcher-made clinical checklist.

Results: The findings of this study showed that the two groups did not have a statistically significant difference in terms of age, sex, and work experience. In other words, the two groups were homogeneous. Also, the clinical competence of the evidence-based learning group at the onset of the principles of CPR, In the implementation of artificial airway, in implementing the principles of CPR start and end, in advanced pulmonary CPR, as well as in the implementation of the principles of the onset and end of CPCR more than the routine workshop (p<0.05).

Conclusion: Evidence-based nursing education can be effective on the skills of the nursing process. Therefore, learning this technique and its use in clinical settings is important because nursing students need reliable information on diagnosis, treatment, prognosis, prevention, examination and recognition, planning, implementation and evaluation every day.

Keywords

CPR, Evidence-based nursing, Nursing education, Clinical competence

Introduction

Nursing education has a mission to prepare graduate with the ability to identify the needs of patients in a changing community and clinic, and to provide the best care in the light of the best scientific evidence [1]. Today, most universities in the world are looking for educational methods that can expand and improve nursing clinical decision-making capacities [2]. Today, evidence-based education has been considered in nursing education with the aim of using the serious, explicit and rational use of the best available evidence for decision making. Evidence-based care is a problem-solving approach to health problems that derives from the best evidence based on well-designed studies [3,4]. Today, this method is considered as a golden standard for the quality of health services [5]. Evidence-based learning works on two main levels. First is the use of evidence from research and studies on education and its related subjects. The second level of proof of validity and reasonable evidence is where the available evidence i questionable, indeterminate, or weak [6].

Nurses have found that active and work-based learning based on research results in a significant correlation between the ultimate goal of nursing, education and clinical care [1]. This method has been used in variou scientific and medical procedures and nursing procedures, including cardiac rehabilitation pulmonary application. If resuscitation is quick, it can save lives in 40% to 60% of cases. Given that nurses are the first to come to the patient at the time of cardiopulmonary arrest, their knowledge and skills in implementing the most up-to-date and most effective cardiopulmonary restraint protocols can help to increase the success rate and reduce the time of CPR and thus reduce the mortality rate and complications have an effective role [7]. The researchers' experiences have shown that nurses have not only enough information on the subject of CPR not only in the performance but also in the consciousnes field [8]. In 2013, Soltany et al. showed that conducting an evidence-based workshop could lead to improved levels of knowledge management skills and behavioral abilities for decision making [9]. Straka et al., in a study with the aim of determining the impact of evidencebased education and the creation of an evidence-based culture and nursing research in a pediatric hospital in St. Petersburg, Russia showed that education-based research had a positive impact on the creativity and performance of nursing personnel, and nursing caregivers also corrected nursing barriers Evidencebased roles play an important role in building evidencebased culture [10]. In a study by Habibzadeh et al. aimed at determining the effect of evidence-based nursing education on nursing student's skills in nursing students, the study showed that the skill of implementing nursing process in the intervention group students based on Evidence-based nursing skills were significantly better than those in the control group (p<0.001). Comparing the two groups, the difference in the mean scores of clinical practice in the two groups after the intervention wa statistically significant (p<0.001) [11]. Considering that evidence-based care has been studied in several studie and has had positive effects, and given the importance of this issue, especially in the field of CPR, and also because the review of the literature suggests a study in the field of education based on the need for CPR to address the clinical competence of nurses and the importance of identifying barriers and teaching the skills needed to present this approach to improving clinical competence in educational centers, this study aimed to determine the effect of evidence-based education on CPR on clinical competence of nurses in Emergency department wa done.

Materials and Methods

This is a clinical trial study aimed at comparing the effect of two evidence-based learning methods and a routine cardio-pulmonary rehabilitation workshop on the clinical competence of emergency nurses in emergency departments of Dehdasht Imam Khomeini Hospital in 2017. The research population consisted of nurse working in Emergency departments of Imam Khomeini Hospital in Dehdasht in 2017. The samples were selected by census and according to entry and exit criteria. The samples were randomly assigned into two groups based on evidence-based training and routine workshops. The inclusion criteria included at least 2 years of work experience, non-completion of an educational course related to evidence-based workshops or the like, participation in The CPR team was willing to participate in the study and signing the informed written consent of the company in the study. Also, the exit criteria included: non-participation in one stage of the study, nonattendance at the evidence-based training workshops, more than one meeting, non-participation in CPR team, transfer to another department or hospital during the study. The data collection tool comprised demographic information and a researcher-made clinical competence assessment. The demographic information questionnaire included information on age, gender, history of the year, monthly income, type of employment and type of shift (outright, constant), and a checklist of clinical performance that has been built according to the routine and 2015 guide lines in People performance scoring were used. Demographic questionnaire and nurses 'clinical competence questionnaire and a list of clinical practice lists were designed by researcher using valid sources. For assessing their validity, face validity and content validity were used and their reliability was confirmed by correlation of two researchers' simultaneous observation method. After selecting qualified individuals, census and random allocation were divided into two groups. In the first group, evidence-based education included two research workshops for 4 sessions in two consecutive weeks (totaling 8 hours) followed by two evidence-based care workshops for 4 sessions over a two-week period (totaling 8 hours) with The content of the introduction to evidence-based nursing, how to set the clinical question, how to use information sources, and how to critique the articles. Following the implementation of the evidencebased care workshop on CPR and the latest change based on Guideline CPR 2015, Nurses Practically Familiarized with Evidence-Based Care and its Steps to Correct CPR. During the two months of each week for an hour (a total of 8 sessions per hour), we were able to fix the problems and track the learning of these people. Before and two months after the intervention, their clinical competence was assessed using a researchermade clinical checklist. For the first group, evidencebased education was revived, and for the second group only CPR training was given in a routine workshop and the second group did not receive any kind of training on evidence-based learning. Finally, for comparison of quantitative variables in two groups, for independent variables, independent T test and for non-standard or qualitative variables, the Mann-Whitney test and for nominal qualitative variables from square K were used, and before and after the t-paired test The unusual form of the Wilcoxon test was used, and in the presence of the intervener, we used the covariance analysis, that wa done with the SPSS Version 23.

Results

According to the results of the statistical distribution of gender, results showed that 45.5% of women and 54.5% were male in laboratory routine group, and in the evidence-based group 54.5% were female and 45.5% were male (Table 1). The results showed that the average age of nurses was 32.6 years and the work experience of nurses was 8.6 years. (Table 2). The results showed that 38.6% (17 persons) were younger than 30 years of age, 25% (11 persons) aged 30-35 years, 20.5% (9 people) aged 36-40 years and 15.9% (7 People aged over 40 (Table 3).

Group Sex Frequency Frequency Percentage (%) Significant Level
Workshop routine male 12 54.5 0.54
female 10 45.5
Evidence-based male 10 45.5
female 12 54.5

Table 1: Distribution of the sample by gender.

Variable The average Standard deviation Significant Level
Age 32.6 6.5 0.825
Work experience 8.6 6.3 0.5.5

Table 2: The mean age and work experience of the statistical sample.

Age of statistical sample Frequency Frequency Percentage (%)
Under 30 years old 17 38.6
35-30 years 11 25
40-36 years old 9 20.5
Over 40 years old 7 15.9

Table 3: Frequency and percentage of frequency by age.

Also, in relation to the frequency distribution of individuals in terms of educational qualifications, the results showed that 84.1% (37 persons) had a bachelor's degree, 9.1% (4 students) and 6.8% (3 students) had master's degree (Table 4).

Age of statistical sample Frequency Frequency Percentage (%)
Associate Degree 4 9/1
BA 37 84/1
MS 3 6/8

Table 4: Frequency and percentage of frequency in terms of educational qualifications

In terms of people according to their work record, the results showed that 65.9% (29) had a history of under 10 years, 16.9% (7) had a history of 15-11 years, 13.6% (6) 1620-years old and 4.5% (2 people) had a work experience of over 20 years (Table 5).

Sample statistical record Frequency Frequency Percentage (%)
Under 10 years old 29 65/9
15-11 years old 7 16/9
20-16 years old 6 13/6
Over 20 years old 2 4/5

Table 5: Frequency and percentage of frequency in terms of work history

To verify the normality of the data, the Kolmogorov- Smiranov test was used which showed that in pretest advanced cardiovascular resuscitation, CPCR evidencebased pretest, CPR post-test routine workshop and CPCR post-test based on evidence of data were normal (p>0.05). In the rest of the cases, the data were not normal (p<0.05) and nonparametric statistics were used for the analysis (Table 6).

Variable name Z Significant Level
Pre-test start Workshop routine 0/196 0/028
Evidence-based 0/292 0/00
Pre-test base for pulmonary rehabilitation Workshop routine 0/193 0/033
Evidence-based 0/224 0/005
CPR pre-test Workshop routine 0/158 0/159
Evidence-based 0/197 0/027
Post-test pulmonary resuscitation pre test Workshop routine 0/161 0/144
Evidence-based 0/163 0/134
Pre-test CPCR Workshop routine 0/110 0/2
Evidence-based 0/170 0/098
Start the post-test Workshop routine 0/277 0/00
Evidence-based 0/496 0/00
CPR Workshop routine 0/185 0/049
Evidence-based 0/413 0/00
Post-test CPR Workshop routine 0/158 0/165
Advanced CPR Evidence-based 0/392 0/00
Workshop routine 0/197 0/026
CPCR Post Test Evidence-based 0/132 0/2
Pre-test start Workshop routine 0/323 0/00

Table 6: Kolmogorov-Smirnov test for data normalization

The comparative study of the effect of two evidencebased learning methods and routine CPR on clinical competency of nurses by age showed that the average in the routine group was 32.4 and in the evidence-based group it was 32.4. Independent t-test showed that two types of evidence-based education and routine CPR were not different from nurses' clinical competence (p>0.05) (Table 7).

Group The average Standard deviation Significant Level
Workshop routine 32/4 6/44 0/825
Evidence-based 32/4 6/69

Table 7: Mean and standard deviation of two evidence-based learning methods and routine CPR on the clinical competence of nurses by age

A comparative study on the effect of two evidence-based learning methods and routine cardio-pulmonary rehabilitation on nurses' clinical competence based on their work record showed that the mean in the routine group was 8.6 and in the evidence-based group was 8.5. Independent t-test showed that two evidence-based learning methods and routine CPR were not different from clinical history of nurses (p>0.05) (Table 8).

Group The average Standard deviation Significant Level
Workshop routine 8/6 1/24 0/505
Evidence-based 8/5 1/46

Table 8: Mean and standard deviation of two evidence-based learning methods and routine CPR on the clinical competence of nurses based on work experience

The results of comparing the clinical competency of the evidence-based learning group at the onset of the principles of CPR showed that in the routine workshop and evidence-based group, mean in the pre-test was 1.8 and 1.7, respectively. In the case group routine workshop, based on evidence, the mean in post-test was 2.4 and 3.8. Independent t-test showed that there was a significant difference in the post-test routine and evidence-based average (p ≤ 0.05) (Table 9).

Variable name The average Standard deviation Significant Level
Pre-test start Workshop routine 1/8 0/62 0/37
Evidence-based 1/7 0/39
Post-test start Workshop routine 2/4 0/73 0/00
Evidence-based 3/8 0/69

Table 9: Comparison of two evidence-based and routine learning methods on clinical competence of nurses in initiating CPR with independent t-test

The results of t-test showed that there was no significant difference in pre-test and post-test routine in the pre-test and post-test groups. There was a significant difference between the pre-test and post-test groups in the pre-test and post-test (p ≤ 0.05), which indicates that clinical competence of Evidence-based learning nurses are more likely to start with the principles of CPR than the routine workshop group (Table 10).

Variable name The average Standard deviation Significant Level
Workshop routine Pre-test 1/8 0/62 0/084
Post-test 2/4 0/73
Evidence-based Pre-test   1/7 0/39 0/00
Post-test 3/8 0/69

Table 10: Comparison of two evidence-based and routine learning methods based on clinical competence of nurses in the initiation of CPR using t-correlated

In term of the comparison of clinical competency of the study group based on the evidence of CPR with routine nurses on artificial airway production, the result showed that in the routine workshop and based on evidence, the mean in the pre-test was 2.9 and 2.7 In the routine workshop and evidence-based group, the mean of post-test was 4.2 and 5.5, which indicates a significant effect of evidence-based learning on cardiovascular disease in artificial airway (p<0.05) (Table 11). The results of t-test showed that there was no significant difference between the pre-test and post-test routine in the pre-test and post-test groups (p ≤ 0.05). In the evidence-based group, there was a significant difference between the pre-test and post-test groups (p ≤ 0.05). The evidence-based learning group is a CPR rather than a routine nursing workshop on artificial airway (Table 12).

Variable name The average Standard deviation Significant Level
Pre-test of Basic CPR Workshop routine 2/9 54/0 83/0
Evidence-based 2/7 46/0
Post-test of Basic CPR Workshop routine 4/2 84/0 002/0
Evidence-based 5/5 59/0

Table 11: Comparison of evidence based and routine-based learning based on clinical competence of nurses in establishing an airway by independent t test

Variable name The average Standard deviation Significant Level
Workshop routine Basic CPR Pre-test 2/9 54/0 098/0
Post-test 4/2 84/0  
Evidence-based Basic CPR Pre-test 2/7 46/0 00/0
Post-test 5/5 59/0  

Table 12: Comparison of two evidence-based and routine learning methods on the clinical competence of nurses in establishing an airway by t-correlation test

The results of the study on the comparison of clinical competency of the nurses of the CPR training group with routine workshop in the implementation of the principle of the onset and termination of CPR showed that in the routine workshop and evidence-based group, the mean in the pre-test was 5.4 and 7.5 and in the routine workshop and evidence-based group, the mean of posttest was 7.6 and 10.6, which indicates the significant effect of evidence-based education on CPR on the implementation of the principles of CPR beginning and ending (p<0.05) (Table 13). The results of t-test showed that there was no significant difference between the pretest and post-test routine in the pre-test and post-test groups (p=0.09). There was a significant difference between the pre-test and post-test groups in the experimental group (p ≤ 0.05) The evidence-based group compared to the post-test workshop routine group show that the clinical competency of the nurses in the evidence-based learning group is more than the routine workshop nurses in the implementation of the onset and end of the CPR (Table 14).

Variable name The average Standard deviation Significant Level
Pre-test of CPR Workshop routine 5/4 73/0 49/0
Evidence-based 5/7 6/0
Post-test of CPR Workshop routine 7/6 84/0 001/0
Evidence-based 10/6 74/0

Table 13: Comparison of evidence-based and routine-based learning based on nurses' clinical competency in the implementation of the start and end of CPR by independent T test

Variable name The average Standard deviation Significant Level
Workshop routine on starting and ending the CPR Pre-test 5/4 73/0 064/0
Post-test 7/6 84/0
Evidence-based on starting and ending the CPR Pre-test 5/7 0/6 00/0
Post-test 10/6 74/0

Table 14: Comparison the effect of evidence based and routine-based learning on nurses' clinical competency in the implementation of CPR (starting and termination) with t-test

The results of comparing the clinical competency of the survivors of the CPR group with routine nurses in advanced CPR showed that in the routine workshop and evidence-based group, the mean in the pre-test was 6.7 and 6.6, respectively, and in the group The routine workshop and evidence-based mean are in the post-test 8 and 10/3, which shows a significant effect of evidencebased education on CPR on advanced CPR (p<0.05) (Table 15). The results of t-test showed that there was no significant difference between the pre-test and post-test in the routine groups and there was a significant difference between the pre-test and post-test groups in the evidence-based group (p ≤ 0.05). Regarding the higher mean of the evidence-based group compared to the post-test routine group, the clinical competence of the researchers in the evidence-based learning group of CPR is more than the routine workshop nurses in advanced CPR (Table 16).

Variable name The average Standard deviation Significant Level
Pre-test of Advanced CPR Workshop routine 6/7 54/0 83/0
Evidence-based 6/6 72/0
Post-test of Advanced CPR Workshop routine 8 65/0 048/0
Evidence-based 10/3 71/0

Table 15: Comparing the clinical competency of the survivors of the CPR group with routine nurses in advanced CPR

Variable name The average Standard deviation Significant Level
Pre-test of Advanced CPR Workshop routine 6/7 54/0 83/0
Evidence-based 6/6 72/0
Post-test of Advanced CPR Workshop routine 8 65/0 048/0
Evidence-based 10/3 71/0

Table 16: Comparison of evidence-based and routine-based learning based on nurses' clinical competency in advanced CPR using independent t-test

In term of the comparison of clinical competency, the nurses of the cardiopulmonary evidence-based education group from routine nurses in the implementation of the principles of the onset and completion of CPCR showed that in the routine workshop and evidence-based group, the mean in the pre-test was 16.7 and 16.8 In the routine workshop and evidence-based group, the mean in posttest is 22.22 and 22.3, which indicates significant evidence-based effectiveness of cardiopulmonary resuscitation on the implementation of the principles of the onset and end of CPCR (p<0.05) (Table 17).

Variable name The average Standard deviation Significant Level
Pre-test of CPCR Workshop routine 16/7 0/64 0/96
Evidence-based 16/8 0/81
Post-test of CPCR Workshop routine 22/3 0/64 0/008
Evidence-based 30/3 0/58

Table 17: Comparison of evidence based and routine-based learning based on nurses' clinical competency in implementing the principles of the starting and termination of the CPCR

The results of t-test showed that there was no significant difference between the pre-test and post-test routine in the pre-test and post-test groups and there was a significant difference between the pre-test and post-test groups in the evidence-based group (p ≤ 0.05). Regarding the higher mean of the evidence-based group compared to the post-test routine group, the competence of nurse in the evidence-based learning group for cardiopulmonary resuscitation is more than the routine workshop surgeon in implementing the principles of the onset and end of the CPCR (Table 18).

Variable name The average Standard deviation Significant Level
CPCR routine workshop Pre-test 16/7 0/64 0/084
Post-test 22/3 0/64
CPCR Evidence-Based Post-Test Pre-test 16/8 0/81 0/00
Post-test 30/3 0/58

Table 18: Comparison of two evidence-based and routine learning methods on nurses’ clinical competency in implementing the principles of initiation and termination of CPCR with of t-test

Discussion

Evidence-based nursing is considered as one of the new methods of training. The purpose of this study was to determine the effect of two evidence-based methods and a routine cardio-pulmonary rehabilitation workshop on nurses' clinical competencies. In this section, the result of this study are discussed. The results of this study showed that the comparison between the effect of two evidence-based teaching methods and routine CPR on nurses' clinical competency was not statistically significant in terms of age, sex, and work experience, in other words, the two groups were homogeneous. In thi study, the effect of clinical trials on evidence-based learning groups was confirmed at the onset of the principles of CPR more than the routine workshop group (p<0.05). In this regard, Habibzadeh et al. Study aimed to determine the effect of evidence-based nursing education on the skill of nursing process implementation among nursing students showed that nursing process skills in the intervention group of students who were trained based on nursing education was significantly better than control group students (p<0.001). Comparing the two groups, the difference in the mean scores of clinical practice in the two groups after the intervention wa statistically significant (p<0.001) [11].

It seems that with evidence-based nursing, new gates can be opened to students to examine the patient in a multidimensional fashion, in a way that does not only make the patient, but also the family and the patient' environment, more comprehensive. Why, if the patient' examination is appropriate, the patient's care plan will also be more comprehensive. But if the patient' examination is not carried out comprehensively, the patient's problems will remain hidden. Also, the result of the study of the effect of research on the clinical competence of the survivors of the educational group based on the evidence of CPR were significantly (p<0.05) compared to the routine nurses working on artificial anesthetic airway. In this regard, Rahmani et al. in their study showed that evidence-based care increases the quality of knowledge, skills, and care [12]. It can be concluded that evidence-based performance is a priority in meeting needs, identifying problems and, consequently, improving the quality of nursing care that is consistent with our study.

In the present study, clinical competence in the learning group based on evidence of CPR was found to be significantly higher than that of the routine workers at the beginning and end of the CPR (p<0.05). In this regard, the findings from the study of Considine et al. showed that the use of evidence-based care in patients with stroke improves care and results in better treatment outcomes [13]. The study of Green et al. suggested that the emergence of clinical scenarios and the conduct of the subjects by students contributed to the effectivenes of education [14].

Tehran et al. states in his study that the use of evidence in the clinical context brings together theoretical and practical concepts, and according to the existing literature, the progress from the theoretical stage to practice is not possible with practical knowledge alone, and professional preparation requires learning in the real environment [15]. The combination of theoretical and practical foundations for solving skill challenges ha always been emphasized by the researchers [15,16].

In the present study, clinical competence in the learning group based on evidence of CPR was found to be significantly higher than that of the routine workers at the beginning and end of the CPR (p<0.05). In this regard, Nezamzadeh et al. [17] conducted a study aimed at influencing the evidence-based nursing care guidelines in the care of patients with angina pectoris. In this study, for the purpose of designing guidelines, nursing diagnosi was prioritized using evidence-based articles. After the implementation of the application, the guidelines were examined.

In this research, the provision of evidence-based care ha improved the quality of planning for a moderate level of care [17]. In the same vein, Drew et al. showed that guidelines that used the best evidence available to them could accurately guide nursing care in patients [18].

Also, in the present study, the results of comparing the effect of the research on the competence of survivors of the educational group based on evidence of CPR with routine nurses in the implementation of the principles of initiation and termination of CPCR were significant (p<0.05).

In this regard, the results of the Gibler et al. study aimed at examining evidence-based guidelines for the management of unstable angina and myocardial infarction patients. The study concluded that evidencebased guidelines for patients were helpful in both care management at both hospital and in-patient care, and would provide better care for patients and lead to better results [19]. In total, Evidence-based care can be taken by effective steps to increase patient satisfaction, promote self-efficacy and empowerment, improve nursing professional identity, identify the role of interventions in treatment and care, and provide effective intervention [20].

Conclusion

The uniqueness of the existing guidelines and the low quality of them show the need for designing high-quality, specific evidence-based guidelines in different sectors. The design of such guidelines will provide the basis for using nursing research in the clinic and provide an effective step towards evidence-based nursing. Evidencebased nursing education can be effective in nursing process skills, according to the documentation mentioned in the research.

Therefore, it is important to learn this method and its use in clinical settings because nursing students and nurse every day need reliable information on diagnosis, treatment, prognosis, prevention, investigation, recognition, planning, implementation and evaluation. On the other hand, traditional sources of information such a routine workplace practices are inadequate and often outdated.

This approach leads to improved critical thinking, independent clinical decision making, and ultimately increased nursing care. Therefore, the emphasis on evidence-based nursing in theoretical and practical issues of nursing education and familiar nursing research among nursing managers and planners with barriers to using the results of clinical research and providing practical strategies is an effective step towards the growth and development of nursing professionals. Limited examples of this study are the lack of sample size. This study was also limited to the research environment in a particular part of the country. Obviously, the repetition of this study in different research environments and in other nursing educational institutions will lead to the identification of other aspect of the strengths and weaknesses of evidence-based nursing. Also, by conducting studies in nursing faculties on nursing students, we can examine the effects of using evidence-based nursing on academic learning.

Conflict of Interest

The authors declared no potential conflicts of interest with respect to the authorship and/or publication of thi paper.

References

Author Info

Moslem MoslemiRad1, Marziyeh Asadi Zaker2*, Nasrin Elahi2 and Mohammad Hossein Haghighizadeh3

1Ahwaz, Iran
2School of Nursing and Midwifery, Ahvaz, Iran
3Statistics Department, School of Health, Ahvaz, Iran
 

Citation: Moslem MoslemiRad, Marziyeh Asadi Zaker, Nasrin Elahi, Mohammad Hossein Haghighizadeh, Investigating the effect of two evidence-based and routine-based learning techniques on the clinical competency of cardio-pulmonary resuscitation on emergency ward nurses in Imam Khomeini Dehdasht hospital in 2017, J Res Med Dent Sci, 2019, 7(1): 52-60.

Received Date: Aug 22, 2018 / Accepted Date: Jan 03, 2019 /