Describing nurses' communication about evidence-based practice change: A social network analysis of hospital nurses.

care delivery system communication critical care/intensive care evidence-based practice nursing practice

Journal

Worldviews on evidence-based nursing

ISSN: 1741-6787

Titre abrégé: Worldviews Evid Based Nurs

Pays: United States

ID NLM: 101185267

Informations de publication

Date de publication:
15 Mar 2024

Historique:

revised: 18 12 2023

received: 24 08 2023

accepted: 19 12 2023

medline: 15 3 2024

pubmed: 15 3 2024

entrez: 15 3 2024

Statut: aheadofprint

Résumé

Nurses play a critical role in providing evidence-based, high-quality care to optimize patient outcomes. Models from implementation science suggest social networks may influence the adoption of evidence-based practices (EBPs). However, few studies have examined this relationship among hospital nurses. Social network analysis (SNA) mathematically evaluates patterns of communication, a critical step in implementation. Exploring hospital nurses' communication networks may provide insight into influences on the adoption of EBPs. This study aimed to describe complete communication networks of hospital nurses for practice changes on inpatient units, including upper level nursing administrators. This descriptive, exploratory, cross-sectional study used SNA on two inpatient units from one hospital. A sociometric survey was completed by nurses (unit to executive level) regarding communication frequency about practice changes. Network-level density, diameter, average path length, centralization, and arc reciprocity were measured. Attribute data were used to explore subnetworks. Surveys from 148 nurses on two inpatient adult intensive care units (response rates 90% and 98%) revealed high communication frequency. Network measures were similar across the two units and among subnetworks. Analysis identified central (charge nurses and nurse leaders) and peripheral members of the network (new-to-practice nurses). Subnetworks aligned with the weekend and shift worked. Established communication channels, including subnetworks and opinion leaders, should be used to maximize and optimize implementation strategies and facilitate the uptake of EBPs. Future work should employ SNA to measure the impact of communication networks on promoting the uptake of EBP and to improve patient outcomes.

Sections du résumé

BACKGROUND BACKGROUND

AIMS OBJECTIVE

This study aimed to describe complete communication networks of hospital nurses for practice changes on inpatient units, including upper level nursing administrators.

METHODS METHODS

This descriptive, exploratory, cross-sectional study used SNA on two inpatient units from one hospital. A sociometric survey was completed by nurses (unit to executive level) regarding communication frequency about practice changes. Network-level density, diameter, average path length, centralization, and arc reciprocity were measured. Attribute data were used to explore subnetworks.

RESULTS RESULTS

Surveys from 148 nurses on two inpatient adult intensive care units (response rates 90% and 98%) revealed high communication frequency. Network measures were similar across the two units and among subnetworks. Analysis identified central (charge nurses and nurse leaders) and peripheral members of the network (new-to-practice nurses). Subnetworks aligned with the weekend and shift worked.

LINKING EVIDENCE TO ACTION CONCLUSIONS

Established communication channels, including subnetworks and opinion leaders, should be used to maximize and optimize implementation strategies and facilitate the uptake of EBPs. Future work should employ SNA to measure the impact of communication networks on promoting the uptake of EBP and to improve patient outcomes.

Identifiants

DOI: 10.1111/wvn.12708 PMID: 38489237

pubmed: 38489237

doi: 10.1111/wvn.12708

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Subventions

Organisme : University of Wisconsin-Madison School of Nursing

Organisme : Sigma Beta Eta at-Large Chapter

Informations de copyright

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