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The Influence of Emergency RNs' Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice.

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  • Author(s): Naccarato, Mary Kathryn
  • Source:
    Medical University of South Carolina 2013; Ph.D. 185 p-185 p. (1p)
  • Publication Type:
    Doctoral Dissertation - research, systematic review
  • Language:
    English
  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Emergency departments are a major source of hospital admissions with patients at risk for pressure ulcer development. Yet, there is a paucity of literature in two key areas: emergency RNs' role in PU prevention and their knowledge, skills, attitudes and intentions toward implementation of PU prevention guidelines. Manuscript 1 was an integrative review that found multiple factors---knowledge, attitudes, and environmental---that affect nurses' use of PU prevention. Manuscript 2 was an integrative review that found the readiness for change construct as a precursor to implementing an organizational or individual change. Some nurse researchers suggest a readiness assessment as the first step in the evidence-based practice implementation process. However, research is needed to develop a valid and reliable instrument to measure nurses' readiness for change. Manuscript 3 was a cross-sectional study that found factors from the readiness for change framework and Theory of Planned Behavior significantly influenced emergency RNs' intention to implement pressure ulcer prevention guidelines. Readiness variables of appropriateness and personal valence combined with TPB variables of subjective norm and perceived behavioral control to affect significantly the emergency RNs' intention to implement PU prevention guidelines. In conclusion, this study demonstrated the usefulness of combining the Theory of Planned Behavior and readiness for change construct in order to assess individual intention and readiness for change.
    • Special Interest:
      Emergency Care; Evidence-Based Practice
    • ISBN:
      9781303512858
    • Accession Number:
      UMI Order AAI3574579
    • Publication Date:
      20140214
    • Publication Date:
      20150923
    • Accession Number:
      109864122
  • Citations
    • ABNT:
      NACCARATO, M. K. The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice. 2013. Ph.D. - Medical University of South Carolina, [s. l.], 2013. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864122. Acesso em: 30 nov. 2020.
    • AMA:
      Naccarato MK. The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice. Influence of Emergency Rns’ Characteristics & Readiness for Change on Their Intention to Implement Evidence-based Practice. January 2013:185 p. Accessed November 30, 2020. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864122
    • APA:
      Naccarato, M. K. (2013). The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice [Ph.D., Medical University of South Carolina]. In Influence of Emergency Rns’ Characteristics & Readiness for Change on Their Intention to Implement Evidence-based Practice (p. 185 p).
    • Chicago/Turabian: Author-Date:
      Naccarato, Mary Kathryn. 2013. “The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice.” Influence of Emergency Rns’ Characteristics & Readiness for Change on Their Intention to Implement Evidence-Based Practice. Ph.D., Medical University of South Carolina. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864122.
    • Harvard:
      Naccarato, M. K. (2013) The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice, Influence of Emergency Rns’ Characteristics & Readiness for Change on Their Intention to Implement Evidence-based Practice. Ph.D. Medical University of South Carolina. Available at: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864122 (Accessed: 30 November 2020).
    • Harvard: Australian:
      Naccarato, MK 2013, ‘The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice’, Ph.D. thesis, Medical University of South Carolina, Influence of Emergency Rns’ Characteristics & Readiness for Change on Their Intention to Implement Evidence-based Practice, p. 185 p, viewed 30 November 2020, .
    • MLA:
      Naccarato, Mary Kathryn. “The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice.” Influence of Emergency Rns’ Characteristics & Readiness for Change on Their Intention to Implement Evidence-Based Practice, Medical University of South Carolina, Jan. 2013, p. 185 p. EBSCOhost, search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864122.
    • Chicago/Turabian: Humanities:
      Naccarato, Mary Kathryn. “The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice.” Influence of Emergency Rns’ Characteristics & Readiness for Change on Their Intention to Implement Evidence-Based Practice. Ph.D., Medical University of South Carolina, 2013. http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864122.
    • Vancouver/ICMJE:
      Naccarato MK. The Influence of Emergency RNs’ Characteristics and Readiness for Change on Their Intention to Implement Evidence-Based Practice [Internet] [Ph.D.]. Influence of Emergency Rns’ Characteristics & Readiness for Change on Their Intention to Implement Evidence-based Practice. Medical University of South Carolina; 2013 [cited 2020 Nov 30]. p. 185 p. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=109864122