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Exploring registered nurses’ understanding of evidence-based practice in a specialist psychiatric healthcare facility in South Africa
Thesis (MNur)--Stellenbosch University, 2024.
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| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2025
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| _version_ | 1867613865629450240 |
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| access_status_str | Open Access |
| author | Galeboe, Tshireletso Johanna |
| author2 | Bell, Janet |
| author_browse | Bell, Janet Galeboe, Tshireletso Johanna |
| author_facet | Bell, Janet Galeboe, Tshireletso Johanna |
| author_sort | Galeboe, Tshireletso Johanna |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description |
Thesis (MNur)--Stellenbosch University, 2024. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/131660 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:42:55.322Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/131660 Exploring registered nurses’ understanding of evidence-based practice in a specialist psychiatric healthcare facility in South Africa Galeboe, Tshireletso Johanna Bell, Janet Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing and Midwifery. Evidence-Based Nursing -- South Africa Psychiatric Nursing -- South Africa Evidence-based psychiatry -- South Africa UCTD Thesis (MNur)--Stellenbosch University, 2024. ENGLISH SUMMARY: Background: Evidence-based practice (EBP) is recognised worldwide as an important component of patient care delivery that emphasises current evidence being used to underpin clinical practice and clinical decision making to deliver cost-effective quality nursing care. Nurses make clinical decisions in care constantly during nursing interactions; therefore, it is critical that they use the most up-to-date available evidence to support their clinical decision making. When implemented correctly, EBP is attributed to improving quality nursing care, better patient outcomes and reduced expenses. Research internationally and in South Africa shows that nurses often do not implement EBP in their nursing practice. This study aimed to elicit an understanding of how registered nurses (RN) working in a specialist psychiatric health facility understand the concept and application of EBP in their daily nursing care practice. Methods: The study was conducted at a state psychiatric healthcare facility specialist and tertiary referral hospital in the Northern Cape Province. A qualitative approach employing an exploratory, descriptive research design was implemented for this study. A non-probability purposeful sampling strategy was used, with the final sample comprised of 10 participants determined by data saturation. Data was analysed using a thematic analysis approach, which involves reading and re-reading data, coding, generating themes and interpreting findings. Findings: The findings of the study are held in four themes. The substance of these themes showed that most RNs understand and are familiar with the concept of EBP. While there is a positive attitude towards EBP, they do not readily apply EBP. The participants mentioned a lack of resources, an absence of EBP training and a lack of motivation and support from nursing management as factors that impede their EBP implementation. Conclusion: The study concludes that although RNs understand and support EBP, they do not apply it in their daily nursing care. Recommendations include providing education and training about EBP and its application, providing necessary resources, and encouraging nursing managers to support and cultivate EBP culture in the facility. AFRIKAANSE OPSOMMING: Agtergrond: Bewysgebaseerde praktyk (EBP) word wereldwyd erken as 'n belangrike komponent van pasientsorglewering wat klem le op huidige bewyse wat gebruik word om kliniese praktyk en kliniese besluitneming te ondersteun om koste-effektiewe kwaliteit verpleegsorg te lewer. Verpleegkundiges neem voortdurend kliniese besluite in sorg tydens verpleeginteraksies; daarom is dit van kritieke belang dat hulle die mees onlangse beskikbare bewyse gebruik om hul kliniese besluitneming te ondersteun. Wanneer dit korrek geimplementeer word, word EBP toegeskryf aan die verbetering van kwaliteit verpleegsorg, beter pasientuitkomste en verminderde uitgawes. Navorsing internasionaal en in Suid-Afrika toon dat verpleegkundiges dikwels nie EBP in hul verpleegpraktyk implementeer nie. Hierdie studie het ten doel gehad om 'n begrip te verkry van hoe geregistreerde verpleegkundiges wat in 'n spesialis psigiatriese gesondheidsfasiliteit werk, die konsep en toepassing van EBP in hul daaglikse verpleegsorgpraktyk verstaan. Metodes: Die studie is by 'n staatspsigiatriese gesondheidsorggesondheidspesialis en tersiere verwysingshospitaal in die Noord-Kaapprovinsie uitgevoer. 'n Kwalitatiewe benadering wat 'n verkennende, beskrywende navorsingsontwerp gebruik, is vir hierdie studie geimplementeer. 'n Nie-waarskynlikheid doelgerigte steekproefstrategie is gebruik, met die finale steekproef wat bestaan het uit 10 deelnemers wat deur dataversadiging bepaal is. Data is ontleed deur 'n tematiese ontledingsbenadering te gebruik, wat die lees en herlees van data, kodering, generering van temas en interpretasie van bevindings behels. Bevindings: Die bevindinge van die studie word in vier temas gehou. Die inhoud van hierdie temas het getoon dat die meeste geregistreerde verpleegkundiges die konsep van EBP verstaan en daarmee vertroud is. Alhoewel daar 'n positiewe houding jeens EBP is, pas hulle nie geredelik EBP toe nie. Die deelnemers het 'n gebrek aan hulpbronne, 'n afwesigheid van EBP-opleiding en 'n gebrek aan motivering en ondersteuning van verpleegbestuur genoem as faktore wat hul EBP-implementering belemmer. Afsluiting: Die studie kom tot die gevolgtrekking dat alhoewel geregistreerde verpleegkundiges EBP verstaan en ondersteun, hulle dit nie in hul daaglikse verpleegsorg toepas nie. Aanbevelings sluit in die verskaffing van onderwys en opleiding oor EBP en die toepassing daarvan, die verskaffing van nodige hulpbronne en die aanmoediging van verpleegbestuurders om EBP-kultuur in die fasiliteit te ondersteun en te kweek. Masters 2025-02-04T09:13:08Z 2025-02-04T09:13:08Z 2024-12 Thesis https://scholar.sun.ac.za/handle/10019.1/131660 en_ZA Stellenbosch University xiii, 67 pages ; includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Evidence-Based Nursing -- South Africa Psychiatric Nursing -- South Africa Evidence-based psychiatry -- South Africa UCTD Galeboe, Tshireletso Johanna Exploring registered nurses’ understanding of evidence-based practice in a specialist psychiatric healthcare facility in South Africa |
| title | Exploring registered nurses’ understanding of evidence-based practice in a specialist psychiatric healthcare facility in South Africa |
| title_full | Exploring registered nurses’ understanding of evidence-based practice in a specialist psychiatric healthcare facility in South Africa |
| title_fullStr | Exploring registered nurses’ understanding of evidence-based practice in a specialist psychiatric healthcare facility in South Africa |
| title_full_unstemmed | Exploring registered nurses’ understanding of evidence-based practice in a specialist psychiatric healthcare facility in South Africa |
| title_short | Exploring registered nurses’ understanding of evidence-based practice in a specialist psychiatric healthcare facility in South Africa |
| title_sort | exploring registered nurses understanding of evidence based practice in a specialist psychiatric healthcare facility in south africa |
| topic | Evidence-Based Nursing -- South Africa Psychiatric Nursing -- South Africa Evidence-based psychiatry -- South Africa UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/131660 |
| work_keys_str_mv | AT galeboetshireletsojohanna exploringregisterednursesunderstandingofevidencebasedpracticeinaspecialistpsychiatrichealthcarefacilityinsouthafrica |