Mentoring within multifaceted interventions outperformed single interventions (educational materials alone or educational meetings) on knowledge, beliefs, and evidence-use outcomes in several trials¶

Claim · All claims
Evidence · 1 study (3 entries) · review r3 · q3 · i2 medium
Currency · newest study 2014 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q3 i2 Compared to educational materials alone, physicians exposed to mentoring as part of a multifaceted intervention reported improved knowledge of prostate cancer screening (M = 6.1/7 vs. M = 4.8/7, p < .001) and changes in beliefs regarding medico-legal risk concerning PSA screening (odds ratio = .31, 95% CI = .19–.51, p < .001). → Abdullah 2014 q3 i? Compared to educational meetings, nurses who received mentoring as part of a multifaceted intervention had increased beliefs in EBP (F1,15 = 33.105, p < .001) sustained at 9 months, and improved implementation of EBP (F1,15 = 10.39, p = .006) sustained at 9 months; no differences were reported in nurses' knowledge. → Abdullah 2014 (2) q3 i? Compared to audit and feedback, mentoring as part of a multifaceted intervention improved nurses' knowledge of pain management (p < .0001) and enhanced nurses' pain assessment documentation (15% to 58% vs. 24% to 9%). → Abdullah 2014 (3)

Evidence¶

Abdullah 2014¶

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the Effectiveness of Mentoring as a Knowledge Translation Intervention for Implementing Empirical Evidence: A Systematic Review. Worldviews on Evidence-Based Nursing, 11(5), 284-300. https://doi.org/10.1111/wvn.12060

q3 · i2 · review · r3

Cluster-randomized trial (Gattellari et al., 2005) in Australian primary care with 277 physicians implementing a lower urinary tract symptoms guideline; the review reports the knowledge and belief (OR = .31) contrasts favoring the mentoring multifaceted arm over educational materials alone.

"Compared to educational materials alone, physicians exposed to mentoring as part of a multifaceted intervention reported improved knowledge of prostate cancer screening (M = 6.1/7, 95% CI = 5.9 – 6.3 vs. M = 4.8/7, 95% CI = 4.6 – 5.0, p < .001), and changes in their beliefs regarding medico-legal risk concerning prostate-specific antigen (PSA) screening (odds ratio = .31, 95% CI = .19–.51, p < .001; Gattellari et al., 2005)."

Abdullah 2014 (2)¶

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the Effectiveness of Mentoring as a Knowledge Translation Intervention for Implementing Empirical Evidence: A Systematic Review. Worldviews on Evidence-Based Nursing, 11(5), 284-300. https://doi.org/10.1111/wvn.12060

q3 · i? · review · r3

Cluster-randomized trial (Levin et al., 2011) in US home care with 46 nurses; the mentoring multifaceted arm showed greater and sustained EBP beliefs and EBP implementation (F1,15 = 10.39, p = .006) versus educational meetings, with no knowledge difference.

"Compared to educational meetings, nurses who received mentoring as part of a multifaceted intervention had increased beliefs in EBP (F1, 15 = 3 3.105, p < .001) and had sustained beliefs at 9 months post intervention (F1, 15 = 7.335, p = .016; Levin et al., 2011). No differences were reported in nurses’ knowledge."

Abdullah 2014 (3)¶

Abdullah, G., Rossy, D., Ploeg, J., Davies, B., Higuchi, K., Sikora, L., & Stacey, D. (2014). Measuring the Effectiveness of Mentoring as a Knowledge Translation Intervention for Implementing Empirical Evidence: A Systematic Review. Worldviews on Evidence-Based Nursing, 11(5), 284-300. https://doi.org/10.1111/wvn.12060

q3 · i? · review · r3

Cluster-randomized trial (Johnston et al., 2007) in tertiary care with 141 nurses implementing a pain management guideline; the review reports improved pain management knowledge and pain assessment documentation (15% to 58% vs. 24% to 9%) favoring the mentoring arm over audit and feedback.

"Compared to audit and feedback, mentoring as part of a multifaceted intervention improved nurses’ knowledge of pain management (p < .0001; Johnston et al., 2007)."

Discussion¶

Related Claims¶

• In one low-risk-of-bias trial, adding mentoring to a multifaceted intervention improved one physician behavior (antiplatelet medication use) while other behaviors showed no difference — related
• Mentoring alone as a knowledge translation intervention was evaluated in only one included study, which showed improvement in some behavioral outcomes — related
• Mentoring within multifaceted interventions compared to no intervention showed mixed effects on knowledge use, practitioner, and organizational outcomes — related
• Multifaceted interventions with mentoring improved practitioners' knowledge, beliefs, and organizational outcomes in most studies, but showed mixed findings for behaviors and practitioner/patient outcomes — a broader claim this one bears on
• Multifaceted EBP interventions combining lectures, computer sessions, small-group discussions, journal clubs, and assignments were more likely to improve knowledge, skills, and attitudes than single interventions or no intervention — a broader claim this one bears on