Build supportive organizational structures — clear career pathways, mentorship programs, and leadership development — to enhance nurses' EBHC competence¶

Strategy · All strategies
Evidence · 2 claims (2 for) · 1 study (1 qualitative), q2 · 0 of 1 report an effect size · 2 claims rest on one study

Description¶

In its conclusions, the review recommends that "healthcare organizations and educators may consider them when designing educational interventions and building supportive structures, such as clear career pathways, mentorship programs, and leadership development, to enhance nurses' EBHC competence in practice". This responds to findings that background factors such as educational level and clinical setting shape competence and that workplace‐related factors, including leadership and organizational culture, are likely influential.

Design Implications¶

Context¶

Requirements¶

• Educational interventions and supportive organizational structures tailored to nurses' background factors

Constraints¶

• The significance of the background factors warrants further investigation before firm conclusions are drawn

Target Learners¶

• Nurses in direct patient care

Target Learning Goals¶

• Evidence‐based healthcare competence development across career stages

Claims¶

• Specialty nurses and their managers describe clear role positioning and multidisciplinary support as facilitating training transfer [+W]
• Resource mismatch, missing incentives, and discontinuous post-training support constrain the sustainability of training transfer [+W]

Related Strategies¶

• Design EBP education that is multi‐modal, clinically integrated, and team‐based with mentorship and case‐based discussions
• Develop healthcare leaders' digital competence through continuous education, mentoring, and organizational structures
• Healthcare institutions should prioritize SDL-friendly environments including protected learning time, access to digital tools, and mentorship programs

Examples¶

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Key Sources¶

• Härkönen, H., Hannila, H.‐M., Oikarinen, A., Kääriäinen, M., Ylimäki, S., Hietaniemi, A.‐M., Holopainen, A., Jansson, M., Pölkki, T., Kaakinen, P., Kanste, O., & Tuomikoski, A.‐M. (2025). The Measurement of Evidence‐Based Healthcare Competence of Nurses and Associated Background Factors: A Scoping Review. Research in Nursing & Health, 48(5), 581–593. https://doi.org/10.1002/nur.70004