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Evidence-Based Practice and Job-Related Nurse Outcomes at Magnet®-Aspiring, Magnet-Conforming, and Non-Magnet University Hospitals in Finland: A Comparison Study

Saunders, Hannele MS, MPH, RN; Vehviläinen-Julkunen, Katri PhD, RN, RM, FEANS

JONA: The Journal of Nursing Administration: October 2016 - Volume 46 - Issue 10 - p 513–520
doi: 10.1097/NNA.0000000000000395

OBJECTIVE: The aim of this study was to compare nurses’ evidence-based practice (EBP) beliefs, EBP knowledge, and nurse workforce outcomes between Magnet®-aspiring, Magnet-conforming, and non-Magnet university hospitals in Finland.

BACKGROUND: The effect of Magnet designation on EBP and nursing workforce outcomes is well studied where Magnet hospitals exist. Less is known about it in countries where hospitals are embarking upon the initial Magnet journey.

METHODS: A descriptive cross-sectional national survey was conducted at Finnish university hospitals with a convenience sample (n = 943) of practicing nurses. Data were analyzed using descriptive and inferential statistics.

RESULTS: Although nurses’ EBP beliefs were favorable and they were satisfied with their jobs, they reported low levels of EBP knowledge. Statistically significant differences were found between hospitals’ Magnet journey status and nurses’ levels of perceived EBP knowledge.

CONCLUSIONS: Although nurses believed in the value of EBP and were satisfied with and likely to stay in their jobs and in nursing, they lacked the EBP knowledge required for integrating best evidence into clinical care.

Author Affiliation: Faculty of Health Sciences, Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.

This research received grants from the Finnish Nurses’ Education Foundation, the Finnish Nurses’ Association, the Saastamoinen Foundation, and the Finnish Work Environment Fund, all of which are gratefully acknowledged. Ms Saunders is supported by a fellowship as an early-stage researcher at the Department of Nursing Science, University of Eastern Finland, for 2014 to 2016.

The authors declare no conflicts of interest.

Correspondence: Ms Saunders, Department of Nursing Science, University of Eastern Finland, POB 1627, 70211 Kuopio, Finland (

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