Evidence map›Paper›PMID 39673236›Full record

ArticleJournal of advanced nursing2025

Facilitating an Evidence-Based Quality Improvement Learning Culture in Nursing Teams Through Coaching and Identification of Key Influencing Factors: An Action Research Approach.

Jeltje Giesen, Marjolein Berings, Annick Bakker-Jacobs, Hester Vermeulen, Getty Huisman-De Waal, Anneke Van Vught

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Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jeltje GiesenRadboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0001-6768-0838
Marjolein BeringsRadboud University Medical Center, Radboudumc Health Academy, Nijmegen, The Netherlands.
Annick Bakker-JacobsRadboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands.
Hester VermeulenRadboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands.
Getty Huisman-De WaalRadboud Institute for Health Sciences, IQ Health, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-2811-4176
Anneke Van VughtDepartment on Health and Vitality, School of Allied Health, HAN University of Applied Sciences, Nijmegen, The Netherlands.

Funding

ZonMw 80-83900-98-854
6 · The paper itself

Abstract

aimsTo explore how coaching can facilitate the development of an Evidence-Based Quality Improvement (EBQI) learning culture within nursing teams in hospital and community care settings. This study also explores the specific contextual factors that influence effective outcomes.

designAction research.

methodNine teams, including 254 nurses were selected from four hospitals and two community care organisations to participate in the development of an EBQI-learning culture under the guidance of internal and external coaches. Data were gathered from 27 focus groups with 56 unique participants (of whom 31 participated multiple times) and six individual interviews with three external coaches. Transcripts of all interviews were subjected to abductive thematic analysis.

resultsTo promote an EBQI learning culture in nursing teams, it is essential that internal coaches effectively guide their team members. The internal coaches in this study focused on enhancing readiness for EBQI by providing support, encouraging involvement and motivating team members. They deepened innovation competencies including assessing daily care, implementing well-structured changes in care practices and embedding small steps in the change process in daily routines. It was found that barriers and facilitators within the team's context can influence the development of EBQI-learning culture and therefore need to be considered when seeking to make changes. The presence of external coaches served as a valuable resource and a motivator in supporting internal coaches to apply and improve their coaching skills.

conclusionsTo stimulate the development of an EBQI-learning culture, internal coaches need to focus on team readiness to work with EBQI. Priority needs to be given to enhancing the care change competencies of team members. Barriers to change must also be addressed. Internal coaches require external support and motivation to continually develop coaching skills. REPORTING

methodThe Standards for Reporting Qualitative Research. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Evidence-Based NursingMentoringQuality ImprovementAdultFemaleFocus GroupsHealth Services ResearchHumansMaleMiddle AgedOrganizational Cultureaction researchcare transitioncoachingcommunity careEvidence‐Based Practice (EBP)Evidence‐Based Quality Improvement (EBQI)hospitallearning culturenursing

Identifiers

PMID39673236
PMCPMC12535335

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.