Exploring the Influence of Geriatric Nurse Practitioners on Nurses' Perceived Barriers, Beliefs, and Implementation of Evidence-Based Practice in Geriatric Home Healthcare Settings in Israel
Bibliographic record
Abstract
Investigating the influence of geriatric nurse practitioners (GNPs) on nurses' perceived barriers, beliefs, and implementation of evidence-based practice (EBP) in geriatric care settings in Israel would be a significant research endeavor. Exploring the influence of Geriatric Nurse Practitioners (GNPs) on nurses' perceived barriers, beliefs, and implementation of evidence-based practice (EBP) in geriatric care settings in Israel is a significant area of research with implications for improving the quality of care for older adults Evidence-based practice (EBP) in nursing refers to performing a systematic search for and a critical appraisal of the recent best evidence to answer a burning clinical question. The use of internal evidence based on outcome evaluations as part of clinical experience has also been accommodated into the scope of the definition of EBP. Outcome evaluations are primarily performed in quality improvement projects often implemented in clinical practice. EBP uptake in various healthcare settings is a crucial strategy for improving healthcare quality and patient outcomes, reducing healthcare costs, and empowering clinicians. Home healthcare refers to providing healthcare services to patients in their homes instead of hospital departments. Home healthcare is an innovative strategy that is widely implemented in Western countries like the United States, United Kingdom, Canada, and Australia as a way of curbing high healthcare costs and meeting the demand for healthcare services due to the increase in aging populations, increase in chronic morbidity, and the high workloads in hospital departments. In Israel, home healthcare is in its infancy. Still, due to the significant increase in the aged population and its success in other countries, it has received considerable public attention and political support. In Israel, older people aged 65 and above comprise approximately 11% of the total population, but the number of older people has been expanding rapidly in recent years An expected increase in the geriatric population in 2050 is about 14% and about 2 million Objectives: The purpose of the study is to examine whether the presence of a GNP in a home healthcare service in Israel can positively impact the uptake of EBP by nursing generalists. To explore nurses’ barriers and facilitators of EBP implementation in home healthcare settings in Israel. To examine the relationship between nurses’ perceived EBP barriers, EBP beliefs, EBP implementation, and the presence/absence of geriatric nursing practitioner. To examine the strategies GNPs could use to influence nurse generalists to implement EBP in routine care in home healthcare settings. Methodology: The sources of information included PubMed, EMBASE, Web of Science, and Google Scholar. The review focused on studies published within the past five years (2018-2023) in reputable peer-reviewed journals in English.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.010 | 0.024 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.001 |
| Open science | 0.001 | 0.002 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".