The effect of implementation leadership training for nursing informal leaders in the evidence-based practice
BackgroundImplementation leadership is important for the successful implementation of evidence-based practice (EBP). Informal leaders, who are important promoters of EBP in nursing in the current healthcare system, can affect nursing management, organizational effectiveness, and cultural quality pos...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-07-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1631810/full |
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| author | Xueyan Huang Can Wang Lumeng Lu Jianao Chen Rui Wang Ying Feng Yuhong Dong Haifang Zhou |
| author_facet | Xueyan Huang Can Wang Lumeng Lu Jianao Chen Rui Wang Ying Feng Yuhong Dong Haifang Zhou |
| author_sort | Xueyan Huang |
| collection | DOAJ |
| description | BackgroundImplementation leadership is important for the successful implementation of evidence-based practice (EBP). Informal leaders, who are important promoters of EBP in nursing in the current healthcare system, can affect nursing management, organizational effectiveness, and cultural quality positively. However, informal leaders may lack training in leadership management and EBP. This study evaluated the effectiveness of the training program for implementation leadership, aiming to improve the leadership of informal leaders in EBP.MethodsBased on the Ottawa Model, this study designed a training program for implementation leadership, which lasted for 4 months and had 60 class hours. Seventy-five nursing informal leaders were trained in three steps of “Theoretical Training-Interactive Workshop-Theme Report”. Before the first training and after the last training, we evaluated the training effectiveness using Kirkpatrick’s evaluation model at the four levels of reaction (training satisfaction survey), learning (Evidence-Based Practice Belief Scale), behavior (Evidence-Based Nursing Competence Scale), and result (Implementation Leadership Scale). Data were analyzed by descriptive statistics, and paired t-tests for effect sizes.ResultsAt the reaction level, the informal leaders had 100% engagement and high satisfaction score. At the learning level, the score of the Evidence-Based Practice Belief Scale of informal leaders after training [(69.24 ± 5.32)] vs. [(59.91 ± 5.96)] was significantly higher than that before training (p < 0.001). At the behavior level, the score of the Evidence-Based Nursing Competence Scale of informal leaders after training [(74.47 ± 5.75) vs. [(56.37 ± 7.15)] was significantly higher than that before training (p < 0.001). At the result level, the score of the Implementation Leadership Scale of informal leaders after training [(38.88 ± 2.76) vs. [(30.01 ± 3.24)] was significantly higher than that before training (p < 0.001).ConclusionThe training program is a highly accepted, practical, and effective implementation strategy for informal leaders, which can improve the evidence-based nursing belief, evidence-based nursing competence, and implementation leadership of nursing informal leaders, and has a positive impact on EBP. |
| format | Article |
| id | doaj-art-8619bcb31c364f4b8561126a5183e59c |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-8619bcb31c364f4b8561126a5183e59c2025-08-20T03:56:14ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-07-011210.3389/fmed.2025.16318101631810The effect of implementation leadership training for nursing informal leaders in the evidence-based practiceXueyan Huang0Can Wang1Lumeng Lu2Jianao Chen3Rui Wang4Ying Feng5Yuhong Dong6Haifang Zhou7Department of Nursing, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Orthopaedics, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Nursing, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Science and Education Section, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Massage, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Nursing, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Nursing, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Science and Education Section, Hangzhou TCM Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, ChinaBackgroundImplementation leadership is important for the successful implementation of evidence-based practice (EBP). Informal leaders, who are important promoters of EBP in nursing in the current healthcare system, can affect nursing management, organizational effectiveness, and cultural quality positively. However, informal leaders may lack training in leadership management and EBP. This study evaluated the effectiveness of the training program for implementation leadership, aiming to improve the leadership of informal leaders in EBP.MethodsBased on the Ottawa Model, this study designed a training program for implementation leadership, which lasted for 4 months and had 60 class hours. Seventy-five nursing informal leaders were trained in three steps of “Theoretical Training-Interactive Workshop-Theme Report”. Before the first training and after the last training, we evaluated the training effectiveness using Kirkpatrick’s evaluation model at the four levels of reaction (training satisfaction survey), learning (Evidence-Based Practice Belief Scale), behavior (Evidence-Based Nursing Competence Scale), and result (Implementation Leadership Scale). Data were analyzed by descriptive statistics, and paired t-tests for effect sizes.ResultsAt the reaction level, the informal leaders had 100% engagement and high satisfaction score. At the learning level, the score of the Evidence-Based Practice Belief Scale of informal leaders after training [(69.24 ± 5.32)] vs. [(59.91 ± 5.96)] was significantly higher than that before training (p < 0.001). At the behavior level, the score of the Evidence-Based Nursing Competence Scale of informal leaders after training [(74.47 ± 5.75) vs. [(56.37 ± 7.15)] was significantly higher than that before training (p < 0.001). At the result level, the score of the Implementation Leadership Scale of informal leaders after training [(38.88 ± 2.76) vs. [(30.01 ± 3.24)] was significantly higher than that before training (p < 0.001).ConclusionThe training program is a highly accepted, practical, and effective implementation strategy for informal leaders, which can improve the evidence-based nursing belief, evidence-based nursing competence, and implementation leadership of nursing informal leaders, and has a positive impact on EBP.https://www.frontiersin.org/articles/10.3389/fmed.2025.1631810/fullinformal leadersimplementation leadership trainingKirkpatrick’s evaluationevidence-based practiceOttawa model |
| spellingShingle | Xueyan Huang Can Wang Lumeng Lu Jianao Chen Rui Wang Ying Feng Yuhong Dong Haifang Zhou The effect of implementation leadership training for nursing informal leaders in the evidence-based practice Frontiers in Medicine informal leaders implementation leadership training Kirkpatrick’s evaluation evidence-based practice Ottawa model |
| title | The effect of implementation leadership training for nursing informal leaders in the evidence-based practice |
| title_full | The effect of implementation leadership training for nursing informal leaders in the evidence-based practice |
| title_fullStr | The effect of implementation leadership training for nursing informal leaders in the evidence-based practice |
| title_full_unstemmed | The effect of implementation leadership training for nursing informal leaders in the evidence-based practice |
| title_short | The effect of implementation leadership training for nursing informal leaders in the evidence-based practice |
| title_sort | effect of implementation leadership training for nursing informal leaders in the evidence based practice |
| topic | informal leaders implementation leadership training Kirkpatrick’s evaluation evidence-based practice Ottawa model |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1631810/full |
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