{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T13:03:21Z","timestamp":1761656601810,"version":"build-2065373602"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["24KJ1901"],"award-info":[{"award-number":["24KJ1901"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Japan Journal Nursing Sci"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To develop a clinical scenario\u2010based educational program incorporating five evidence\u2010based practice (EBP) steps and evaluate its effects on EBP knowledge and skills and EBP implementation among hospital nurses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study employed a randomized controlled trial design. Eighty\u2010seven registered nurses were recruited from 22 hospitals across Japan and randomly assigned to either the Intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200944) or the Control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200943). The Intervention group received a clinical scenario\u2010based education program incorporating the five EBP steps, utilizing the Prevention of Delirium in Elderly Hospitalized Patients scenario. EBP knowledge and skills and EBP implementation were measured at baseline (T1), immediately post\u2010intervention (T2), and 2\u2009months later (T3). Linear mixed models were used to assess the between\u2010group differences in EBP knowledge and skills, as well as EBP implementation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant differences were found between groups at T1 in EBP knowledge and skills (25.4 [22.6\u201328.1] vs. 27.9 [25.0\u201330.7],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.219) and implementation scores (14.8 [12.7\u201316.9] vs. 15.0 [12.8\u201317.3],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.882). At T2 and T3, the Intervention group had significantly higher knowledge and skills (T2: 33.8 [31.4\u201336.3] vs. 27.6 [25.1\u201330.2],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.001; T3: 36.8 [34.3\u201339.3] vs. 27.2 [24.7\u201329.7],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001) and higher implementation scores at T3 (21.5 [19.5\u201323.5] vs. 14.5 [12.5\u201316.5],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u2009.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A clinical scenario\u2010based educational program incorporating the five steps of EBP effectively enhanced EBP knowledge and skills as well as promoted EBP implementation among hospital nurses.<\/jats:p>\n                    <jats:p>Trial Registration: Trial registration number UMIN000053457 (1\/27\/2024).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jjns.70030","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:48:58Z","timestamp":1761547738000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Development and evaluation of a clinical scenario\u2010based education program to enhance evidence\u2010based practice knowledge, skills, and implementation among hospital nurses: A randomized controlled trial"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1100-8839","authenticated-orcid":false,"given":"Hideaki","family":"Furuki","sequence":"first","affiliation":[{"name":"Graduate School of Nursing Osaka Metropolitan University  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2254-7536","authenticated-orcid":false,"given":"Nao","family":"Sonoda","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing Osaka Metropolitan University  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akiko","family":"Morimoto","sequence":"additional","affiliation":[{"name":"Graduate School of Nursing Osaka Metropolitan University  Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,26]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-018-1284-1"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254191"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.profnurs.2012.05.015"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.53555\/jptcp.v29i04.5703"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.06.006"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/wvn.12623"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/2229-5151.134184"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa040"},{"volume-title":"Users' guides to the medical literature: A manual for evidence\u2010based clinical practice","year":"2015","author":"Guyatt G.","key":"e_1_2_10_10_1"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2016.04.023"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9781139025751"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2010.07.006"},{"key":"e_1_2_10_14_1","first-page":"253","volume-title":"Comprehensive research report of the fiscal year 2009\u20132011","author":"Kawakami N.","year":"2012"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780080481913"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12454"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1714932"},{"volume-title":"Evidence\u2010based practice in nursing & healthcare: A guide to best practice","year":"2023","author":"Melnyk B. 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