Background: Consideration needs to be given to variables that impact the application of evidence-based nursing practice.
Objective: This study aimed to generate and validate a structural model of factors predictive of evidence-based nursing practice.
Methods: A cross-sectional descriptive design was used, with 612 registered nurses in the southern area of Saudi Arabia selected using a convenience sampling procedure. Data were collected during the period from November 2019 to January 2020 using valid and reliable questionnaires, including the novel Registered Nurses’ Competencies, Beliefs, Facilitators, Barriers, and Implementation of the Evidence-based Practice Questionnaire. A structural equation modeling technique was used for data analysis.
Results: Evidence-based nursing practice was significantly influenced by nurses’ competency, beliefs, barriers, and facilitators. 38.75% of the variance was explained by all factors. Specifically, nurses’ beliefs partially mediated the relationship between nurses’ competency and the evidence-based application of nursing practice. In addition, the relationship between nurses’ beliefs and evidence-based application of nursing practice was partially mediated by organizational facilitators. Nurses’ competency and beliefs were significantly influenced by attending the workshop, education level, years of experience, and previous research work.
Conclusion: The current study highlights the significant effect of personal and organizational variables toward the application of evidence-based nursing practice.
Copyright (c) 2021 Mohammad H Abuadas
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Abuadas, M. H., Albikawi, Z. F., & Abuadas, F. (2021). Development and validation of questionnaire measuring registered nurses' competencies, beliefs, facilitators, barriers, and implementation of Evidence-Based Practice (EBP-CBFRI). Journal of Nursing Measurement. https://doi.org/10.1891/JNM-D-20-00085
Abuejheisheh, A., Tarawneh, O., Qaddumi, J. A. S., Almahmoud, O., & Darawad, M. W. (2020). Predictors of intensive care unit nurses’ practice of evidence-based practice guidelines. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 57, 0046958020902323. https://doi.org/10.1177%2F0046958020902323
Al-Momani, M. M., Al-Barmawi, M. A., Al-Hadid, L., & Aljabery, A. (2016). Developing a tool that explores factors influencing the adoption of evidence-based principles in nursing practice in Jordan. Applied Nursing Research, 32, 122-127. https://doi.org/10.1016/j.apnr.2016.07.004
Alqahtani, N., Oh, K. M., Kitsantas, P., & Rodan, M. (2020). Nurses' evidence‐based practice knowledge, attitudes and implementation: A cross‐sectional study. Journal of Clinical Nursing, 29(1-2), 274-283. https://doi.org/10.1111/jocn.15097
Barako, T. D., Chege, M., Wakasiaka, S., & Omondi, L. (2012). Factors influencing application of evidence-based practice among nurses. African Journal of Midwifery and Women's Health, 6(2), 71-77. https://doi.org/10.12968/ajmw.2012.6.2.71
Boltz, M., Capezuti, E., Zwicker, D., & Fulmer, T. T. (2020). Evidence-based geriatric nursing protocols for best practice. New York: Springer Publishing Company.
Bostrom, A.-M., Rudman, A., Ehrenberg, A., Gustavsson, J. P., & Wallin, L. (2013). Factors associated with evidence-based practice among registered nurses in Sweden: A national cross-sectional study. BMC Health Services Research, 13(1), 1-12. https://doi.org/10.1186/1472-6963-13-165
Cheng, L., Broome, M. E., Feng, S., & Hu, Y. (2017). Factors influencing the implementation of evidence in Chinese nursing practice. Journal of Clinical Nursing, 26(23-24), 5103-5112. https://doi.org/10.1111/jocn.14053
Cheng, L., Feng, S., & Hu, Y. (2017). Evidence-based nursing implementation in mainland China: A scoping review. Nursing outlook, 65(1), 27-35. https://doi.org/10.1016/j.outlook.2016.07.016
Chiwaula, C. H., Chinkhata, M. B. N., Kamera, H., & Haruzivishe, C. O. (2018). Evidence based practice: A concept analysis. Health Systems and Policy Research, 5(3), 75. https://doi.org/10.21767/2254-9137.100094
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155-159. https://psycnet.apa.org/doi/10.1037/0033-2909.112.1.155
Connor, L., Paul, F., McCabe, M., & Ziniel, S. (2017). Measuring nurses’ value, implementation, and knowledge of evidence‐based practice: Further psychometric testing of the quick‐EBP‐VIK survey. Worldviews on Evidence‐Based Nursing, 14(1), 10-21. https://doi.org/10.1111/wvn.12190
Cruz, J. P., Colet, P. C., Alquwez, N., Alqubeilat, H., Bashtawi, M. A., Ahmed, E. A., & Cruz, C. P. (2016). Evidence-based practice beliefs and implementation among the nursing bridge program students of a Saudi University. International Journal of Health Sciences, 10(3), 405.
De Pedro Gomez, J., Morales‐Asencio, J. M., Bennasar‐Veny, M., Artigues‐Vives, G., Perelló‐Campaner, C., & Gomez‐Picard, P. (2012). Determining factors in evidence‐based clinical practice among hospital and primary care nursing staff. Journal of Advanced Nursing, 68(2), 452-459. https://doi.org/10.1111/j.1365-2648.2011.05733.x
Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226. https://doi.org/10.1111/jocn.14168
Ellis, P. (2019). Evidence-based practice in nursing. London: Learning Matters.
Farokhzadian, J., Khajouei, R., & Ahmadian, L. (2015). Evaluating factors associated with implementing evidence‐based practice in nursing. Journal of Evaluation in Clinical Practice, 21(6), 1107-1113. https://doi.org/10.1111/jep.12480
Hasheesh, M. O. A., & AbuRuz, M. E. (2017). Knowledge, attitude and practice of nurses towards evidence-based practice at Al-Medina, KSA. Jordan Medical Journal, 51(2), 47-56.
Hellier, S., & Cline, T. (2016). Factors that affect nurse practitioners’ implementation of evidence‐based practice. Journal of the American Association of Nurse Practitioners, 28(11), 612-621. https://doi.org/10.1002/2327-6924.12394
Heydari, A., Mazlom, S. R., Ranjbar, H., & Scurlock‐Evans, L. (2014). A study of Iranian nurses’ and midwives’ knowledge, attitudes, and implementation of evidence‐based practice: The time for change has arrived. Worldviews on Evidence‐Based Nursing, 11(5), 325-331. https://doi.org/10.1111/wvn.12052
Johnston, B., Coole, C., Narayanasamy, M., Feakes, R., Whitworth, G., Tyrell, T., & Hardy, B. (2016). Exploring the barriers to and facilitators of implementing research into practice. British Journal of Community Nursing, 21(8), 392-398. https://doi.org/10.12968/bjcn.2016.21.8.392
Jolley, J. (2020). Introducing research and evidence-based practice for nursing and healthcare professionals (3rd ed.). London: Routledge.
Kang, Y., & Yang, I.-S. (2016). Evidence-based nursing practice and its correlates among Korean nurses. Applied Nursing Research, 31, 46-51. https://doi.org/10.1016/j.apnr.2015.11.016
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A. M., & Davidson, J. E. (2016). Predictors of evidence‐based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence‐Based Nursing, 13(5), 340-348.
Kim, Y.-S., Kim, J., & Park, M.-M. (2015). Factors influencing competency in evidence-based practice among clinical nurses. Journal of Korean Academy of Nursing Administration, 21(2), 143-153. https://doi.org/10.11111/jkana.2015.21.2.143
Laske, R. A., & Kurz, J. (2019). Examining evidence-based practice beliefs in undergraduate nursing students: A pilot study. Teaching and Learning in Nursing, 14(4), 246-250. https://doi.org/10.1016/j.teln.2019.04.009
Leung, K., Trevena, L., & Waters, D. (2016). Development of a competency framework for evidence-based practice in nursing. Nurse Education Today, 39, 189-196. https://doi.org/10.1016/j.nedt.2016.01.026
Lizarondo, L., Lockwood, C., & McArthur, A. (2019). Barriers and facilitators to implementing evidence in african health care: A content analysis with implications for action. Worldviews on Evidence‐Based Nursing, 16(2), 131-141. https://doi.org/10.1111/wvn.12355
Mohammed Hamdan, A., Haidee, P., Eddieson, P.-a., Farhan, A., Abdalkareem, A., Ebaa, F., & Richard Dennis, D. (2020). Nurses’ perspectives on the degree of missed nursing care in the public hospitals in Hail City, Kingdom of Saudi Arabia. Belitung Nursing Journal, 6(6). https://doi.org/10.33546/bnj.1233
Park, J. W., Ahn, J. A., & Park, M. M. (2015). Factors influencing evidence‐based nursing utilization intention in Korean practice nurses. International Journal of Nursing Practice, 21(6), 868-875. https://doi.org/10.1111/ijn.12296
Pereira, F., Pellaux, V., & Verloo, H. (2018). Beliefs and implementation of evidence‐based practice among community health nurses: A cross‐sectional descriptive study. Journal of Clinical Nursing, 27(9-10), 2052-2061. https://doi.org/10.1111/jocn.14348
Pierce, L. (2020). A study of implementing nursing practice change based on evidenced based practice. (Doctoral Dissertation), Graduate School of Creighton University, Omaha, USA. Retrieved from https://www.proquest.com/openview/f0f80c5fd5c48f67187e7d4eaa93cdf4/1?
Schermelleh-Engel, K., Moosbrugger, H., & Müller, H. (2003). Evaluating the fit of structural equation models: Tests of significance and descriptive goodness-of-fit measures. Methods of Psychological Research Online, 8(2), 23-74.
Spooner, A. J., Aitken, L. M., & Chaboyer, W. (2018). Barriers and facilitators to the implementation of an evidence-based electronic minimum dataset for nursing team leader handover: A descriptive survey. Australian Critical Care, 31(5), 278-283. https://doi.org/10.1016/j.aucc.2017.09.001
Squires, J. E., Estabrooks, C. A., O'Rourke, H. M., Gustavsson, P., Newburn-Cook, C. V., & Wallin, L. (2011). A systematic review of the psychometric properties of self-report research utilization measures used in healthcare. Implementation Science, 6(1), 1-18. https://doi.org/10.1186/1748-5908-6-83
Stevenson, A. (2010). Oxford dictionary of English. Oxford: Oxford University Press.
van der Goot, W. E., Keers, J. C., Kuipers, R., Nieweg, R. M. B., & de Groot, M. (2018). The effect of a multifaceted evidence-based practice programme for nurses on knowledge, skills, attitudes, and perceived barriers: A cohort study. Nurse Education Today, 63, 6-11. https://doi.org/10.1016/j.nedt.2018.01.008
Verloo, H., Desmedt, M., & Morin, D. (2017). Adaptation and validation of the Evidence‐Based Practice Belief and Implementation scales for French‐speaking Swiss nurses and allied healthcare providers. Journal of Clinical Nursing, 26(17-18), 2735-2743. https://doi.org/10.1111/jocn.13786
Westland, J. C. (2010). Lower bounds on sample size in structural equation modeling. Electronic Commerce Research and Applications, 9(6), 476-487. https://doi.org/10.1016/j.elerap.2010.07.003
Williams, B., Perillo, S., & Brown, T. (2015). What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review. Nurse Education Today, 35(2), e34-e41. https://doi.org/10.1016/j.nedt.2014.11.012