Climates and associated factors for evidence-based practice implementation among nurses: A cross-sectional study

Abstract

Background: The organizational climate that promotes and supports the implementation of evidence is one of the key factors affecting the effective implementation of evidence-based practice (EBP). As the largest group of medical staff, nurses are confirmed in implementing EBP. However, nurses’ perception of the climate for implementing EBP in their organizations is unknown, especially among the Chinese nurses. Aims: To clarify the implementation climate of EBP among Chinese nurses and identify the associated factors for implementing and developing evidence-based nursing practices. Methods: This study used a descriptive cross-sectional study design. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) was used to reporting the study. In March 2023, nurses (n=1260) from 2 Tertiary care hospitals in Central China were selected and surveyed by social-demographic questionnaire and Implementation Climate Scale (ICS). Multiple linear stepwise regression analysis was conducted to determine the predictors of implementation climate. Results: The nurses’ mean score on ICS was 59.10±11.22 and the mean scores of each sub-dimension and item were more than 3 points. Satisfaction with current income, the unit having undertaken evidence-based nursing practice project(s), experience of evidence-based nursing practice during working life, and specific training or courses in evidence-based nursing practice were predictors of ICS. Conclusion: The climate for implementing EBP in Chinese nursing organizations was relatively strong. Nursing managers can enhance the climate for implementing EBP in their organizations by actively improving salary and enhancing EBP-related trainings and practices. Relevance to Clinical Practice: Understanding nurses’ perceptions of the EBP implementation climate in their organizations can help to identify specific barriers and facilitators to the development of EBP and facilitate its successful implementation. Patient or Public Contribution: Clinical nurses were involved in data collection and completed the questionnaires on EBP implementation climate.