Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture

Abstract

BackgroundThis study aimed to identify clinical nurses’ evidence-based practice (EBP) knowledge, beliefs, organizational readiness, and EBP implementation levels, and to determine the factors that affect EBP implementation in order to successfully establish EBP. This study was conducted at a university-affiliated tertiary hospital located in a provincial area in Korea. The research design was based on Melnyk and Fineout-Overholt’s Advancing Research & Clinical Practice through Close Collaboration model as the first step.MethodsA descriptive and cross-sectional design was conducted and a convenience sample of 521 full-time registered nurses from an 849-bed tertiary hospital were included. Structured questionnaires were used to assess EBP knowledge, EBP beliefs, organizational culture & readiness and EBP implementation. Data were analyzed using SPSS V 25.0 by using descriptive and inferential statistics and hierarchical multiple regression was performed to determine the factors affecting the implementation of EBP.ResultsOur findings showed that the clinical nurses had a positive level of EBP beliefs, but the level of EBP knowledge, organizational readiness and EBP implementation were insufficient. EBP knowledge, beliefs, and organizational readiness were significantly positively correlated with EBP implementation. In the final model, EBP knowledge and organizational readiness were significant predictors of EBP implementation; the model predicted 22.2% of the variance in implementation.ConclusionsBased on these results, the main focus of the study was the importance of individual nurses' efforts in carrying out EBP, but above all efforts to create an organizational culture to prepare and support EBP at the nursing organization level. In the initial process of introducing and establishing EBP, nurse administrators will need to minimize expected barriers, enhance facilitators, and strive to build an infrastructure based on vision, policy-making, budgeting, excellent personnel and facilities within the organization.

Longitudinal Use of The Consolidated Framework For Implementation Research To Evaluate The Creation of A Rural Center of Excellence in Transgender Health 

“…Similarly, engagement, which falls under the process domain, and the characteristics of individuals domain consider an array of inner and outer setting individuals. Though the characteristics of individuals constructs were discussed minimally in the surveys, prior studies have demonstrated that they are closely related to culture and engagement and together can in uence implementation (13,14). discrimination (15,16).…”

Longitudinal Use of the Consolidated Framework for Implementation Research to Evaluate the Creation of a Rural Center of Excellence in Transgender Health

“…Similarly, engagement, which falls under the process domain, and the characteristics of individuals domain consider an array of inner and outer setting individuals. Though the characteristics of individuals constructs were discussed minimally in the surveys, prior studies have demonstrated that they are closely related to culture and engagement and together can in uence implementation (13,14). Less trans-a rming attitudes and actions within healthcare networks is usually attributed to a lack of education and training regarding transgender people, their healthcare disparities and their speci c healthcare needs.…”

Barriers and Facilitators Implementation of Evidence-Based Nursing practice in Hospitals: A Literature Review

“…The level of nurses' confidence in the importance of evidence-based practice becomes a positive value in implementing, this from several studies conducted in various countries such as Korea, China, Greece, Iraq, Oman, and Singapore (Majid et al , 2011;Khammarnia et al, 2015;Patelarou et al, 2016;Al-Busaidi et al, 2019;Chen et al, 2019;Yoo et al, 2019) suggested that nurses' confidence in EBP was quite high. In this series of studies, it clearly showed the nurse population alone so that data showing nurses' belief in EBP in high significant values but research conducted in Taiwan by looking at EBP confidence comparisons on the multi profession.…”

“…Two different studies conducted in South Korea (Park and Jang, 2016;Yoo et al, 2019) showed that there positively increased in EBP on the knowledge/ skills of EBP of Korean nurses. In contrast to research conducted in Greece (Patelarou et al, 2016) reported that half of the nurses said they were not sure of their ability to be involved in EBP.…”