Utilisation of evidence-based practice and its associated factors among nurses

Alemayehu, Abebaw; Jevoor, PrabhuChandrashekhar

doi:10.4103/ijcn.ijcn_101_20

Cited by 3 publications

(5 citation statements)

References 19 publications

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“…This finding is similar to a study done in Ethiopia where nurses who had good knowledge about EBP were more likely to use EBP than nurses who had poor knowledge about EBP 11 22 24. Also, a study carried out in different parts of Ethiopia, the Amhara Regional Referral Hospital24 and Addis Ababa Public Hospital,14 also agreed with the current findings. In addition, a study conducted in Norway also revealed that the highest correlation was found among nurses who had learnt about EBP than those who did not learn about EBP 12.…”

Section: Discussionsupporting

confidence: 91%

“…Among these, 75% of the problems were minimised by using EBP interventions 10. Similarly, EBP has been significantly promoted through training outcomes, knowledge and high educational level that promote the improvement in patient outcomes and cost-savings 11–14. All variations in healthcare outcomes and cost differences were due to the impacts of changes in the level of EBP implementation in nursing 11 15…”

Section: Introductionmentioning

confidence: 99%

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Evidence-based practice utilisation and its associated factors among nurses working at public hospitals in West Shoa zone, central Ethiopia: a cross-sectional study

et al. 2023

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ObjectiveThe aim of this study was to assess the utilisation of evidence-based practice (EBP) and its associated factors among nurses working in public hospitals of West Shoa zone, Oromia, central Ethiopia, in 2021.DesignInstitution-based cross-sectional study.SettingGovernment hospitals including four primary hospitals, three general hospitals and a referral hospital. The study was conducted between 10 August and 30 August 2021.Participants418 randomly selected nurses working in public hospitals of West Shoa. Data were collected via a structured, self-administered questionnaire, entered into EpiData V.3.1 and exported to SPSS V.26 for analysis.Outcome measureUtilisation of EBP (good/poor).Results52.4% (95% CI 47.6% to 57.3%) of nurses had good EBP utilisation. Level of hospital (adjusted OR (AOR) 0.456 (95% CI 0.253 to 0.821)), administrative position (AOR 2.7 (1.09 to 6.69)), level of education (AOR 0.353 (0.181 to 0.686)), knowledge about EBP (AOR 1.785, (1.13 to 2.82)), availability of time (AOR 0.523 (0.28 to 0.96)), and cooperative and supportive colleagues (AOR 0.429 (0.235 to 0.783)) were associated with good utilisation of evidence-based nursing practice.ConclusionThe utilisation of EBP among nurses is low. Level of education, knowledge about EBP, sufficient time at the workplace, and cooperative and supportive colleagues were among the factors associated with good EBP utilisation. The healthcare system in general, hospital management specifically, needs to design strategies to improve evidence-based nursing practice in the area.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Evidence-based practice utilisation and its associated factors among nurses working at public hospitals in West Shoa zone, central Ethiopia: a cross-sectional study

et al. 2023

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“…Six studies ( Hadgu et al, 2015 ; Dereje et al, 2019 ; Alemayehu and Jevoor, 2021 ; Aynalem et al, 2021 ; Dagne et al, 2021 ; Megersa et al, 2023 ) revealed that nurses with a strong grasp of EBP were twice as likely to implement it in their setting compared to their counterparts [AOR = 2.29; 95% CI: (1.90, 2.69); I2 = 70.95%]. Similarly, three studies ( Aynalem et al, 2021 ; Dagne et al, 2021 ; Degu et al, 2022 ) were included to evaluate the relationship between attitude and EBP uptake among nurses.…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, four studies ( Tadesse et al, 2018 ; Dereje et al, 2019 ; Dagne et al, 2021 ; Megersa et al, 2023 ) revealed that nurses holding a head nurse position were 3.15 times more likely to implement EBP in their setting compared to ordinary nurses [AOR = 3.15; 95% CI: (1.85, 4.46); I 2 = 87.42%]. Four studies ( Hadgu et al, 2015 ; Alemayehu and Jevoor, 2021 ; Aynalem et al, 2021 ; Dagne et al, 2021 ) suggested that nurses with effective communication skills were nearly five times more likely to implement EBP in their setting compared to their counterparts [AOR = 4.99; 95% CI: (1.47, 8.51); I 2 = 99.86%]. Finally, four included studies ( Alemayehu and Jevoor, 2021 ; Aynalem et al, 2021 ; Dagne et al, 2021 ; Degu et al, 2022 ) suggested that nurses with access to EBP guidelines in their setting were nearly two times more likely to implement EBP compared to their counterparts [AOR = 1.90; 95% CI: (1.55, 2.24); I2 = 57.24%] ( Table 4 ).…”

Section: Resultsmentioning

confidence: 99%

“…The literature highlights that subpar evidence-based practice (EBP) among nurses is linked to several factors, including insufficient nursing skills and knowledge, limited access to information, time constraints during work hours, a scarcity of training and resources, heavy workloads, and a lack of supportive peers. These challenges pose significant obstacles for nurses serving vulnerable populations in low-income countries like Ethiopia ( Hadgu et al, 2015 ; Hoyiso et al, 2018 ; Tadesse et al, 2018 ; Dereje et al, 2019 ; Alemayehu and Jevoor, 2021 ; Alene et al, 2021 ; Assefa and Shewangizaw, 2021 ; Aynalem et al, 2021 ; Dagne et al, 2021 ; Degu et al, 2022 ; Lamesa et al, 2023 ; Megersa et al, 2023 ).…”

Section: Introductionmentioning

confidence: 99%

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Uptake of evidence-based practice and its predictors among nurses in Ethiopia: a systematic review and meta-analysis

Wudu,

Tarekegn,

Wondifraw

et al. 2024

Front. Pharmacol.

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Background: While evidence-based practice has demonstrated its capacity to enhance healthcare quality and bolster clinical outcomes, the translation of research into clinical practice encounters persistent challenges. In Ethiopia, there remains a dearth of comprehensive and nationally representative data concerning the extent of Evidence-based practice adoption among nurses. Thus, this systematic review and meta-analysis endeavors to assess the overall prevalence of Evidence-based practice implementation and delve into its determinants among Ethiopian nurses.Methods: A systematic review and meta-analysis were conducted following the PRISMA guidelines. In order to identify pertinent studies, a search was conducted across PubMed, Scopus, Google Scholar, and EMBASE databases. A weighted inverse variance random-effects model was employed to estimate the pooled prevalence. Cochrane’s Q-test and I2 statistics were calculated to assess heterogeneity among studies. Funnel plots and Egger’s test were utilized to evaluate publication bias. Pooled implementation rates and meta-regression analysis were carried out using STATA 17.Results: Of the total 1,590 retrieved articles, twelve studies including 4,933 nurses were included in the final analysis. The pooled prevalence of Evidence-based practice uptake among nurses in Ethiopia is 53% (95% CI: 46%–60%). Having knowledge about Evidence-based practice (AOR = 2.29; 95% CI: 1.90, 2.69; I2 = 70.95%), holding a favorable attitude towards Evidence-based practice (AOR = 2.56; 95% CI: 1.63, 3.49; I2 = 88.39%), occupying a head nurse position (AOR = 3.15; 95% CI: 1.85, 4.46; I2 = 87.42%), possessing effective communication skills (AOR = 4.99; 95% CI: 1.47, 8.51; I2 = 99.86%), and having access to Evidence-based practice guidelines (AOR = 1.90; 95% CI: 1.55, 2.24; I2 = 57.24%) were identified as predictors of the uptake of Evidence-based practice.Conclusion: Only half of Ethiopia’s nurses exhibit a strong embrace of Evidence-Based Practice within clinical settings, underscoring the urgent necessity for coordinated endeavors to cultivate this essential practice. Possessing knowledge, effective communication skills, access to updated guidelines, maintaining a positive attitude towards Evidence-Based Practice, and holding a position as head nurse emerged as predictors of successful implementation of Evidence-Based Practice. Hence, policymakers must prioritize capacity-building initiatives, disseminate the latest EBP guidelines widely, and strengthen mentorship roles for head nurses.Systematic Review Registration:https://www.crd.york.ac.uk/prospero/#searchadvanced, identifier CRD42023488943

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Determinants of evidence-based practice among health care professionals in Ethiopia: A systematic review and meta-analysis

Zewdie,

Ayele,

Melis

et al. 2023

PLoS ONE

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Introduction Evidence-based practice (EBP) is the art of using up-to-date information for clinical decision-making. Healthcare professionals at all levels are expected to use the latest research evidence for quality care. In Ethiopia inclusive and nationally representative summarized evidence regarding the level of EBP among health professionals is scarce. Therefore, this systematic review and meta-analysis aimed to assess the pooled prevalence of EBP utilization and its determinants among Ethiopian health professionals. Method A systematic review and meta-analysis were conducted using PRISMA guidelines. Comprehensive literature was searched in PubMed, Google Scholar, and African Online Journal databases. A weighted inverse variance random effect model was used to estimate pooled prevalence. Cochrane Q-test and I2 statistics were computed to assess heterogeneity among studies. Funnel plot and Eggers test were done to assess publication bias. Factors associated with EBP were identified using STATA v. 14. Result Overall, 846 articles were retrieved and finally 23 articles were included in this review. The pooled prevalence of good EBP among health professionals was 52.60% (95%CI; 48.15%-57.05%). Knowledge about EBP (AOR = 2.38, 95% CI: (2.08–2.72)), attitude (AOR = 2.09, 95% CI: (1.67–2.60)), educational status (AOR = 3.12, 95% CI: (2.18–4.47)), work experience (AOR = 2.59, 95% CI: (1.48–4.22)), EBP training (AOR = 2.26, 95% CI: (1.87–2.74)), presence of standard guideline (AOR = 1.94, 95% CI: (1.51–2.50)), internet access (AOR = 1.80, 95% CI: (1.47–2.20)), presence of enough time (AOR = 2.01, 95% CI: (1.56–2.60)) and marital status (AOR = 1.73, 95% CI: (1.32–2.28)) were determinants of EBP. Conclusion Around half of health professionals in Ethiopia have good EBP utilization which was low. Knowledge, attitude, educational status, work experience, EBP training, presence of standard guidelines, internet access, presence of enough time, and single marital status were positively associated with EBP. Therefore future interventions should focus on increasing their knowledge and changing their attitude through providing training and addressing organizational barriers like availing standard guidelines, accessing the internet, and minimizing professionals’ workload that enables them to critically appraise and integrate the latest evidence for clinical decision-making to improve the quality of care.

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Utilisation of evidence-based practice and its associated factors among nurses

Cited by 3 publications

References 19 publications

Evidence-based practice utilisation and its associated factors among nurses working at public hospitals in West Shoa zone, central Ethiopia: a cross-sectional study

Evidence-based practice utilisation and its associated factors among nurses working at public hospitals in West Shoa zone, central Ethiopia: a cross-sectional study

Uptake of evidence-based practice and its predictors among nurses in Ethiopia: a systematic review and meta-analysis

Determinants of evidence-based practice among health care professionals in Ethiopia: A systematic review and meta-analysis

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