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Predicting research use in nursing organizations: a multilevel analysis.

Carole A Estabrooks¹, William K Midodzi, Greta G Cummings

¹Faculty Nursing, University of Alberta, Edmonton, Canada. carole.estabrooks@ualberta.ca

Nursing Research

|August 11, 2007

Summary

Individual nurse characteristics are the primary drivers of research utilization, with organizational factors playing a smaller role. Understanding these individual and contextual influences is key to improving evidence-based practice in nursing.

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Area of Science:

Nursing Research
Health Services Research
Organizational Behavior

Background:

Limited empirical evidence exists on how organizational context influences research utilization among nurses.
The interaction between individual and contextual factors in research utilization remains underexplored.

Purpose of the Study:

To identify independent predictors of research utilization in nurses.
To examine influences at individual, specialty, and hospital levels.

Main Methods:

Multilevel modeling analysis of cross-sectional survey data from 4,421 registered nurses in Alberta, Canada.
Quantified variance in research utilization attributable to individual, specialty, and hospital levels.

Main Results:

Individual nurse factors (Internet use, emotional exhaustion) were significant predictors.
Specialty-level factors (facilitation, collaboration, context, policy control) and hospital size also predicted research utilization.
Individual characteristics accounted for 87% of the variance in research utilization.

Conclusions:

Research utilization is predominantly driven by individual nurse characteristics.
Specialty and organizational factors, while less impactful, are significant predictors.
Future research should explore multi-level influences on research utilization, considering methodological complexities.