Evidence-based nursing implementation in Mainland China: A scoping review

Area of Science:

• Nursing Science
• Healthcare Implementation Research

Background:

• Transitional economies face unique challenges in adopting evidence-based practices.
• Effective implementation of evidence-based nursing (EBN) is critical for improving healthcare quality.

Purpose of the Study:

• To assess the current state of EBN implementation studies in China.
• To identify research gaps and future directions for EBN in Chinese nursing.

Main Methods:

• A comprehensive scoping review of EBN implementation studies in Mainland China.
• Systematic literature search across eight databases (four Chinese, four English).
• Data extraction and analysis of included studies.

Main Results:

• Ninety-five articles were included, showing an increasing trend in publications.
• Most studies were quantitative, focusing on patient outcomes, with limited use of theoretical frameworks.
• Organizational-level factors were frequently cited as strategies and barriers to EBN implementation.

Conclusions:

• Urgent need for Chinese EBN resources and clinical managerial support.
• Enhanced collaboration between academic and clinical institutions is essential.
• Call for more robust implementation science research within the Chinese nursing context.