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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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[Structural Model of Evidence-Based Practice Implementation among Clinical Nurses].

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PubMed
Summary

Strengthening clinical nurses' knowledge, beliefs, and organizational culture is key for evidence-based practice (EBP) implementation. Individual attitudes and organizational innovativeness had less impact, with some negative effects observed.

Keywords:
Evidence-Based PracticeNursesOrganizations

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Area of Science:

  • Nursing Research
  • Healthcare Management
  • Organizational Behavior

Background:

  • Evidence-based practice (EBP) is crucial for quality patient care.
  • Understanding factors influencing EBP implementation among clinical nurses is essential.
  • Existing models provide a framework, but require testing in diverse healthcare settings.

Purpose of the Study:

  • To develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses.
  • To identify key individual and organizational factors influencing EBP adoption in tertiary hospitals.
  • To refine theoretical frameworks for EBP integration in clinical practice.

Main Methods:

  • A cross-sectional study involving 410 clinical nurses from ten tertiary hospitals in Korea.
  • Data collection via a structured self-report questionnaire assessing EBP knowledge, beliefs, attitudes, organizational culture, learning organization dimensions, and innovativeness.
  • Statistical analysis using SPSS and AMOS to test the proposed structural model.

Main Results:

  • The structural model demonstrated a good fit with the data.
  • Clinical nurses' EBP knowledge/skills, beliefs, and organizational culture/readiness positively and significantly impacted EBP implementation.
  • Organizational innovativeness and learning organization dimensions showed a significant negative effect on EBP implementation.

Conclusions:

  • Enhancing individual nurses' EBP knowledge and beliefs is vital for successful implementation.
  • Fostering a supportive organizational culture for EBP is a critical factor.
  • Interventions should focus on strengthening individual capabilities and organizational readiness, while carefully managing potential negative impacts of perceived innovativeness.