A Study of Medical Surgical Nurses Leaders' Evidence-Based Practice Attributes: Critical Implications for Practice

Area of Science:

• Nursing Science
• Healthcare Leadership
• Evidence-Based Practice

Background:

• Nurse leaders are vital for fostering evidence-based practice (EBP) cultures.
• Limited understanding exists regarding medical-surgical nurse leaders' EBP capabilities.

Purpose of the Study:

• Assess medical-surgical nurse leaders' evidence-based practice (EBP) attributes.
• Identify perceived barriers to EBP implementation.
• Examine demographic and organizational influences on EBP competencies and implementation.

Main Methods:

• Cross-sectional survey design utilizing established instruments.
• Collected data on EBP beliefs, implementation, and competencies.
• Included demographic and work setting variables.

Main Results:

• Senior leaders reported higher EBP attributes than other nursing roles.
• Nurses with Master of Science in Nursing (MSN) or higher degrees demonstrated more frequent EBP implementation.
• EBP competencies, beliefs, Doctor of Nursing Practice (DNP) degree, and specific organizational recognition positively impacted EBP implementation scores (R² = 0.37).

Conclusions:

• Medical-surgical nurse leaders exhibit a spectrum of EBP beliefs, competencies, and encounter various barriers.
• Enhancing EBP integration by leaders in this largest acute care specialty can significantly advance healthcare.
• Targeted strategies addressing leader EBP capacity are crucial for widespread EBP adoption.