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What is needed for nurses to work with evidence-based practice? A qualitative study.

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Nurses need more knowledge and accessible evidence to implement evidence-based practice (EBP). Addressing these needs can enhance motivation, personal development, and leadership in improving healthcare delivery through EBP.

Keywords:
Community health servicesevidence-based nursinghealthcarehospitalsleadershipnursesstudents

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Area of Science:

  • Nursing Science
  • Healthcare Quality Improvement
  • Evidence-Based Practice

Background:

  • Healthcare transformation requires adopting evidence-based practice (EBP) principles for high-quality patient care.
  • Nurses often rely on tradition and intuition, hindering the full implementation of EBP.
  • Understanding nurses' needs is crucial for promoting EBP and overcoming existing barriers.

Purpose of the Study:

  • To identify the current needs of hospital, community care, and student nurses regarding the implementation of evidence-based practice (EBP) principles.

Main Methods:

  • A qualitative, exploratory study utilizing focus group discussions with nurses and student nurses.
  • Data collected from 5 focus groups (25 participants) across hospital, community, and educational settings.
  • Analysis involved reflexive thematic analysis, with themes aligned to the TICD checklist domains.

Main Results:

  • Nurses and student nurses find EBP complex, requiring enhanced EBP knowledge and readily available, reliable evidence.
  • Participants desired facilitated access to evidence, opportunities for peer collaboration, and dedicated time for EBP activities.
  • Meeting these needs can boost EBP engagement, support professional growth, and empower nurses in leadership roles.

Conclusions:

  • Nurses face challenges in applying EBP and require support for successful implementation.
  • Key needs include increased EBP knowledge, access to tailored, ready-to-use information, role models, autonomy, incentives, time, and EBP integration into daily practice.