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Updated: Sep 17, 2025

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
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Implementing Evidence-Based Practice in Critical Care Nursing: An Ethnographic Case Study of Knowledge Use.

Jude Ominyi1, Ukpai Eze2, David Agom3

  • 1School of Nursing, Midwifery & Public Health, University of Suffolk, Ipswich, UK.

Journal of Advanced Nursing
|July 4, 2025
PubMed
Summary

Critical care nurses blend formal evidence with experience to provide care. Effective knowledge application in high-pressure settings requires strong leadership, supportive culture, and valuing nurses’ expertise.

Keywords:
acute carecritical care nursingevidence‐based practiceexperiential knowledgefocused ethnographyknowledge utilisationleadershiporganisational culture

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Area of Science:

  • Nursing Research
  • Critical Care Medicine
  • Evidence-Based Practice

Background:

  • Critical care nursing involves complex knowledge application under pressure.
  • Understanding how nurses access and use knowledge is crucial for improving practice.

Purpose of the Study:

  • To explore how critical care nurses access, negotiate, and apply knowledge.
  • To identify organizational, cultural, and leadership factors influencing evidence-based practice (EBP) implementation.

Main Methods:

  • Focused ethnographic collective case study in two English critical care units.
  • Data collection via non-participant observation, semi-structured interviews, and document review.
  • Analysis guided by Spradley's Developmental Research Sequence over eight months.

Main Results:

  • Key themes: knowledge sources, institutional influences, experiential knowledge, EBP challenges, and integration strategies.
  • Enablers of EBP included leadership, mentorship, and digital resources.
  • Barriers comprised workload, inconsistent guidelines, and hierarchical cultures.

Conclusions:

  • Knowledge use in critical care is a dynamic, relational process.
  • Visible leadership, peer learning, and valuing experiential knowledge are vital for EBP.
  • Strengthening systems and nurse development are key to enhancing evidence-based critical care.