Related Experiment Video
Updated: Jan 12, 2026
10:07
Using Learning Outcome Measures to assess Doctoral Nursing Education
Published on: June 21, 2010
19.3K
The Association Between Nursing Work Environment and Evidence-Based Practice.
Alberto Lana1,2,3, Lucía Fernández-Arce1,2,3, María González-García2,4
1Department of Preventive Medicine and Public Health, School of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain.
Worldviews on Evidence-Based Nursing
|November 8, 2025
Summary
A positive nursing work environment is linked to better evidence-based practice (EBP) adoption and higher quality of care. Investing in adequate staffing and nursing foundations promotes EBP and improves patient outcomes.
Area of Science:
- Nursing Research
- Healthcare Management
- Evidence-Based Practice
Background:
- Evidence-based practice (EBP) is crucial for enhancing healthcare quality and patient outcomes.
- The nursing work environment significantly influences the adoption and effectiveness of EBP.
- Understanding the association between work environment and EBP elements is vital for healthcare improvement.
Purpose of the Study:
- To analyze the relationship between the nursing work environment and key elements of EBP.
- To investigate how factors like attitude, training, and implementation of EBP are affected by the work environment.
- To determine the impact of the nursing work environment on the overall quality of care provided.
Main Methods:
- A multicenter, cross-sectional study involving 1022 registered nurses in northern Spain.
- Utilized the Practice Environment Scale of the Nursing Work Index (PES-NWI) to assess the nursing work environment.
- Employed the Health Sciences Evidence-Based Practice (HS-EBP) questionnaire and self-reported measures for EBP attitudes, training, implementation, and quality of care.
- Logistic regression analysis was used to calculate odds ratios (OR) and 95% confidence intervals, adjusted for covariates.
Main Results:
- Nurses in favorable work environments reported significantly more positive attitudes toward EBP (OR=2.89) compared to those in unfavorable environments.
- Favorable environments were associated with higher EBP implementation (OR=2.30) and better quality of care (OR=2.35).
- Overall EBP engagement was strongly linked to favorable work environments (OR=3.47), with adequate staffing and strong nursing foundations being key factors.
Conclusions:
- A supportive nursing work environment is a strong predictor of positive EBP attitudes, successful EBP implementation, and high-quality patient care.
- Healthcare and academic institutions must collaborate to foster healthy work environments.
- Prioritizing adequate staffing and grounding care in nursing theory are essential strategies for promoting EBP.
Related Concept Videos
01:30Current Trends in Nursing II
3.3K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
3.3K
01:29Nursing Code of Ethics
4.0K
The Nursing Code of Ethics sets the ethical benchmark for the profession, and guides nurses in ethical analysis and decision making at the societal, organizational, and clinical levels. The code encompasses showing compassion and respect for the patient, their families, and communities in all circumstances while committing to providing patient-centered care. In addition, the code states that nurses must advocate for the patient by defending a cause or recommendation to protect their rights,...
4.0K
01:30Theoretical Foundations of Nursing Practice
16.5K
Theories play an essential role in organizing patient care. Theories refer to a proposed or followed belief, policy, or procedure that is the basis for action. Nursing theories are knowledge-based concepts that guide nurses' actions, influence nursing education and practice, and allow nurses to care for their patients.
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...
16.5K
01:16Nurses' Legal Responsibilities III
1.2K
Nurse-to-nurse relationships are legally required to adhere to professional standards, ensuring a respectful and positive working environment. Professional conduct demands that nurses treat all colleagues respectfully and courteously, fostering a productive, supportive workplace. Nurses must actively eliminate bullying, discrimination, and harassment to maintain a safe and inclusive environment.
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
Cultivating a culture of collaboration and mutual respect among nurses transcends mere enhancement...
1.2K
01:18The Scientific Method in Nursing Process
15.4K
The scientific method provides the foundation for any research. It is the most reliable and objective of all forms of gaining knowledge and guides in applying research-based evidence in practice and conducting future research.
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
When using research findings to change practice, one must understand the process used to guide a study. The scientific method is a systematic, step-by-step process that supports the data's validity, reliability, and generalizability. As a result, findings can be...
15.4K
01:30National Nursing Organizations II
1.9K
Nursing organizations play a vital role in representing nurses working in specialized clinical settings, such as the American Association of Critical-Care Nurses (AACN).
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
The AACN emphasizes a healthy work environment through six standards to achieve an optimal patient outcome. The standards are appropriate staffing, meaningful recognition, collaboration, authentic leadership, effective communication, and decision-making. In addition, AACN provides certification programs, webinars, journals, and...
1.9K