Comparing Evidence-Based Practice Competencies, Adoption, Barriers, and Predictors Among Nurses and Other Healthcare...

Area of Science:

• Healthcare professional development
• Evidence-based practice implementation
• Health systems research

Background:

• Limited understanding of evidence-based practice (EBP) adoption among diverse healthcare professionals (HCPs) in the Eastern Mediterranean Region (EMR).
• Need for direct comparison of EBP adoption between nurses and other HCPs in the EMR.

Purpose of the Study:

• Evaluate EBP competencies, adoption levels, barriers, and predictors among nurses and other HCPs in the EMR.
• Compare EBP adoption and related factors between nurses and other HCPs.

Main Methods:

• Cross-sectional, correlational, and comparative study design.
• Electronic survey distributed to nurses, physicians, physiotherapists, dentists, and pharmacists in the EMR (April-August 2023).
• Multivariate regression and structural equation modeling (SEM) to identify predictors of EBP adoption.

Main Results:

• 4673 HCPs participated; common barriers included time constraints, statistical interpretation difficulties, and lack of authority.
• Nurses reported higher barriers, lower EBP scores, and less research engagement than other HCPs, despite more workplace EBP support.
• SEM indicated EBP adoption propensity and fear of change mediate the relationship between HCP characteristics and EBP scores.

Conclusions:

• Nurses in the EMR exhibit a positive EBP attitude but require enhanced knowledge, support, and targeted interventions to overcome barriers.
• Healthcare leaders and policymakers must prioritize role-specific training and supportive environments for equitable EBP implementation.
• Addressing identified barriers is essential for improving EBP adoption and ultimately enhancing patient outcomes across the EMR.