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Integrating Insights: A Mixed-Methods Approach to Nurses' Competencies in Evidence-Based Practice and Clinical
Seda Sarıköse1,2, Fatma Sevim1, Şebnem Alık1
1Department of Nursing, Koç University School of Nursing, Istanbul, Türkiye.
Nursing Open
|April 10, 2026
Summary
Higher education and research involvement enhance nurses' Evidence-Based Practice (EBP) competencies and clinical decision-making (CDM). Targeted strategies are crucial for improving EBP and CDM in nursing practice.
Area of Science:
- Nursing Science
- Healthcare Management
- Clinical Practice
Background:
- Nurses' Evidence-Based Practice (EBP) competencies and Clinical Decision-Making (CDM) are crucial for quality patient care.
- Identifying factors influencing these skills is essential for targeted professional development.
Purpose of the Study:
- To identify factors influencing nurses' Evidence-Based Practice (EBP) competencies.
- To determine factors influencing nurses' Clinical Decision-Making (CDM) levels.
Main Methods:
- A convergent parallel mixed-methods study involving 387 nurses for quantitative data and 20 nurses for qualitative data.
- Quantitative data analyzed using descriptive statistics, ANOVA, and multiple linear regression.
- Qualitative data analyzed using thematic content analysis.
Main Results:
- Higher education, research involvement, and following scientific publications positively influenced EBP competencies.
- Inpatient unit work and clinical nursing roles negatively impacted EBP and CDM.
- A significant positive correlation was found between EBP competence and CDM skills.
Conclusions:
- Strengthening nurses' EBP competencies and CDM requires education, organizational resources, and supportive policies.
- Addressing barriers and fostering continuous learning enhances patient care and outcomes.
- Findings provide a benchmark for policymakers, educators, and administrators to support EBP worldwide.
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