Perceptions of Factors Associated With Sustainability of Evidence-Based Nursing Practice: A Sequential Mixed Methods...

Area of Science:

• Nursing Science
• Healthcare Management
• Implementation Science

Background:

• Evidence-based nursing practice (EBNP) is vital for enhancing nursing services and patient outcomes.
• Understanding the determinants for sustained EBNP implementation remains limited.

Purpose of the Study:

• To explore Chinese nurses' perspectives on barriers and facilitators to the sustainability of EBNP.
• To identify factors influencing the long-term integration of EBNP in clinical settings.

Main Methods:

• Cross-sectional survey and semistructured interviews with Chinese nurses involved in evidence-based practice (EBP).
• Content analysis of qualitative data and descriptive statistics to evaluate barriers and facilitators across seven stages of EBNP routine application.
• Utilized the Consolidated Framework for Implementation Research (CFIR) to categorize identified constructs.

Main Results:

• 319 nurses completed the survey, and 15 participated in interviews.
• Participants identified 3 barriers, 7 facilitators, and 21 constructs that were both barriers and facilitators to EBNP sustainability.
• Key facilitators included patient/professional benefits, IT infrastructure, leadership commitment, and training. Major barriers were heavy workload, staffing shortages, limited leadership support, and low nurse enthusiasm, persisting even after 5 years of EBNP sustainment.

Conclusions:

• Findings provide insights into factors promoting EBP sustainability from nurses' viewpoints.
• Dynamically identifying barriers is essential for developing effective strategies to promote EBNP sustainability in China.