Related Experiment Video
Updated: May 23, 2026
Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
Published on: December 9, 2022
Network analysis of perceived barriers to evidence-based practice teaching among nursing clinical mentors: A
Yating Lu1, Junwen Yu2, Fen Zhou3
1School of Nursing, Beijing University of Chinese Medicine, Beijing, 100029, China.
Background:
Nursing clinical mentors play a crucial role in developing evidence-based practice (EBP) competencies among nursing students. However, the implementation of EBP teaching remains challenging.
Aim:
To identify and compare core barriers to EBP teaching among nursing clinical mentors using network analysis.
Design:
Cross-sectional study.
Setting(S):
Four university-affiliated tertiary hospitals in China.
Participants:
A total of 715 nursing clinical mentors participated in the survey.
Methods:
A 28-item EBP teaching barriers scale was used to assess perceived barriers. Network analysis was conducted to identify central and bridge nodes. Subgroup comparisons were performed across diffusion stages.
Results:
Perceived barrier levels were moderate to high, with scores declining as participants advanced through diffusion stages. The three most severe barriers were lack of expert nursing discussion (A2), lack of time for new ideas at work (O2), and lack of time to read research (O1). Network analysis identified the strongest edge between lack of support from non-physician staff (O7), and administrative restrictions (O8) (edge weight = 0.790). Notably, centrality analysis revealed a clear discrepancy: barriers perceived as most severe (A2, O2, O1) were not the most central. Instead, O7, O8, and lack of practical validation (I6) emerged as the most central nodes (strength = 14.377, 14.348, and 14.260, respectively). I6 also served as a key bridge node. Although the overall network structures showed no statistically significant differences across stages (Stage 1 versus Stage 2: p = 0.406; total sample versus Stage 1: p = 1.000; total sample versus Stage 2: p = 0.535), distinct patterns of central and bridging nodes emerged.
Conclusions:
This network analysis reveals an interconnected barrier system where organizational and evidence-translation challenges are central, while traditional high severity barriers like time constraints are less influential. The observed mismatch between perceived severity and network centrality suggests the potential value of more targeted strategies. Network-informed interventions focusing on central barriers and tailored to diffusion stages may enhance the implementation of EBP teaching among nursing clinical mentors.
Related Concept Videos
01:18The Scientific Method in Nursing Process
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 safely...
01:30Current Trends in Nursing II
01:21Barriers to Effective Communication II
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...
01:30National Nursing Organizations II
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...
01:30Theoretical Foundations of Nursing Practice
Theories provide a perspective to assess patients' conditions and organize data and methods. They also assist in analyzing and interpreting information. They represent a...