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Latent Profile Analysis and Influencing Factors of Clinical Nurses' Evidence-Based Practice Implementation: A
Yilin Chen1, Jie Wang1, Yi Zhang1
1Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China, zju.edu.cn.
Journal of Nursing Management
|June 26, 2026
Summary
Chinese clinical nurses show positive engagement in evidence-based practices (EBPs). Key factors influencing EBP implementation include beliefs, organizational culture, and readiness for practice change.
Area of Science:
- Nursing Research
- Healthcare Quality Improvement
- Evidence-Based Practice
Background:
- Clinical nurses' adoption of evidence-based practices (EBPs) is crucial for patient outcomes.
- Understanding the profiles and influencing factors of EBP implementation is essential for targeted interventions.
Purpose of the Study:
- To identify distinct profiles of EBP implementation among Chinese clinical nurses.
- To explore factors influencing these EBP implementation profiles.
- To inform strategies for enhancing nurses' EBP competence.
Main Methods:
- A cross-sectional survey of 289 clinical nurses across 24 Chinese provinces.
- Utilized latent profile analysis to identify EBP implementation profiles.
- Employed multivariate logistic regression to determine influencing factors.
Main Results:
- Three EBP implementation profiles were identified: low (15%), moderate (27%), and high (58%) participation.
- EBP beliefs, organizational culture, and readiness significantly influenced profile membership.
- Nurses generally demonstrated positive engagement in EBP.
Conclusions:
- Chinese clinical nurses exhibit a generally positive stance towards EBP implementation.
- Fostering strong EBP beliefs and a supportive organizational culture are critical for successful EBP.
- Interventions should focus on enhancing individual beliefs and the practice environment for sustainable EBP.
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