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Enhancing Nurse Leaders Evidence-Based Practice Implementation Leadership Competence. A Systematic Review and
Jaakko Varpula1, Riitta Askola1, Desale Tewelde Kahsay1,2
1Department of Nursing Science, University of Turku, Turku, Finland.
Background:
Nurse leaders play a pivotal role in facilitating evidence-based practice (EBP). Gaps persist in their competence and engagement in EBP implementation leadership. Educational interventions targeted at nurse leaders can improve their EBP competencies.
Aim:
To evaluate the effectiveness of educational interventions on nurse leaders' competence in EBP implementation leadership and organizational, staff, and patient-related outcomes.
Methods:
A comprehensive search was conducted across major databases and trial registries in September 2024. Six intervention studies met the inclusion criteria, encompassing various healthcare settings and leadership roles. Data were synthesized narratively and analyzed statistically using meta-analysis.
Results:
Educational interventions significantly improved nurse leaders' implementation leadership (SMD = 0.74), EBP competence (SMD = 1.76), and knowledge (SMD = 1.05). Organizational readiness (SMD = 0.65) and implementation climate (SMD = 1.60) also showed positive effects. The overall certainty of evidence was rated low due to methodological limitations.
Linking Evidence To Action:
Educational interventions targeting nurse leaders are effective in enhancing EBP implementation leadership competencies and fostering supportive organizational environments. Investing in educational programs for nurse leaders may strengthen EBP implementation leadership, implementation climate, and organizational readiness.
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