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Evaluating Evidence-Based Practice and Quality Improvement Initiatives in the Nursing Literature Using a Critical
Julee Briscoe Waldrop1,2, Staci Reynolds2, Jayne Jennings Dunlap3
1The University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina, USA.
Summary
Nursing journals show varied reporting of evidence-based practice (EBP) and quality improvement (QI) initiatives. Standardized reporting using the EBPQI tool is needed for better transparency and practice translation.
Area of Science:
- Nursing Research
- Evidence-Based Practice
- Quality Improvement
Background:
- Reporting quality of evidence-based practice (EBP) and quality improvement (QI) in nursing journals is inconsistent, impeding clinical application.
- A new critical appraisal tool for EBP and QI (EBPQI) is now available.
Purpose of the Study:
- To assess the reporting quality of EBP and QI articles in nursing journals using the EBPQI critical appraisal tool.
- To identify variations in journal guidance and reporting practices for EBP/QI initiatives.
Main Methods:
- A descriptive, cross-sectional study analyzed full-length articles from 28 nursing journals published between January and June 2025.
- Two authors scored selected articles using the open-access EBPQI critical appraisal tool.
Main Results:
- Out of 949 articles, only 30 (3.2%) were identified as EBP or QI reports, published in 10 (33%) journals.
- Only 6 (20%) of these EBP/QI articles utilized appropriate methods and were appraised with the EBPQI tool.
- Appraised EBP and QI reports demonstrated variability in meeting EBPQI criteria.
Conclusions:
- Significant variation exists in how nursing journals guide and publish EBP/QI initiatives.
- Consistent application of EBPQI criteria is crucial for enhancing transparency, transferability, and translation of EBP/QI into practice.
- Standardized reporting aligned with recognized guidelines is recommended for effective clinical application.
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