College of Nursing, King Saud University, Riyadh, Saudi Arabia.
School of Nursing, College of Health and Human Services, George Mason University, Fairfax, VA, USA.
J Clin Nurs. 2020 Jan;29(1-2):274-283. doi: 10.1111/jocn.15097. Epub 2019 Nov 26.
To examine the influence of staff nurses' individual factors on knowledge, attitudes and implementation of evidence-based practice in Saudi Arabia and to identify facilitators and barriers to evidence-based practice implementation.
Evidence-based practice has been considered as a key for healthcare quality measure. The literature, however, shows that nurses worldwide are not implementing evidence-based practice as expected and recommended by governing agencies. In Saudi Arabia, evidence-based practice implementation has not been addressed sufficiently.
A cross-sectional, correlational design was used. We have complied with the guidelines of STROBE Checklist in presenting this research. A convenience sample of staff nurses (n = 227) was selected from four hospitals in Riyadh, Saudi Arabia. The survey questions included the Evidence-based Practice Questionnaire and individual factors. Data were analysed using multiple linear regression models.
Attitudes towards evidence-based practice had the highest mean followed by evidence-based practice knowledge and implementation means. Evidence-based practice training and research involvement were associated with knowledge in the bivariate and multivariate analyses. None of the individual factors were associated with attitudes. However, knowledge was associated with attitudes. Knowledge and attitudes influenced evidence-based practice implementation positively. Unexpectedly, receiving evidence-based practice training made it more difficult for nurses to participate in evidence-based practice implementation process. We found that attitudes partially mediated the relationship between knowledge and evidence-based practice implementation.
Nurses in Saudi Arabia are willing to be involved in the evidence-based practice process. However, nurses identified that they need to improve their knowledge and skills in order to be active participants in the process.
Organisations and nursing leadership may benefit from developing a comprehensive strategy to promote staff nurses' involvement in the evidence-based practice process through providing continuing education and mentoring programmes about evidence-based practice.
考察沙特阿拉伯的护士个体因素对循证实践知识、态度和实施的影响，并确定实施循证实践的促进因素和障碍。
循证实践已被认为是医疗质量衡量的关键。然而，文献表明，世界各地的护士并没有按照管理机构的建议和要求实施循证实践。在沙特阿拉伯，循证实践的实施尚未得到充分解决。
采用横断面相关性设计。我们在呈现这项研究时，遵循了 STROBE 清单的指南。从沙特阿拉伯利雅得的四家医院中，随机选择了 227 名在职护士作为便利样本。调查问题包括循证实践问卷和个体因素。使用多元线性回归模型分析数据。
循证实践态度的平均值最高，其次是循证实践知识和实施手段。循证实践培训和研究参与与双变量和多变量分析中的知识相关。个体因素均与态度无关。然而，知识与态度有关。知识和态度积极影响循证实践的实施。出乎意料的是，接受循证实践培训使护士更难参与循证实践实施过程。我们发现，态度部分中介了知识与循证实践实施之间的关系。
沙特阿拉伯的护士愿意参与循证实践过程。然而，护士认为他们需要提高知识和技能，以便积极参与该过程。
组织和护理领导层可以通过提供有关循证实践的继续教育和指导计划，受益于制定一项全面的战略，以促进护士参与循证实践过程。
