Nwe Hla Myo, Akkadechanunt Thitinut, Abhicharttibutra Kulwadee, Sripusanapan Acharaporn
University of Nursing, Mandalay, Myanmar.
Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.
J Clin Nurs. 2025 Mar;34(3):894-905. doi: 10.1111/jocn.17083. Epub 2024 Mar 3.
To investigate evidence-based practices and examine the influence of individual and social system factors on evidence-based practices among nurses in general hospitals.
Evidence-based practice is essential for improving healthcare quality. However, a challenge for nursing worldwide is nurses' limited use of evidence-based practices. It is crucial to determine the individual and social system factors affecting nurses' use of evidence-based practices.
This study employs a multi-institutional cross-sectional design.
With a multistage random sampling method, 336 registered nurses were recruited from 17 general hospitals in the Republic of the Union of Myanmar. Data were collected through a seven-part questionnaire, including the Evidence-Based Practice Implementation Scale and individual and social system factors. Data were analyzed using descriptive statistics and multiple linear regression.
Nurses in general hospitals perceived low levels of evidence-based practices. Individual factors, such as perceived barriers (p < .001), knowledge (p < .001) and attitudes (p = .001), were related to EBP as well as social system factors, including the work environment (p < .001) which influence nurses' practice, explaining 34% variance among nurses.
Nurses perceived the work environment as the most influencing factor related to evidence-based practices. Individual characteristics, including perceived knowledge, attitudes and barriers, were critical factors in performing evidence-based practices in Myanmar.
Nurse administrators and policymakers can develop strategies and interventions for improving knowledge, attitudes and work environment towards evidence-based practice. Minimizing the barriers to evidence-based practice will promote evidence-based practices in Myanmar general hospitals.
In addressing the individual and social system factors influencing the evidence-based practices of nurses, this study contributes to enhancing healthcare quality and outcomes.
This study adhered to the STROBE checklist.
There was no patient or public contribution.
调查循证实践情况，并研究个体因素和社会系统因素对综合医院护士循证实践的影响。
循证实践对于提高医疗质量至关重要。然而，全球护理面临的一个挑战是护士对循证实践的应用有限。确定影响护士循证实践应用的个体因素和社会系统因素至关重要。
本研究采用多机构横断面设计。
采用多阶段随机抽样方法，从缅甸联邦共和国的17家综合医院招募了336名注册护士。通过一份包含七个部分的问卷收集数据，包括循证实践实施量表以及个体和社会系统因素。使用描述性统计和多元线性回归分析数据。
综合医院的护士对循证实践的认知水平较低。个体因素，如感知到的障碍（p <.001）、知识（p <.001）和态度（p =.001），与循证实践相关，社会系统因素，包括影响护士实践的工作环境（p <.001），解释了护士之间34%的差异。
护士认为工作环境是与循证实践相关的最具影响力的因素。在缅甸，个体特征，包括感知到的知识、态度和障碍，是实施循证实践的关键因素。
护士管理者和政策制定者可以制定策略和干预措施，以改善对循证实践的知识、态度和工作环境。最大限度地减少循证实践的障碍将促进缅甸综合医院的循证实践。
在解决影响护士循证实践的个体和社会系统因素方面，本研究有助于提高医疗质量和改善医疗结果。
本研究遵循STROBE清单。
无患者或公众参与。
