Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Worldviews Evid Based Nurs. 2024 Oct;21(5):542-553. doi: 10.1111/wvn.12734. Epub 2024 Jun 9.
Over the past three decades, research studies on nurses' engagement in evidence-based practice (EBP) have been widely reported, particularly in high-income countries, with studies from these countries dominating literature reviews. As low- and middle-income countries (LMICs) continue to join the EBP movement, primary research has emerged over the past decade about nurses' engagement with EBP.
The aim of this scoping review was to identify the types and extent of published research regarding nurses' knowledge, skills, attitudes, beliefs, and implementation of EBP in LMICs.
The JBI scoping review methodology was used. Eight databases were searched up to November 2023. The review included primary studies (quantitative, qualitative, and mixed methods) that reported the knowledge, skills, attitudes, beliefs, or implementation of EBP among nurses in LMICs. Included studies focused on registered nurses in all healthcare settings within LMICs. Studies published in English were included with no limit on publication date. Two independent reviewers screened titles, abstracts, and full-text articles of published studies. Data were analyzed quantitatively using frequencies and counts. Textual data from qualitative studies were analyzed using descriptive content analysis.
Fifty-three publications were included, involving 20 LMICs. Studies were published between 2007 and 2023, with over 60% published in the past 7 years. Studies that evaluated familiarity/awareness of EBP showed that in general, nurses had low familiarity with or awareness of EBP. Most studies (60%) described nurses' attitudes toward EBP as positive, favorable, or high, and 31% as moderate. However, over 60% of studies described nurses' EBP knowledge/skills as moderate, low, or insufficient. Approximately 84% of studies described EBP implementation in healthcare settings as moderate, low, poor, or suboptimal.
Studies on nursing EBP have been increasing in LMICs for the past two decades, with findings highlighting opportunities for advancing EBP in nursing within LMICs. Health systems and healthcare organization leaders in LMICs should equip nurses with EBP knowledge and skills while providing the needed resources and support to ensure consistent implementation of EBP to improve health outcomes.
在过去的三十年中，关于护士参与循证实践（EBP）的研究报告广泛，尤其是在高收入国家，这些国家的研究在文献综述中占主导地位。随着中低收入国家（LMICs）继续加入 EBP 运动，过去十年中出现了关于护士参与 EBP 的初步研究。
本范围综述的目的是确定在 LMICs 中关于护士 EBP 知识、技能、态度、信念和实施情况的已发表研究的类型和程度。
采用 JBI 范围综述方法。截至 2023 年 11 月，对 8 个数据库进行了搜索。综述包括报告 LMICs 中护士 EBP 知识、技能、态度、信念或实施情况的原始研究（定量、定性和混合方法）。纳入的研究关注所有医疗保健环境中的注册护士。纳入的研究为英文发表，无发表日期限制。两名独立评审员筛选已发表研究的标题、摘要和全文文章。使用频率和计数对数据进行定量分析。对定性研究的文本数据进行描述性内容分析。
纳入了 53 篇出版物，涉及 20 个 LMICs。研究发表于 2007 年至 2023 年之间，超过 60%的研究发表于过去 7 年。评估 EBP 熟悉度/意识的研究表明，一般来说，护士对 EBP 的熟悉度或意识较低。大多数研究（60%）描述护士对 EBP 的态度为积极、有利或高，31%为中等。然而，超过 60%的研究描述护士的 EBP 知识/技能为中等、低或不足。大约 84%的研究描述了医疗保健环境中的 EBP 实施情况为中等、低、差或不理想。
在过去的二十年中，关于 LMICs 中护理 EBP 的研究一直在增加，研究结果强调了在 LMICs 中推进护理 EBP 的机会。LMICs 的卫生系统和医疗保健组织领导者应使护士具备 EBP 知识和技能，同时提供必要的资源和支持，以确保 EBP 的持续实施，从而改善健康结果。
