Kassie Mekuanint, Tadele Achamyelesh, Beza Lemlem, Adal Ousman, Azazh Aklilu
Federal Prison General Hospital, Addis Ababa City, Ethiopia.
College of Health Science, Department of Emergency and Critical, Addis Ababa University, Addis Ababa City, Ethiopia.
BMC Health Serv Res. 2025 May 1;25(1):628. doi: 10.1186/s12913-025-12810-w.
Evidence-based practice use refers to the integration of current, reliable, and relevant evidence into healthcare decision-making. This includes findings from studies, professional experiences, and updated guidelines aimed at minimizing biases and enhancing clinical decisions based on comprehensive research.
This study aimed to evaluate the use of evidence-based practices and identify associated factors among nurses working in the emergency departments of selected public hospitals in Addis Ababa, Ethiopia, in 2024.
This institution-based cross-sectional study assessed evidence-based practice use among emergency department nurses. A lottery method of simple random sampling was used to select 233 participants from 542 nurses registered in the nurse manager office. Only 233 nurses were invited to participate in the study, and only 225 responded, resulting in a non-response rate of 3.4% (equivalent to 8 nurses). Data were collected using a self-administered questionnaire that was adapted and modified, comprising six sections with 59 items. Binary logistic regression was used to explore the associations between dependent and independent variables. Variables with a P value of less than 0.05 were deemed significantly associated with the utilization of evidence-based practices.
Among the 225 nurses who participated in the study, 101 nurses (44.9%, 95% CI: 39.0-52.0%) demonstrated good use of evidence-based practice. The analysis revealed several factors associated with the use of evidence-based practice. Female nurses had an adjusted odds ratio (AOR) of 1.4 (95% CI: 1.201-3.923) for evidence-based practice use compared with male nurses. Nurses with a Master's degree (AOR = 6.786, 95% CI: 1.141-40.352) and coordinator nurses (AOR = 13.191, 95% CI: 1.843-94.414) were also more likely to utilize evidence-based practices than staff nurses. Additionally, nurses with good knowledge of evidence-based practices had an AOR of 3.801 (95% CI: 1.700-8.498), and those who believed that relevant literature was unavailable had an AOR of 3.316 (95% CI: 1.334-8.246).
This study identified important factors affecting the use of evidence-based practice among nurses. Female nurses, those with advanced degrees, and nurse coordinators are more likely to engage in this practice. Good knowledge of evidence-based methods enhances their utilization, whereas beliefs about limited access to relevant literature can hinder such utilization. These findings suggest that improving education and access to research resources could boost patient care outcomes. Additionally, nursing leaders and administrators can help overcome barriers by providing training, allowing time off for EBP activities, and adjusting work schedules accordingly.
循证实践应用是指将当前、可靠且相关的证据整合到医疗决策中。这包括研究结果、专业经验以及旨在减少偏差并基于全面研究加强临床决策的更新指南。
本研究旨在评估2024年埃塞俄比亚亚的斯亚贝巴选定公立医院急诊科护士的循证实践应用情况，并确定相关因素。
本基于机构的横断面研究评估了急诊科护士的循证实践应用情况。采用简单随机抽样的抽签法从护士经理办公室登记的542名护士中选取233名参与者。仅邀请233名护士参与研究，仅有225名做出回应，未回应率为3.4%（相当于8名护士）。使用经过改编和修改的自填式问卷收集数据，问卷包括六个部分，共59个项目。采用二元逻辑回归探讨自变量与因变量之间的关联。P值小于0.05的变量被认为与循证实践的应用显著相关。
在参与研究的225名护士中，101名护士（44.9%，9
5%置信区间：39.0 - 52.0%）表现出良好的循证实践应用。分析揭示了与循证实践应用相关的几个因素。与男护士相比，女护士循证实践应用的调整优势比（AOR）为1.4（95%置信区间：1.201 - 3.923）。拥有硕士学位的护士（AOR = 6.786，95%置信区间：1.141 - 40.352）和协调员护士（AOR = 13.191，95%置信区间：1.843 - 94.414）比普通护士更有可能应用循证实践。此外，对循证实践有良好了解的护士AOR为3.801（95%置信区间：1.700 - 8.498），而那些认为无法获取相关文献的护士AOR为3.316（95%置信区间：1.334 - 8.246）。
本研究确定了影响护士循证实践应用的重要因素。女护士、高学历护士和护士协调员更有可能参与这种实践。对循证方法的良好了解会提高其应用，而对获取相关文献有限的看法会阻碍这种应用。这些发现表明，改善教育和研究资源获取可以提高患者护理结果。此外，护理领导和管理人员可以通过提供培训、允许有时间进行循证实践活动以及相应调整工作时间表来帮助克服障碍。
