Al-Moteri Modi
Author Affiliations: Medical Surgical Nursing Department, College of Nursing, Taif University, Al-Taif, Western Region, Saudi Arabia.
J Nurs Care Qual. 2025 May 12. doi: 10.1097/NCQ.0000000000000871.
Sustaining evidence-based practice (EBP) in nursing faces systemic and workforce barriers. Implementation science (IS) offers structured approaches to support EBP integration. Under Saudi Arabia's Vision 2030, scalable nurse-led models are critical to bridging the research-to-practice gap.
To evaluate the Evidence-Based Quality Improvement Project (EQUIP), a nurse-led model grounded in IS, by assessing its implementation through frontline implementation lead (IL) nurses.
A mixed-methods formative evaluation was conducted across multiple healthcare facilities. Two IL nurse-led quality improvement (QI) projects were used as illustrative examples. Data sources included QI documentation, clinical metrics, and researcher field notes.
EQUIP enabled IL nurses to apply EBP in routine care and proved adaptable across diverse settings. However, inconsistent engagement and competing workload demands were the most influential barriers, underscoring the need for structured support.
EQUIP presents a scalable IS-based initiative to embed EBP in nursing. Institutional support is essential for sustained implementation.
在护理领域维持循证实践（EBP）面临着系统性和劳动力方面的障碍。实施科学（IS）提供了支持EBP整合的结构化方法。根据沙特阿拉伯的《2030年愿景》，可扩展的护士主导模式对于弥合研究与实践之间的差距至关重要。
通过评估一线实施牵头（IL）护士对基于IS的护士主导模式——循证质量改进项目（EQUIP）的实施情况，来对其进行评价。
在多个医疗机构开展了一项混合方法的形成性评价。以两个由IL护士主导的质量改进（QI）项目作为示例。数据来源包括QI文档、临床指标和研究人员的现场记录。
EQUIP使IL护士能够在常规护理中应用EBP，并证明该模式在不同环境中具有适应性。然而，参与度不一致和工作量需求相互竞争是最具影响力的障碍，这突出表明需要结构化支持。
EQUIP提出了一项基于IS的可扩展倡议，以将EBP融入护理工作。机构支持对于持续实施至关重要。
