Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China

Boka Dugassa Tolera; Feng Hui

doi:doi:10.11648/j.ajns.20170602.14

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Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China

Boka Dugassa Tolera, Feng Hui

Published in American Journal of Nursing Science (Volume 6, Issue 2)

Received: 5 January 2017 Accepted: 16 January 2017 Published: 20 February 2017

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Abstract

Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses’ attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which evidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The aim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses working at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess nurses’ attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in filling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version 20. The cut point for level of statistical significance was set at P < 0.05 and all tests were 2-sided. Result: Overall, registered nurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD = 0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to support daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more human and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD = 0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational support were needed to improve this gap through providing training, creating awareness, and enhancing nurses’ abilities for utilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to identify the influence of individual and organizational factors on implementation of evidence based nursing practice.

Published in	American Journal of Nursing Science (Volume 6, Issue 2)
DOI	10.11648/j.ajns.20170602.14
Page(s)	99-112
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Registered Nurse, Evidence Based Practice, Attitude, Skills, Source of Knowledge

References

[1]	Melnyk_et_al, The Establishment of Evidence-Based Practice Competencies for Practicing RN and Advanced Practice Nurses in Real-World Clinical Settings: Proficiencies to ImproveHealthcare Quality, Reliability, Patient Outcomes, and Costs. Worldviews on Evidence-Based Nursing,, 2014. 11 (1): p. 5-15.
[2]	Odell, E. and K. Barta, Teaching evidence-based practice: the Bachelor of Science in nursing essentials at work at the bedside. J Prof Nurs, 2011. 27 (6): p. 370-7.
[3]	Williamson, K. M., et al., Utilization of evidence-based practice knowledge, attitude, and skill of clinical nurses in the planning of professional development programming. J Nurses Prof Dev, 2015. 31 (2): p. 73-80.
[4]	Robin P. Newhouse, e., Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines. Book Review, 2007: p. 83-85.
[5]	Alba DiCenso, et al., Evidence-Based Nursing: A Guide to Clinical Practice. Text book, 2014.
[6]	Bostrom, A. M., et al., Factors associated with evidence-based practice among registered nurses in Sweden: a national cross-sectional study. BMC Health Serv Res, 2013. 13: p. 165.
[7]	Farokhzadian, J., et al., Nurse leaders' Attitudes, Self-Efficacy and training Needs for Implementing Evidence-Based Practice: Is It Time for a Change toward Safe Care? Br J Med Med Res, 2015. 7 (8): p. 662-671.
[8]	Ubbink DT.; et al., Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping review. B Med.Journal, 2013. 3.
[9]	Stokke, K., et al., Evidence based practice beliefs and implementation among nurses: a cross-sectional study. BMC Nursing, 2014. 13 (8).
[10]	HoffmannT Bennett S & Del Mar C, Evidence-Based Practice Across the Health Professions. Text book, 2013: p. http://evolve.elsevier.com/AU/Hoffmann/evidence/.
[11]	Raj Subramaniam P. Siraja KC& Sarita P, Barriers and Facilitators of Utilizing Research Among Nurses in Nepal. J Contin Educ Nurs, 2016. 47 (4): p. 171-9.
[12]	Titler, M. G., Translation science and context. Res Theory Nurs Pract, 2010. 24 (1): p. 35-55.
[13]	International Council of Nurses, G., Switzerland, Nursing research: a tool for action. Fact sheet, 2009. 2nd edititon p. 1-3.
[14]	Saunders, H. and K. Vehviläinen-Julkunen, The state of readiness for evidence-based practice among nurses: An integrative review. International Journal of Nursing Studies, 2016. 56: p. 128-140.
[15]	Majid, S., et al., Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers. J Med Libr Assoc, 2011. 99 (3): p. 229-36.
[16]	Yoder, L. H., et al., CE: Original Research: Staff nurses' use of research to facilitate evidence-based practice. Am J Nurs, 2014. 114 (9): p. 26-37; test 38; 50.
[17]	WHO, Evidence-ledobstetric care Geneva, Switzerland.. 2005: p. 28-30.
[18]	Breimaier, H. E., R. J. Halfens, and C. Lohrmann, Nurses' wishes, knowledge, attitudes and perceived barriers on implementing research findings into practice among graduate nurses in Austria. J Clin Nurs, 2011. 20 (11-12): p. 1744-56.
[19]	Filippini, A., et al., Evidence-based practice among nurses in Italy. Eval Health Prof, 2011. 34 (3): p. 371-82.
[20]	Jarosława Belowska, et al., Analysis of attitudes of nurses towards using scientific literature in everyday clinical practice. Conference Paper, 2016: p. 3596-3603.
[21]	McInerney, P. A., Evidence-Based Nursing and Midwifery: The State of the Science in South Africa. 2004: p. 207-208.
[22]	Kyalo Mutisya, A., A. KagureKarani, and C. Kigondu, Research Utilization among Nurses at a Teaching Hospital in Kenya. J Caring Sci, 2015. 4 (2): p. 95-104.
[23]	Hadgu, G., Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice in Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia. American Journal of Nursing Science, 2015. 4 (3): p. 73.
[24]	Chen, Y. C., L. C. Tang, and S. S. Chou, [Strategy for promoting evidence-based nursing practice in hospital]. Hu Li Za Zhi, 2013. 60 (5): p. 25-30.
[25]	Zhou, X., et al., Development of traditional Chinese medicine clinical data warehouse for medical knowledge discovery and decision support. Artif Intell Med, 2010. 48 (2-3): p. 139-52.
[26]	Du, Z., et al., Usual source of care and the quality of primary care: a survey of patients in Guangdong province, China. International Journal for Equity in Health, 2015. 14 (1).
[27]	Nundy, M., Challenges to Health Service System in China: Institutional and Financial Reforms. 2016: p. 9-23.
[28]	Youing Li, X. S., Li Wang,, Evidence-Based Medicine in China. International Society for Pharmacoeconomics and Outcomes Research., 2008. 11: p. 156-164.
[29]	Barber, S. L., et al., The hospital of the future in China: China's reform of public hospitals and trends from industrialized countries. Health Policy Plan, 2014. 29 (3): p. 367-78.
[30]	Jiang, H., et al., Nurses' roles in direct nursing care delivery in China. Applied Nursing Research, 2015. 28 (2): p. 132-136.
[31]	Yi-Hao Weng, et al., Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan. BMC Medical Informatics and Decision Making 2013. 13 (4).
[32]	Cheng, L., S. Feng, and Y. Hu, Evidence-based nursing implementation in Mainland China: A scoping review. Nurs Outlook, 2016.
[33]	Wang, L. P., et al., Barriers to and facilitators of research utilization: a survey of registered nurses in China. PLoS One, 2013. 8 (11): p. e81908.
[34]	Ubbink, D. T., G. H. Guyatt, and H. Vermeulen, Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping review. BMJ Open, 2013. 3(1).
[35]	Melnyk, B. M., et al., The State of Evidence-Based Practice in US Nurses. JONA: The Journal of Nursing Administration, 2012. 42 (9): p. 410-417.
[36]	Whall, A. L., M. Sinclair, and K. Parahoo, A philosophic analysis of Evidence-Based Nursing: recurrent themes, metanarratives, and exemplar cases. Nurs Outlook, 2006. 54 (1): p. 30-5.
[37]	Slattery, S. C. M. J., Evidence-Based Practice in Nursing:A Guide to successful Implementation. 2006.
[38]	Upton, P., et al., The evidence-based practice profiles of academic and clinical staff involved in pre-registration nursing students' education: a cross sectional survey of US and UK staff. Nurse Educ Today, 2015. 35 (1): p. 80-5.
[39]	Bernadette Mazurek Melnyk, et al., Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model. AJN, 2011. 111 (9): p. 59.
[40]	Adamu and Naidoo, J., Exploring the Perceptions of Registered nurses towards Evidence- based practice In a selected general Hospital in Nigeria. Africa Journal of Nursing and Midwifery, 2015. 17 (1): p. 33-46.
[41]	Farokhzadian, J., R. Khajouei, and L. Ahmadian, Information seeking and retrieval skills of nurses: Nurses readiness for evidence based practice in hospitals of a medical university in Iran. Int J Med Inform, 2015. 84 (8): p. 570-7.
[42]	WHO, Process of Translation and Adaptation of Instruments, Geneva. http://www.who.int/substance_abuse/research_tools/translation/en]Google Scholar) 2010.
[43]	Polit D, B. C., Research Manual for Nursing research: generating and assessing evidence for nursing practice 2008. 9 th edition.
[44]	Joubert, G. E., R (ed), Epidemiology: a research manual for South Africa. Cape Town. Oxford University Press., 2007. 2nd edition.
[45]	Kang, Y. and I.-S. Yang, Evidence-based nursing practice and its correlates among Korean nurses. Applied Nursing Research, 2016. 31: p. 46-51.
[46]	Heydari, A., et al., A study of Iranian nurses' and midwives' knowledge, attitudes, and implementation of evidence-based practice: the time for change has arrived. Worldviews Evid Based Nurs, 2014. 11 (5): p. 325-31.
[47]	Ziviani, J., et al., Mapping allied health evidence-based practice: providing a basis for organisational realignment. Aust Health Rev, 2015. 39 (3): p. 295-302.
[48]	Fairbrother, G., et al., Evidence based clinical nursing practice in a regional Australian healthcare setting: Predictors of skills and behaviours. Collegian, 2015.
[49]	Kang, H., Geriatric hospital nurses' perceived barriers to research utilization and empowerment. Asian Nurs Res (Korean Soc Nurs Sci), 2015. 9 (1): p. 65-72.
[50]	Gerrish, K., et al., Factors influencing the contribution of advanced practice nurses to promoting evidence-based practice among front-line nurses: findings from a cross-sectional survey. J Adv Nurs, 2011. 67 (5): p. 1079-90.
[51]	Pravikoff, D. S., A. B. Tanner, and S. T. Pierce, Readiness of U.S. nurses for evidence-based practice. Am J Nurs, 2005. 105 (9): p. 40-51; quiz 52.
[52]	Dalheim, A., et al., Factors influencing the development of evidence-based practice among nurses: a self-report survey. BMC Health Services Research 2012. 12 (367).
[53]	Makic, M. B. F., et al., Putting Evidence Into Nursing Practice: Four Traditional Practices Not Supported by the Evidence. Critical Care Nurse, 2013. 33 (2): p. 28-42.
[54]	Koivunen, M., M. Välimäki, and H. Hätönen, Nurses’ information retrieval skills in psychiatric hospitals – Are the requirements for evidence-based practice fulfilled? Nurse Education in Practice, 2010. 10 (1): p. 27-31.
[55]	Jansson, I. and A. Forsberg, How do nurses and ward managers perceive that evidence-based sources are obtained to inform relevant nursing interventions? - an exploratory study. J Clin Nurs, 2016. 25 (5-6): p. 769-76.

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APA Style

Boka Dugassa Tolera, Feng Hui. (2017). Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China. American Journal of Nursing Science, 6(2), 99-112. https://doi.org/10.11648/j.ajns.20170602.14

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ACS Style

Boka Dugassa Tolera; Feng Hui. Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China. Am. J. Nurs. Sci. 2017, 6(2), 99-112. doi: 10.11648/j.ajns.20170602.14

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AMA Style

Boka Dugassa Tolera, Feng Hui. Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China. Am J Nurs Sci. 2017;6(2):99-112. doi: 10.11648/j.ajns.20170602.14

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@article{10.11648/j.ajns.20170602.14,
  author = {Boka Dugassa Tolera and Feng Hui},
  title = {Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China},
  journal = {American Journal of Nursing Science},
  volume = {6},
  number = {2},
  pages = {99-112},
  doi = {10.11648/j.ajns.20170602.14},
  url = {https://doi.org/10.11648/j.ajns.20170602.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170602.14},
  abstract = {Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses’ attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which evidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The aim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses working at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess nurses’ attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in filling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version 20. The cut point for level of statistical significance was set at P < 0.05 and all tests were 2-sided. Result: Overall, registered nurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD = 0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to support daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more human and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD = 0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational support were needed to improve this gap through providing training, creating awareness, and enhancing nurses’ abilities for utilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to identify the influence of individual and organizational factors on implementation of evidence based nursing practice.},
 year = {2017}
}

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TY  - JOUR
T1  - Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China
AU  - Boka Dugassa Tolera
AU  - Feng Hui
Y1  - 2017/02/20
PY  - 2017
N1  - https://doi.org/10.11648/j.ajns.20170602.14
DO  - 10.11648/j.ajns.20170602.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 99
EP  - 112
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20170602.14
AB  - Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses’ attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which evidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The aim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses working at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess nurses’ attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in filling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version 20. The cut point for level of statistical significance was set at P < 0.05 and all tests were 2-sided. Result: Overall, registered nurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD = 0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to support daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more human and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD = 0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational support were needed to improve this gap through providing training, creating awareness, and enhancing nurses’ abilities for utilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to identify the influence of individual and organizational factors on implementation of evidence based nursing practice.
VL  - 6
IS  - 2
ER  -

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Author Information

Boka Dugassa Tolera

School of Nursing, Addis Ababa University, Addis Ababa, Ethiopia; Xiangya School of Nursing, Central South University, Changsha, China
Feng Hui

Xiangya School of Nursing, Central South University, Changsha, China

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APA Style

Boka Dugassa Tolera, Feng Hui. (2017). Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China. American Journal of Nursing Science, 6(2), 99-112. https://doi.org/10.11648/j.ajns.20170602.14

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ACS Style

Boka Dugassa Tolera; Feng Hui. Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China. Am. J. Nurs. Sci. 2017, 6(2), 99-112. doi: 10.11648/j.ajns.20170602.14

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AMA Style

Boka Dugassa Tolera, Feng Hui. Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China. Am J Nurs Sci. 2017;6(2):99-112. doi: 10.11648/j.ajns.20170602.14

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@article{10.11648/j.ajns.20170602.14,
  author = {Boka Dugassa Tolera and Feng Hui},
  title = {Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China},
  journal = {American Journal of Nursing Science},
  volume = {6},
  number = {2},
  pages = {99-112},
  doi = {10.11648/j.ajns.20170602.14},
  url = {https://doi.org/10.11648/j.ajns.20170602.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170602.14},
  abstract = {Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses’ attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which evidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The aim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses working at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess nurses’ attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in filling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version 20. The cut point for level of statistical significance was set at P < 0.05 and all tests were 2-sided. Result: Overall, registered nurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD = 0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to support daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more human and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD = 0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational support were needed to improve this gap through providing training, creating awareness, and enhancing nurses’ abilities for utilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to identify the influence of individual and organizational factors on implementation of evidence based nursing practice.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China
AU  - Boka Dugassa Tolera
AU  - Feng Hui
Y1  - 2017/02/20
PY  - 2017
N1  - https://doi.org/10.11648/j.ajns.20170602.14
DO  - 10.11648/j.ajns.20170602.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 99
EP  - 112
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20170602.14
AB  - Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses’ attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which evidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The aim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses working at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess nurses’ attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in filling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version 20. The cut point for level of statistical significance was set at P < 0.05 and all tests were 2-sided. Result: Overall, registered nurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD = 0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to support daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more human and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD = 0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational support were needed to improve this gap through providing training, creating awareness, and enhancing nurses’ abilities for utilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to identify the influence of individual and organizational factors on implementation of evidence based nursing practice.
VL  - 6
IS  - 2
ER  -

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