Organizational Factors Associated with Evidence-Based Practice Knowledge, Attitudes, and Implementation among Nurses in Saudi Arabia

Naji Alqahtani, Kyeung M. Oh, Panagiota Kitsantas, Margaret Rodan, Adnan Innab, Saeed Asiri, Ali Kerari, Fayez Bin Hayyan, Mohammad Alharbi and Ghareeb Bahari
Additional contact information
Naji Alqahtani: Nursing Administration and Education Department, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia
Kyeung M. Oh: School of Nursing, College of Health and Human Services, George Mason University, Fairfax, VA 22030, USA
Panagiota Kitsantas: Department of Health Administration and Policy, College of Health and Human Services, George Mason University, Fairfax, VA 22030, USA
Margaret Rodan: School of Nursing, College of Health and Human Services, George Mason University, Fairfax, VA 22030, USA
Adnan Innab: Nursing Administration and Education Department, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia
Saeed Asiri: Medical Surgical Nursing Department, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia
Ali Kerari: Medical Surgical Nursing Department, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia
Fayez Bin Hayyan: Maternal and Child Health Nursing Department, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia
Mohammad Alharbi: Nursing Administration and Education Department, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia
Ghareeb Bahari: Nursing Administration and Education Department, College of Nursing, King Saud University, P.O. Box 642, Riyadh 11421, Saudi Arabia

IJERPH, 2022, vol. 19, issue 14, 1-13

Abstract: Evidence-based practice (EBP) is crucial in keeping nurses aware of the current knowledge and improving clinical decision-making. The integration of nurses’ EBP competencies and organizational support has been suggested to create an effective arena in implementing EBP. The purpose of the study was to examine organizational factors influencing nurses’ EBP knowledge, attitudes, and implementation and identify staff nurses’ perceptions of EBP nursing leadership and hospital supports in Saudi Arabia. Data were collected from a convenience sample of staff nurses (N = 227) working in four hospitals using a cross-sectional, correlational descriptive design. Level of education ( p < 0.05), EBP training ( p < 0.05), unit type (ICU ( p < 0.001) and ER ( p < 0.01)), perceived nursing leadership ( p < 0.001), and work environment ( p < 0.05) supports were found significantly associated with nurses’ knowledge. Magnet recognition ( p < 0.01) and knowledge ( p < 0.001) had significant influence on nurses’ attitudes. Unit type (ER) ( p < 0.05), knowledge ( p < 0.001), and attitudes ( p < 0.001) were associated with implementation. Encouragement to attend EBP trainings from nursing leadership was perceived by most nurses (51.1%). Nurses reported their hospitals support EBP through training (68.2%). Findings support the need for healthcare systems to create a culture that facilitates EBP implementation to enhance nurses’ EBP competencies and improve patients’ outcomes. Nursing managers may consider preparing nurses through education.

Keywords: evidence-based practice; nurses; knowledge; attitudes; implementation; nursing leadership; work environment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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