Nurse Leadership and Work Environment Association with Outcome Expectancy and Self-Efficacy in Evidence-Based Practice among Hospital Nurses in The Netherlands: A Cross-Sectional Study

Peter Hoegen (), Mireille Vos, Catharina van Oostveen, Cindy de Bot, Michael A. Echteld, Jolanda Maaskant and Hester Vermeulen
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Peter Hoegen: School of Health and Social Care, Avans University of Applied Science, Hogeschoollaan 1, 4818 CR Breda, The Netherlands
Mireille Vos: Bachelor of Nursing, Inholland University of Applied Sciences, De Boelelaan 1109, 1081 HV Amsterdam, The Netherlands
Catharina van Oostveen: Research Department, Spaarne Gasthuis, Spaarnepoort 1, 2134 TM Hoofddorp, The Netherlands
Cindy de Bot: School of Health and Social Care, Avans University of Applied Science, Hogeschoollaan 1, 4818 CR Breda, The Netherlands
Michael A. Echteld: School of Health and Social Care, Avans University of Applied Science, Hogeschoollaan 1, 4818 CR Breda, The Netherlands
Jolanda Maaskant: Master EBP in Healthcare, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands
Hester Vermeulen: Research and Education in Nursing Consortium (RE-Nurse), Hilvarenbeekseweg 60, 5022 GC Tilburg, The Netherlands

IJERPH, 2022, vol. 19, issue 21, 1-10

Abstract: The active participation of nurses in evidence-based practice (EBP) is challenging and topical, as shown by the worldwide calls for appropriate, accessible, affordable care and the de-implementation of unnecessary care. Nurses’ perceived support from their managers and work environments may affect their self-efficacy and outcome expectancy in EBP, as well as hinder them in EBP. Associations between these issues have not yet been explored. This study examines the association of self-efficacy and outcome expectancy levels in EBP, as well as the perceived support for EBP from nurse leaders and in the working environment, among Dutch hospital nurses. Methods. Questionnaires measuring nurses’ self-efficacy, outcome expectancy, and perceived support for EBP from nurse leaders and their work environment were completed by 306 nurses in eight hospitals between March 2021 and June 2021. We used multilevel regression analyses to determine the associations and covariates. Results. This study shows that EBP-supportive leaders and work environments positively contribute to nurses’ self-efficacy and outcome expectancy in EBP, along with the covariates undertaking EBP activities and educational level. Conclusions. To improve nurses’ active participation in EBP, nurses need to increase their self-efficacy and outcome expectancy in EBP. Supportive leaders and a supportive work environment do have an impact. Hence, these factors need attention when implementing EBP among nurses.

Keywords: evidence-based practice; nurses; nursing leadership; nursing management self-efficacy; outcome expectancy; 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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