Evidence-based practice and its associated factors among point-of-care nurses working at the teaching and specialized hospitals of Northwest Ethiopia: A concurrent study

Abstract

Evidence-based practice (EBP) is the application of the best scientific evidence for clinical decision-making in professional patient care. In Ethiopia, the majority of nursing care is based on experience, tradition, intuition, common sense, and untested hypotheses. Evidence-based clinical practice has the potential to increase the quality of healthcare services while also lowering costs and increasing clinical outcomes. An institutional-based concurrent study design method of quantitative and qualitative research was conducted from Feb. 30 to Apr. 20, 2020. Systematic random sampling and purposive sampling techniques were used to select the study participants for the quantitative and qualitative analyses, respectively. To collect quantitative data, a pretested, structured, and self-administered questionnaire was used, and to collect qualitative data, an in-depth interview guided by questions was used. EBP was found to be significantly associated with educational level (AOR = 2.15, CI (1.15-4.02)), administrative support for EBP (AOR = 1.89, CI (1.22-2.91)), attitude toward EBP (AOR = 1.80, CI (1.24-2.62)), and preference of available information sources (AOR: 2.32, CI (1.58-3.39). The four main themes that emerged from the conventional content data analysis were the advantages of EBP application, barriers to EBP implementation, enabling factors for EBP, and evidence sharing. According to the findings of this study, only a few nurses used EBP at a high level. The implementation of EBP was positively associated with educational level, attitude toward EBP, administrative support, and the availability of information resources, as confirmed by the qualitative study. There must be an intervention program to facilitate the implementation of evidence in nursing practice by stakeholders to improve and increase the efficacy of practicing EBP.

Fig 1. Sampling procedure of the study of evidence-based practice among nurses at the University of Gondar and Tibebe Gion teaching specialized hospitals, 2020.

Fig 2. Evidence-based practice among nurses at the University of Gondar and Tibebe Gion teaching specialized hospitals by nurses in 2020.

Fig 3. Preferences on sources of evidence-based practice among nurses in University of Gondar and Tibebe Gion teaching specialized hospitals, 2020 (n = 507).

Fig 4. Awareness about electronic information sources of evidence-based practice among nurses in University of Gondar and Tibebe Gion teaching specialized hospitals, 2020 (n = 507).

Fig 5. Information searching skill for evidence-based practice in University of Gondar and Tibebe Gion teaching specialized hospitals, 2020 (n = 507).

Fig 6. Nurses self-efficacy in evidence-based practice at the University of Gondar and Tibebe Gion teaching specialized hospitals, 2020 (n = 507).

Fig 7. Self-reported attitudes towards evidence-based practice among nurses in the University of Gondar and Tibebe Gion teachings specialized hospitals, Ethiopia 2020.