Examining the knowledge, attitudes, and implementation of evidence-based practice among nurses in the United Arab Emirates: a national cross-sectional descriptive study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20232350Keywords:
Evidence-based practice, Nurses , Nursing, United Arab EmiratesAbstract
Background: Evidence-based practice across United Arab Emirates has been widely adopted as country strategic direction but the knowledge, attitudes, and its implementation among nurses are yet to be explored. This study explored the knowledge, attitude and implementation of EBP among nurses working in the UAE.
Methods: A cross-sectional survey was conducted from 1,602 nurses working in different healthcare settings across the UAE. Two tools were used in the survey for data collection: the self-reported EBP Questionnaire created by Upton and the EBP Implementation scale by Melnyk, Fineout-Overholt, and Mays.
Results: A total of 1602 nurses (response rate: 95.9%) completed the questionnaire. The mean age was 38.7 years (age range=20-60 years). The study found that the majority of participants were female (84.1%), with 39.6% being staff nurses and the largest group (28.2%) having 11-15 years of nursing experience. Attitudes towards EBP showed the highest mean score of 4.93±1.7 followed by knowledge (4.5±1.4) and practice (3.92±1.7). Hence, the nurses' attitudes towards EBP appeared to be positive, their implementation and knowledge were comparatively moderate. The total EBPQ score was found to be 106.3 out of 168.
Conclusions: The study's finding can be used as a starting point for future evaluations and the development of strategies to encourage EBP utilization among nurses in the UAE. Establishing academic and professional development programs for EBP is necessary for organizations and nursing leaders. Combining EBP education with mentor support can encourage nurses to engage in clinical practice informed by the best available evidence.
References
Stillwell SB, Fineout-Overholt E, Melnyk BM, Williamson KM. Evidence-based practice, step by step: asking the clinical question: a key step in evidence-based practice. AJN. 2010;110(3):58-61.
Skaggs MK, Daniels JF, Hodge AJ, DeCamp VL. Using the evidence-based practice service nursing bundle to increase patient satisfaction. J Emerg Nurs. 2018;44(1):37-45.
Kim M, Mallory C, Valerio T. Statistics for evidence-based practice in nursing. USA: Jones & Bartlett Publishers; 2020.
Ammouri AA, Raddaha AA, Dsouza P, Geethakrishnan R, Noronha JA, Obeidat AA, et al. Evidence-based practice: Knowledge, attitudes, practice and perceived barriers among nurses in Oman. Sultan Qaboos Univ Med J. 2014;14(4): e537.
Saunders H, Stevens KR, Vehviläinen‐Julkunen K. Nurses' readiness for evidence‐based practice at Finnish university hospitals: a national survey. J Adv Nurs. 2016;72(8):1863-74.
Camargo FC, Iwamoto HH, Galvao CM, de Araújo Pereira G, Andrade RB, Masso GC. Competences and barriers for the evidence-based practice in nursing: an integrative review. Rev Bras Enferm. 2018;71(4):2030-8.
Upton D, Upton P. Development of an evidence-based practice questionnaire for nurses. J Adv Nurs. 2006;53:454-8.
Melnyk B. The evidence-based practice mentor: A promising strategy for implementing and sustaining EBP in healthcare systems. Worldviews Evid Nurs. 2007;3:123-5.
Melnyk BM, Fineout-Overholt E, Mays MZ. The evidence-based practice beliefs and implementation scales: psychometric properties of two new instruments. Worldviews Evid Based Nurs. 2008;5(4):208-16.
Connor L, Paul F, McCabe M. Measuring Nurses' Value, Implementation, and Knowledge of Evidence-Based Practice: Further Psychometric Testing of the Quick-EBP-VIK Survey. Worldviews Evid Based Nurs. 2017;14:10-21.
Chen L, Wu Y, Zhou C. Value, knowledge and implementation on evidence-based practice among nurse managers in China: A regional cross-sectional survey. J Nurs Manag. 2020;28:139-4.
Alqahtani N, Oh KM, Kitsantas P, Rodan M. Nurses’ evidence-based practice knowledge, attitudes and implementation: A cross-sectional study. J Clin Nurs. 2020;29(1-2):274-83.
Alqahtani N, Oh KM, Kitsantas P, Rodan M, Innab A, Asiri S, et al. Organizational Factors Associated with Evidence-Based Practice Knowledge, Attitudes, and Implementation among Nurses in Saudi Arabia. Int J Environ Res Public Health. 2022;19(14):32-9.
Abu Hasheesh MO, AbuRuz, ME. Knowledge, attitude and practice of nurses towards evidence-based practice at Al-Medina, KSA. Jordan Med J. 2017;51(2):47-56.
Hu MY, Wu YN, McEvoy MP, Wang YF, Cong WL, Liu LP, et al. Development and validation of the Chinese version of the evidence-based practice profile questionnaire (EBP2Q). BMC Med Educ. 2020;20(1):280.
Stetler CB. Updating the Stetler Model of research utilization to facilitate evidence-based practice. Nurs Outlook. 2001;49(6):272-9.
Buckwalter KC, Cullen L, Hanrahan K. Iowa Model of Evidence-Based Practice: revisions and validation. Worldviews Evid Based Nurs. 2017;14(3):175-82.
Highfield MEF, Collier A, Collins M, Crowley M. Partnering to promote evidence-based practice in a community hospital: implications for nursing professional development specialists. J Nurses Prof Dev. 2016;32(3):130-6.
Dang D, Dearholt SL. Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines. 3rd ed. Indianapolis, IN: Sigma Theta Tau International; 2017.
