Aim and Objectives To examine the influence of staff nurses’ individual factors on knowledge, attitudes and implementation of evidence‐based practice in Saudi Arabia and to identify facilitators and barriers to evidence‐based practice implementation. Background Evidence‐based practice has been considered as a key for healthcare quality measure. The literature, however, shows that nurses worldwide are not implementing evidence‐based practice as expected and recommended by governing agencies. In Saudi Arabia, evidence‐based practice implementation has not been addressed sufficiently. Design A cross‐sectional, correlational design was used. We have complied with the guidelines of STROBE Checklist in presenting this research. A convenience sample of staff nurses (n = 227) was selected from four hospitals in Riyadh, Saudi Arabia. The survey questions included the Evidence‐based Practice Questionnaire and individual factors. Data were analysed using multiple linear regression models. Results Attitudes towards evidence‐based practice had the highest mean followed by evidence‐based practice knowledge and implementation means. Evidence‐based practice training and research involvement were associated with knowledge in the bivariate and multivariate analyses. None of the individual factors were associated with attitudes. However, knowledge was associated with attitudes. Knowledge and attitudes influenced evidence‐based practice implementation positively. Unexpectedly, receiving evidence‐based practice training made it more difficult for nurses to participate in evidence‐based practice implementation process. We found that attitudes partially mediated the relationship between knowledge and evidence‐based practice implementation. Conclusion Nurses in Saudi Arabia are willing to be involved in the evidence‐based practice process. However, nurses identified that they need to improve their knowledge and skills in order to be active participants in the process. Relevance to clinical practice Organisations and nursing leadership may benefit from developing a comprehensive strategy to promote staff nurses’ involvement in the evidence‐based practice process through providing continuing education and mentoring programmes about evidence‐based practice.

We examined how prenatal exposure to breastfeeding information from various media sources, maternal knowledge of benefits, family and clinician support, and peer practices influence breastfeeding outcomes in early infancy. Initiation of breastfeeding, any breastfeeding at two months, and exclusivity of breastfeeding at two months were examined in a cohort of US women using data from the Infant Feeding Practices Study II. Descriptive statistics, chi-square analyses and logistic regression were conducted. Approximately 85 percent of the women initiated breastfeeding. At two months, 63.8 percent continued breastfeeding, while only 38.1 percent breastfed exclusively. Mothers with greater knowledge about breastfeeding benefits were 11.20 (95%CI: 6.87–18.45) times more likely to initiate breastfeeding and 5.62 (95% CI: 4.19–7.54) times more likely to breastfeed at two months than those with lower levels of knowledge. Women whose families prenatally supported exclusive breastfeeding were 8.21(5.12–13.2) times more likely to initiate and continue breastfeeding (OR 3.21, 95%CI: 2.51–4.11). Clinicians who supported breastfeeding only also increased the odds of a woman initiating breastfeeding (OR 1.95, 95% CI: 1.31–2.88). Interventions to increase maternal knowledge of breastfeeding benefits and family and clinician support of breastfeeding in the prenatal period may help increase breastfeeding rates. The encouragement of breastfeeding needs to be a priority among health care providers to improve the health of mothers and infants.

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