Evidence-based practice utilization and associated factors among nurses working in Amhara Region Referral Hospitals, Ethiopia

Abstract

Background Applying evidence-based practice during care provision is essential because it improves the quality of care, reduces health care costs, and increases patient and family satisfaction. However, information on evidence-based nursing practice and associated factors were not well studied and documented in the study area. Hence, this study aimed to assess utilization and associated factors of evidence-based practice among nurses working in Amhara Region Referral Hospitals, Ethiopia. Methods An institution-based cross-sectional study was conducted from March 18 to April 16, 2019, in Amhara Region Referral Hospitals. A simple random sampling technique was used to select 684 respondents. Data were collected using a pretested and self-administered questionnaire. Data were entered into Epi Info version 7.1.2.0 and exported to SPSS version 22.0 for analysis. The bivariable analysis was used primarily and variables with p-value < 0.2 were further examined using a multivariable logistic regression model to control con-founders. Then, variables’ p-value < 0.05 with 95% CI was used to determine associated factors. Results From 684 proposed nurses, 671 of them completed the questionnaire giving 98.1% response rate. Of these, 55% (95% CI: 51.2, 58.9) of them had good evidence-based practice utilization. Variables including single (AOR = 1.662: 95% CI: 1.089–2.536), fewer work experience (AOR = 1.849: 95% CI: 1.049–3.257), good knowledge (AOR = 2.044: 95% CI: 1.406–2.972), effective communication skill (AOR = 2.537: 95% CI: 1.744–3.689), EBP training (AOR = 3.224 95% CI: 1.957–5.311), internet access (AOR = 1.655: 95% CI: 1.119–2.448) and evidence-based guideline availability (AOR = 1.827: 95% CI: 1.249–2.673) were found to be predictors of evidence-based practice utilization. Conclusions The study revealed that evidence-based practice utilization among nurses is low. Availing evidence-based guidelines in the work area, improving facilities’ internet access, and building nurses’ evidence-based practice competencies through either by giving separate training or incorporating as part of the curriculum would improve its utilization.

Sociodemographic and Work-Related Variables Affecting Knowledge of, Attitudes toward, and Skills in EBNP of Nurses According to an EBPPQ

“…Aynalem et al [ 25 ] assert that there are seven variables statistically associated with the use of EBP after adjusting for confounding factors. These are marital status, work experience, knowledge of EBP, communication skills, training on EBP, availability of evidence-based guidelines, and access to the internet.…”

Nurse Practitioners’ Perception on Research Utilization and Possible Barriers; A Saudi Arabian Experiential Perspective during Covid-19 Pandemic

“…It was even emphasized that research utilization during the pandemic period was significantly influenced by the nurses' competency and beliefs or as positive attitude [19]. Studies conducted in other countries concluded that positive attitudes, availability, and support for research utilization can contribute to greater use of research in nursing practice, and about half (50%) of the nurses considered they had access to research findings at work but the percentage of time to read about research on duty was lower [20]. Consistent favorable consideration of research utilization attitude can lead to appreciable changes in practice though results tended to just show half of the same practitioners in that same study did show negative appreciation.…”

“…Consistent favorable consideration of research utilization attitude can lead to appreciable changes in practice though results tended to just show half of the same practitioners in that same study did show negative appreciation. Alternative perspective to negative attitude was the low appreciation or even the lack of evidence-based practice utilization [20]. These can be room for improvement and still must require that necessity to find out what seemed to be the reasons for such adverse behavior towards research and its utilization.…”

“…Conflicting results were found in some studies during the same Covid-19 Pandemic period iterating statistical association of research utilization to age, attitude to EBP and knowledge (pertaining to educational preparation) according to Dagne et al [18] study. Other factors or variables were identified as well as associated like civil status, and work experience (e.g., referring to number of years in the practice) afforded by the study done by Aynalem et al [20]. On the other hand, significant association was found between research barriers and some demographic variables.…”

Prepričanja in implementacija na dokazih podprte prakse med visokošolsko izobraženimi medicinskimi sestrami in zdravstveniki (2. del)

“…V literaturi raziskovalci povezujejo več individualnih ovir, ki učinkujejo na odnos in implementacijo na dokazih podprte prakse v klinična okolja (Dessie et al, 2020;Aynalem, Yazew, & Gebrie, 2021). Dagne, Beshah, Kassa, & Dagnaw (2021) ugotavljajo, da se izobraževanje iz raziskovanja in dokazih podprte prakse v zdravstveni negi pokažejo kot dejavniki, povezani tako s prepričanji kot implementacijo na dokazih podprte prakse.…”