Research Article of International Journal of Service Science and Management
Assessment of Nurses’ Knowledge and Utilization of Evidence Based Practice and its Associated Factors in Selected Hospitals of three Zones of Southern Ethiopia, 2017
Teshome Habte Wurjine1*, Eyoel Abate Dade2
1Department of Nursing and Midwifery, College of Health Sciences, Addis Ababa University; 2Saint Paul Hospital Millennium Medical College
Background: Evidence based practice is conscientious, clear and judicious use of current best evidence in making decisions about the care of patient. It is becoming a worldwide concern for nurses, doctors and administrators at various level of health care settings considered as critical element to improve quality of health care services. Currently one of the major barriers to utilize Evidence-based practice is knowledge deficit especially in developing countries like Ethiopia. Objective: the aim of this study was to assess nurses’ knowledge and utilization of evidence-based practice and its associated factors in selected hospitals of three zones of SNNPR, South Ethiopia. Methods: setting: the study was carried out in a sample of three zonal and secondary hospitals because evidence based practice are more implemented at hospital settings. Study design and period: Facility-based descriptive cross-sectional study design was conducted among nurses working in selected hospitals of three zones of south region from March 30 to May 1, 2017. A total of 208 nurses answered a self-reported questionnaire and selected by using convenient sampling technique. Descriptive statistics, Bi-variate and multivariate logistic regression were used to analyze the data. A statistical significance was declared at p value<0.05. Primary and secondary outcome: The primary outcome was nurses’ knowledge and utilization of evidence based practice in making decision in the nursing care of patients and secondary outcome of individual aspect of nurses experience EBP in decision making process in the patient care. Results: Sample of the study gathered with response rate 93.3% and all participants were BSC degree holders. Nearly half (45.3%) of study participants had poor knowledge regarding evidence based practice. 38.5% of respondents never utilize EBP in their clinical practice. Female nurses less knowledge and utilization of EBP compared to male nurses and Nurses who have good knowledge of EBP utilizes more than nurses who have poor knowledge on EBP. In this study being head nurse was 3.43 times (AOR=3.427) (95%CI= (1.289, 9.112)) more likely to use EBP when compared to being staff nurse. Knowledge of EBP was significantly associated with nursing experience and working unit. Conclusion & Recommendation: This study revealed that nurses in selected Hospitals in SNNP have low level of knowledge about evidence-based nursing practice. Also their utilization of evidence-based nursing practice was low. Hospitals need to manage to provide training about evidence practice which raises level of knowledge and utilization.
Keywords: evidence based, knowledge, nursing practice and nurses, utilization.
How to cite this article:
Teshome Habte Wurjine, Eyoel Abate Dade.Assessment of Nurses’ Knowledge and Utilization of Evidence Based Practice and its Associated Factors in Selected Hospitals of three Zones of Southern Ethiopia, 2017. International Journal of Service Science and Management, 2019, 2:6
1. Stevens, K. R. (2013), the impact of evidence-based practice in nursing and the next big ideas. OJIN: The Online Journal of Issues in Nursing, 18(2). doi:10.3912/OJIN.
2. Barnes, Lisa M., “Evidence Based Practice in School Nursing: A Study of School Nurses in Central and Eastern North Carolina” (2012), Nursing Theses and Capstone Projects. digitalcommons@gardner- webb.edu
3. Smith, J .R, & Donze, A. (2010), Assessing environmental readiness. First steps developing an evidence-based practice implementation culture. Journal of Prenatal & Neonatal Nursing, 24 (1), 61-71.
4. Melnyk, B. M., Gallagher Ford, L., Long, L. E., & Fineout‐Overholt, E. (2014). The establishment of evidence based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence Based Nursing, 11(1), 5-15.
5. Hastings, C., & Fisher, C. A. (2014), searching for proof: Creating and using an actionable PICO question, nursing management, 45(8), 9-12. doi:10.1097/01.NUMA.oooo452006.79838.67
6. Jump up Melnyk, B.M. (2011), Evidence-based practice in nursing & healthcare: A guide to best practice. Philadelphia, PA: Lippincott Williams & Wilkins. pp. 3–7. ISBN 978-1-60547-778 7
7. International council of nurses: closing the gap from evidence to action, Geneva – Switzerland, 2012
8. Kania-Lchance D.M. Best P.J.M, McDonah M.R, and Ghosh A.K. Evidence based practice and the nurse practitioner, 2006; 31(10):46-54. (Pub Med)
9. Mija K. Evidence based nursing-connecting knowledge to practice. Resource Library, 2000 Nov. Available from: URL: http://findarticles.com/p/articles/mi_qa3932/is_200011/ai_n8905921/
10. Boström, A.-M., Rudman, A., Ehrenberg, A., Gustafson, J. P. & Wallin, L. (2013) Factors associated with evidence-based practice among registered nurses in Sweden: a national cross-sectional study, BMC Health Services Research, 13 (1), 165.
11. Majid, S., Foo, S., Luyt, B., et al. (2011) Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association, 99 (3), 229–236.
12. Wallin, L., Boström, A. M. & Gustavsson, J. P. (2012) Capability beliefs regarding evidence-based practice are associated with application of EBP and research use: validation of a new measure, Worldviews on Evidence-based Nursing, 9 (3), 139–148.
13. McSherry, R., Artley, A. & Holloran, J. (2006) Research awareness: an important factor for evidence-based practice? Worldviews on Evidence-based Nursing, 3 (3), 103–115.
14. Centre for Evidence-Based Practice: University of Toronto Health Network (2013), Retrieved March 16, 2011 from http://www.cebin.u.torontocal/ syllas/ nur/intro/htm.
15. Mclnerney, P. Evidence-Based Nursing and Midwifery: The State of the Science in South Africa, Worldviews on Evidence-Based Nursing, 4th quarter, 2004 pp. 207-208.
16. Tweed, E., Sauers, E., Valovich McLeod, T., Guo, R., Trahan, H., Kristine, M., et al., Review of librarians of Evidence-Based Practice. In Nursing And Allied health Professions in the United States, Journal of Medical Library Association, 2007. vol. 95, no. 4, pp. 394-407.
17. Majid S, Foo S, Luyt B, Zhang X, Theng Y-L, Chang Y-K, et al. Adopting Evidence-Based Practice In Clinical Decision Making: Nurses’ Perceptions, Knowledge, and Barriers. Journal of the Medical Library Association: JMLA. 2011;99 (3):229.
18. G. Hadgu, S. Almaz, S. Tsehay. Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice in Tikur Anbesa Specialized Hospital Addis Ababa Ethiopia, American Journal of Nursing Science. Vol. 4, No. 3, 2015, pp. 73-83. doi: 10.11648/j.ajns.20150403.15
19. Barnes, Lisa M., “Evidence Based Practice in School Nursing: A Study of School Nurses in Central and Eastern North Carolina” (2012). Nursing Theses and Capstone Projects. email@example.com
20. Farokhzadian J, Khajouei R, Ahmadian L (2015) Evaluating factors associated with implementing of evidence-based practice in nursing. Journal of Evaluation in Clinical Practice ISSN 1365-2753
21. Ominyi, Jude N., OKO, CONSTANCE C., Chidobu, Christian C. Nwodom, Maureen U. (2015) Assessing the level of utilization of evidence-based nursing practice guidelines among nurse practitioners. DOI: http://dx.doi.org/10.15520/ijnd.2015.vol5.iss03.61.10-15
22. Oluwatoyin. E. F, FWACN Justina H. Eke, Bisola F B (Jul. – Aug. 2015), Knowledge and Utilization of Evidence-Based Nursing Practice among Nurses of Offa Specialist Hospital, Kwara State, DOI: 10.9790/1959-04435162. www.iosrjournals.org.
23. Wezzie K Challenges of Implementation of EBP in SA in ICU, May, URL:http://www.hst. Org.za/sahr 2012 PAGE 69
This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.