Association and Demographic Differences in Individual and Organizational Factors Affecting Evidence-Based Practice among Nurses in Mirpur, AJK
Individual and Organizational Factors Affecting Evidence-Based Practice among Nurses
DOI:
https://doi.org/10.54393/nrs.v6i2.231Keywords:
Evidence-Based Practice, Organizational Factors, Individual Factors, Enhancing Nursing PracticeAbstract
Evidence-based practice (EBP) is critical in improving patient care outcomes, enhancing nursing practice, and fostering informed decision-making in healthcare settings. Objectives: To examine the association between organizational and individual factors affecting the implementation of EBP and to assess demographic differences in these factors. Methods: This is a secondary analysis of data from a larger cross-sectional study on barriers to EBP implementation among nurses. A quantitative analytical study was conducted at a tertiary care hospital in Mirpur, AJK, among 120 registered nurses from various departments with more than one year of clinical experience, was selected by using simple random sampling techniques. The sample size was determined using the Yamane formula. A developed questionnaire assessing barriers to the implementation of EBP was adapted and modified for use in this study after ensuring reliability and validity. Results: Regression analysis showed a moderate positive association between organizational and individual barriers. Individual barriers were linked to educational attainment and work experience. No significant mean differences were found regarding age at the time of implementing EBP. Conclusions: The study found a significant positive association between organizational and individual barriers to EBP among nurses. To support EBP, policymakers and executives in the healthcare industry are encouraged to give priority to educational programs, expand access to resources, and strengthen organizational support.
References
Crawford CL, Rondinelli J, Zuniga S, Valdez RM, Tze‐Polo L, Titler MG. Barriers and Facilitators Influencing EBP Readiness: Building Organizational and Nurse Capacity. Worldviews on Evidence‐Based Nursing. 2023 Feb; 20(1): 27-36. doi: 10.1111/wvn.12618.
Mehra M, Raj CB, Sharma R, Singh A, Tiwari SK. Factors Associated with Beliefs and Implementation of Evidence-Based Practice among Nurses: A Cross-Sectional Study. BioMed Central Nursing. 2025 Jul; 24(1): 929.
Mohamed RA, Alhujaily M, Ahmed FA, Nouh WG, Almowafy AA. Nurses' Experiences and Perspectives Regarding Evidence‐Based Practice Implementation in Healthcare Context: A Qualitative Study. Nursing Open. 2024 Jan; 11(1): e2080. doi: 10.1002/nop2.2080.
Vaajoki A, Kvist T, Kulmala M, Tervo-Heikkinen T. Systematic Education Has a Positive Impact on Nurses' Evidence-Based Practice: Intervention Study Results. Nurse Education Today. 2023 Jan; 120: 105597. doi: 10.1016/j.nedt.2022.105597.
Valizadeh L, Zamanzadeh V, Babaei N, Avazeh M. Challenges and Strategies for Implementing Evidence-Based Practice in Nursing: A Systematic Review. Research In Medical Education. 2020; 12(3): 55-67.
Chen L, Wu Y, Zhou C, Li X, Zhao H. Value, Knowledge and Implementation on Evidence‐Based Practice among Nurse Managers in China: A Regional Cross‐Sectional Survey. Journal of Nursing Management. 2020 Jan; 28(1): 139-47. doi: 10.1111/jonm.12907.
Rudman A, Boström AM, Wallin L, Gustavsson P, Ehrenberg A. Registered Nurses’ Evidence‐Based Practice Revisited: A Longitudinal Study in Mid‐Career. Worldviews on Evidence‐Based Nursing. 2020 Oct; 17(5): 348-55.
Khammarnia M, Haj Mohammadi M, Amani Z, Rezaeian S, Setoodehzadeh F. Barriers to Implementation of Evidence-Based Practice in Zahedan Teaching Hospitals, Iran, 2014. Nursing Research and Practice. 2015; 2015(1): 357140. doi: 10.1155/2015/357140.
Alatawi M, Aljuhani E, Alsufiany F, Aleid K, Rawah R, Aljanabi S et al. Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review. American Journal of Nursing Science. 2020 Jan; 9(1): 35-42. doi: 10.11648/j.ajns.20200901.16.
Zeb A, Riaz M, Emmanuel S, Rehman N, Qudrat S. Barriers to Evidence Based Nursing Practice in Tertiary Care Hospitals of Peshawar, Pakistan. Biomedical Journal of Scientific and Technical Research. 2018; 8(1): 5. doi: 10.26717/BJSTR.2018.08.001592.
Yoo JY, Kim JH, Kim JS, Kim HL, Ki JS. Clinical Nurses’ Beliefs, Knowledge, Organizational Readiness and Level of Implementation of Evidence-Based Practice: The First Step to Creating an Evidence-Based Practice Culture. PLOS ONE. 2019 Dec; 14(12): e0226742. doi: 10.1371/journal.pone.0226742.
Degu AB, Yilma TM, Beshir MA, Inthiran A. 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. PLOS ONE. 2022 May; 17(5): e0267347. doi: 10.1371/journal.pone.0267347.
Alqahtani N, Oh KM, Kitsantas P, Rodan M. Nurses' Evidence‐Based Practice Knowledge, Attitudes and Implementation: A Cross‐Sectional Study. Journal of Clinical Nursing. 2020 Jan; 29(1-2): 274-83. doi: 10.1111/jocn.15097.
Mohamed HM and Mohamed AI. Nurses’ Perception, Self-Efficacy, Barriers, and Training Needs for Implementing Evidence-Based Practice: Is It Time for a Change Toward Safe Care? American Journal of Nursing Research. 2018; 6(6): 586-97.
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. International Journal of Environmental Research and Public Health. 2022 Jul; 19(14): 8407. doi: 10.3390/ijerph19148407.
Li S, Cao M, Zhu X. Evidence-Based Practice: Knowledge, Attitudes, Implementation, Facilitators, and Barriers among Community Nurses—Systematic Review. Medicine. 2019 Sep; 98(39): e17209. doi: 10.1097/MD.0000000000017209.
Megersa Y, Dechasa A, Shibru A, Mideksa L, Tura MR. Evidence-based Practice Utilization and Its Associated Factors among Nurses Working at Public Hospitals in West Shoa Zone, Central Ethiopia: A Cross-Sectional Study. British Medical Journal Open. 2023 Jan; 13(1): e063651. doi: 10.1136/bmjopen-2022-063651.
Pitsillidou M, Roupa Z, Farmakas A, Noula M. Factors Affecting the Application and Implementation of Evidence-Based Practice in Nursing. Acta Informatica Medica. 2021 Dec; 29(4): 281. doi: 10.5455/aim.2021.29.281-287.
Pitsillidou M, Noula M, Roupa Z, Farmakas A. Barriers to the adoption of Evidence-Based Practice in Nursing: A Focus Group Study. Acta Informatica Medica. 2023; 31(4): 306. doi: 10.5455/msm.2023.35.306-311.
Tomotaki A, Fukahori H, Sakai I. Exploring Sociodemographic Factors Related to Practice, Attitude, Knowledge, and Skills Concerning Evidence‐Based Practice in Clinical Nursing. Japan Journal of Nursing Science. 2020 Jan; 17(1): e12260. doi: 10.1111/jjns.12260.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 NURSEARCHER (Journal of Nursing & Midwifery Sciences)

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments editor@nursearcher.com


