Nurses’ KAP related to research conduct and utilization: EBNP “are we ready yet.

  • Abstract
  • Keywords
  • References
  • PDF
  • Abstract

    Background: Nurses make a positive difference every day and continue to shape the future of healthcare through planning, implementation and dissemination of quality research studies. The practice of evidence-based nursing is determined by the nurse’s clinical experience as well as clinically relevant research knowledge, willingness to apply research to practice, and the skills to do so. No previous studies had been conducted to assess the conduct and utilization of nursing research and EBP in the Eastern province of Saudi Arabia.

    Objective: Assess current nurses’ research knowledge, attitude, and practice related to research conduct and utilization and to determine individual, organizational and contextual factors that predicts nurses’ ability to conduct and utilize research findings into practice.

    Methods: Descriptive correlational cross-sectional design utilized to study a convenient sample of 719 nurses working at different health care sectors in the Eastern Region of KSA. [33] Items Research KAP Survey measured nurses’ KAP related to research© (KAP), a. three level Likert Scale (ranging from one to 3). Score less than 1.66 is “low, 1.67 to 2.33 is “moderate” and 2.34 to 3.0 is “high”.

    Results: A response rate of 89.9% was obtained. Nurses were mostly females, aged between 30 to 40 years. Nurses’ knowledge and attitude levels were moderate (1.78, 1.88 respectively), however the practice was low (1.31). Individual factors explained 77.4% (R2 = .774, F (5)=458, p<.001), contextual factors explained 8% (R2 = .089, F(4)=15.2, p<.001), and organizational factors explained 77.4% of the nurses ability to practice evidence based (R2 = .774, F(5)=458, p<.001).

    Conclusion: The study findings provide feedback to strengthen nursing research competencies at the regional level and to the Development of nursing research-related policies, guidelines, and educational programs for evidence based nursing practice.



  • Keywords

    Evidence- Based; Nursing Practice; Saudi Arabia.

  • References

      [1] Abad-Corpa, E, Delgado-Hito, P, Cabrero-García, J, Meseguer-Liza, C, Zárate-Riscal, CL, Carrillo-Alcaraz, A & Caravaca-Hernández, A. (2013). Implementing evidence in an onco-haematology nursing unit: A process of change using participatory action research. International Journal of Evidence Based Healthcare, 11: 46–55.

      [2] Adejumo, PO. & Guobadia PO. (2013). Nurses' attitude to reading research articles and their perception of research utilization in clinical practice in a Nigerian city. Journal of Medicine and Biomedical Research, 12 (1): 46-56.

      [3] Aarons, G A, Ehrhart, M G, Farahnak, L R, & Hurlburt, M S. (2015). Leadership and organizational change for implementation (LOCI): A randomized mixed method pilot study of a leadership and organization development intervention for evidence-based practice implementation. Implementation Science, 10-11.

      [4] Asuquo, EF, Etowa J, John M, Ndiok, A, Sampson-Akpan P & Edet O. (2013). Assessing nurses’ capacity for health research and policy engagement in Nigeria. Journal of Applied Medical Science, 2(2):35–51.

      [5] Bahadori, M, Raadabadi, M, Ravangard, R & Mahaki, B. (2016). The barriers to the application of the research findings from the nurses’ perspective: A case study in a teaching hospital. Journal of Education and Health Promotion, 5, 14. 10.4103/2277-9531.184553.

      [6] Burke, LJ, Farrell, MP, Brukwitzki, G, &Van Mullem, C. (1999). Nurses' Knowledge, Attitude, and Practices of Research Survey. Nursing Research Center, Aurora Health Care-Metro Region. Milwaukee WI, retrieved from

      [7] Chien, WT, Bai, Q, Wong, WK, Wang, H & Lu, X. (2013). Nurses’ perceived barriers to and facilitators of research utilization in mainland china: A cross-sectional survey. Open Nursing Journal, 7, 96–106.

      [8] Deegan, J (2013). A view from the outside: Nurses’ clinical decision-making in the twenty first century. Australian Journal of Advanced Nursing, 30(4): 12-18

      [9] Eizenberg, MM. (2011). Implementation of evidence-based nursing practice: Nurses’ personal and professional factors. Journal of Advanced Nursing, 67:33–42.

      [10] Eller, LS, Kleber, E, & Wang, SL. (2003). Research knowledge, attitudes and practices of health professionals. Nursing Outlook, 51(4): 165-170.

      [11] Estabrooks, CA, Midodzi, WK, Cummings, GC, Wallin, L, & Adewale, A. (2007). Predicting research use in nursing organizations: A multilevel analysis. Nursing Research. 56 (Suppl): 7-23.

      [12] Fineout-Overholt, E, Williamson, K, Kent, B & Hutchinson, A. (2010). Teaching EBP: strategies for achieving sustainable organizational change toward evidence based practice. Worldviews on Evidence-based Practice, 1, 51-53.

      [13] Grant, HS, Stuhlmacher, A & Bonte-Eley, S. (2012). Overcoming barriers to research utilization and evidence-based practice among staff nurses. Journal of Nurses in Staff Development, 28(4): 163- 165.

      [14] Institute of Medicine [IOM] (2013). Crossing the quality chasm: The IOM health care quality initiative. Retrieved on September 10, 2016 from: The future of nursing: Leading change, advancing health [prepared by Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing]. Washington, DC: National Academies Press. Retrieved from

      [15] Maaskant, JM, Knops, AM, Ubbink. DT & Vermeulen, H. (2013). Evidence-Based Practice: A Survey among Pediatric Nurses and Pediatricians. Journal of Pediatric Nursing, 28(2), 150-157.

      [16] Melnyk, BM, Fineout-Overholt, E, Giggleman, M, & Cruz, R. (2010). Correlates among cognitive beliefs, EBP implementation, organizational culture, and cohesion and job satisfaction in evidence-based practice mentors from a community hospital system. Nursing Outlook, 58(6):301-308.

      [17] Monde, MW, Akakandelwa, A & Kanyengo, CW. (2017). Nurses and Use of Research Information in Clinical Practice: a Case Study of the University Teaching Hospital in Zambia. Library Philosophy and Practice. (E-journal). 1560. Available at:

      [18] Pryse. Y1, McDaniel. A & Schafer, J. (2014). Psychometric analysis of two new scales: the evidence-based practice nursing leadership and work environment scales. Worldviews Evidence Based Nursing, 11(4), 240-247.

      [19] Rycroft-Malone, J, Wilkinson, JE, Burton, CR, Andrews, G, Ariss, S & Baker, R, et al. (2011). Implementing health research through academic and clinical partnerships: a realistic evaluation of the Collaborations for Leadership in Applied Health Research and Care (CLAHRC). Implementation Science, 19, 6:74.

      [20] Sanjari, M, Baradaran, HR, Aalaa, M & Mehrdad, N. (2015). Barriers and facilitators of nursing research utilization in Iran: A systematic review. Iran Journal of Nursing Midwifery Research. 20(5): 529–539.

      [21] SPSS Inc. Released 2009. PASW Statistics for Windows, Version 18.0. Chicago: SPSS

      [22] Squires, JE, Estabrooks, CA, Gustavsson, P & Wallin, L. (2011). Individual determinants of research utilization by nurses: a systematic review update. Implementation science, 5: 6-1.

      [23] Staffileno, BA & Carlson, E. (2010). Providing direct care nurses research and evidence-based practice information: an essential component of nursing leadership. Journal of Nursing Management, 18(1): 84-89.

      [24] Stokke, K, Olsen, NR, Espehaug, B & Nortvedt, MW. (2014). Evidence based practice beliefs and implementation among nurses: A cross-sectional study. BMC Nursing, 13:8.

      [25] Titler, MG, Kleiber, C, Steelman, V, Goode, C, Rakel, B, Barry-Walker, J, Small, S & Buckwalter, K. (1994). Infusing research into practice to promote quality care. Journal of Nursing Research, 43(5): 307-13.

      [26] Van-Mullem, C, Burke, LJ, Dohmeyer, K, Farrell, M, Harvey, S, John, L, Kraly, C, Rowley, F, Sebern, M, Twite, K, & Zapp, R. (1999). Strategic planning for research use in nursing practice. Journal of Nursing Administration, 29 (12): 38-45.

      [27] Wallin. L, Gustavsson, P, Ehrenberg, A & Rudman, A. (2012). a modest start, but a steady rise in research use: A longitudinal study of nurses during the first five years in professional life. Implementation Science, 7:19.

      [28] Wangensteen, S, Johansson, IS, Björkström, ME & Nordström, G. (2011). Research utilization and critical thinking among newly graduated nurses: predictors for research use. A quantitative cross-sectional study. Journal of Clinical Nursing, 20: 2436-2447.

      [29] Wilson. B, Kelly, L & Reifsnider, E. (2013). Creative approaches to increasing hospital-based nursing research. Journal of Nursing Administration, 43(10): 80- 88.




Article ID: 11814
DOI: 10.14419/ijans.v7i1.11814

Copyright © 2012-2015 Science Publishing Corporation Inc. All rights reserved.