Perception and associated factors on evidence-based practice among mongolian nurses

Abstract

In contemporary healthcare settings, a multitude of new research, technology, and evidence is continually emerging, and it is widely recognized throughout the globe that evidence‐based practice (EBP) is key to delivering the highest quality of healthcare and ensuring the best patient outcomes. EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care.The purpose of this study was to describe perception and associated factors on EBP among Mongolian nurses and to examine the relationship of associated factors on perception of EBP. Data derived from this study can facilitate the efficient adoption of EBP in clinical settings in Mongolia.Data were collected from 2013 11.10 to 2013.11.20 among 173 conveniently selected nurses who were employed in tertiary hospitals having more than 400 beds in Ulaanbaatar, Mongolia. The coded data were analyzed using SPSS version 210.The major results are as follows.1.The mean age of the participants was 37 year old. 162 (94%), were female, 112 (65%) held a bachelor’s degree in nursing, 130 (77%) were staff nurses, and 104 (61%) had intermediate English proficiency.2.The overall mean EBPQ score was moderate (4.01±1.62). The attitude subscale of the EBPQ showed the highest mean score (4.58±1.64), followed by the knowledge (3.84±1.59), and the performance subscales (3.71±1.56).3.Education degree (t= 2.90, p=0.004), English proficiency (t= 2.02, p=0.045), attendance at nursing conferences/seminars (F= 4.28, p=0.015), taking a research methods class (t= 2.93, p=0.04), and barriers of organization (r = ‐0.179, p=0.018) were found significantly associated with perception of EBP.4.Education degree, attendance at conferences/seminars, taking a research methods class, and barrier of organization had an explanatory power of 11.7% about perception of EBP.

This study has found that Mongolian clinical nurses have knowledge deficits and misconceptions of EBP and indicate the importance of providing education and training courses for EBP. Based on these research findings it is necessary to develop educational and training programs to introduce EBP to clinical settings to insure success in achieving high‐quality patient care. For this, nurse educators, leaders, and managers of organizations can play an important role in promoting, supporting, and providing training courses on EBP.