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Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case

Year 2025, Volume: 11 Issue: 3, 102 - 108, 30.09.2025
https://doi.org/10.30934/kusbed.1657357

Abstract

Objective: The aim of this study is to examine the relationship between nurses' attitudes toward evidence-based practice and organizational variables such as job satisfaction, job performance, organizational trust, and organizational identification in two different healthcare organizations.
Methods: Data for this cross-sectional and correlational study were collected via face-to-face interviews from 493 nurses selected through stratified random sampling from two hospitals in Turkey. Data were collected using the Evidence-Based Nursing Attitude Questionnaire, Organizational Identification Scale, Job Performance Scale, Job Satisfaction Scale, and Organizational Trust Scale.
Results: It was found that the total scores of the evidence-based nursing scale of nurses working in public hospitals (63[57-68]) were higher than those of nurses working in university hospitals (58.5[49-65]) (p<0.001). When the total scores obtained from the two hospitals were examined, significant correlations were found between the total scores of the evidence-based nursing scale of nurses and the scores of organizational identification (p<0.01), job performance (p<0.05), job satisfaction (p<0.01) and organizational trust (p<0.01).
Conclusion: The study highlights the importance of organizational variables such as organizational identification, job performance, job satisfaction, and organizational trust in shaping nurses' attitudes towards evidence-based practice. The importance of these factors should be taken into consideration in order to develop positive attitudes towards evidence-based practices among nurses, thus encouraging the dissemination of evidence-based practices within healthcare organizations.

Ethical Statement

Araştırmanın Etik Yönü Bu çalışmanın etik onayı Mersin Üniversitesi Sosyal ve Beşeri Bilimler Etik Kurulu’ndan alındı. (Onay numarası: 31/07/2019-223). Ayrıca, çalışmanın yürütüldüğü hastanelerden çalışma için kurum izni alındı. Çalışmaya katılan hemşirelerden yazılı ve sözlü onam da alındı. Araştırma Helsinki Deklarasyonu kurallarına uygun olarak yürütüldü.

Supporting Institution

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Thanks

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References

  • Abdullah MI, Huang D, Sarfraz M, Ivascu L, Riaz A. Effects of internal service quality on nurses’ job satisfaction, commitment and performance: Mediating role of employee well‐being. Nursing Open. 2021;8(2):607-619
  • Sonğur C, Özer Ö, Gün, Ç, Top M. Patient safety culture, evidence-based practice, and performance in nursing. Syst. Pract. Action Res. 2018;31(4):359-374.
  • García-Expósito J, Tort-Nasarre G, Torné-Ruiz A, Roca J, Esqué S, Sanromà-Ortíz M. Constructing applied knowledge in nursing students: A learning experience centered on evidence-based practice. Nurs. Rep. 2025;15:41.
  • Melnyk BM, Tan A, Hsieh AP, Gallagher‐Ford, L. Evidence‐Based Practice Culture and Mentorship Predict EBP implementation, nurse job satisfaction, and intent to stay: Support for the ARCC© Model. Worldviews Evid. Based Nurs. 2021;18(4):272-281
  • Skela‐Savič B, Lobe B. Differences in beliefs on and implementation of evidence‐based practice according to type of health care institution-A national cross‐sectional study among Slovenian nurses. J. Nurs. Manag. 2021;29(5):971-981
  • Tomotaki A, Saiki M, Fukahori H, Yamamoto T, Nishigaki M, Matsuoka C., Yasuda E., Sakai I. Psychometric properties of the Japanese version of the evidence-based practice beliefs scale among clinical nurses. JINR. 2025;e2023-0042.
  • Melnyk BM, & Fineout-Overholt E. Evidence-based practice in nursing and healthcare: A guide to best practice, 4th ed. Philadelphia, PA: Wolters Kluwer, 2019.
  • Teixeira AC, Nogueira A, Barbieri‐Figueiredo MDC. Professional empowerment and evidence‐based nursing: A mixed‐method systematic review. J Clin Nurs. 2023;32(13-14):3046-3057
  • Mohamed RA, Alhujaily M, Ahmed FA, Nouh WG, Almowafy AA. Exploring the potential impact of applying web-based training program on nurses’ knowledge, skills, and attitudes regarding evidence-based practice: A quasi-experimental study. Plos one. 2024;19(2):e0297071.
  • Pitsillidou M, Roupa Z, Farmakas A, Noula M. Factors affecting the application and implementation of evidence-based practice in nursing. Acta Inform Med. 2021;29(4):281
  • Hu WL, Hong Y, Wang H, Chuang YC, Ye Y, Zheng Q, Huang L. Assessing evidence-based practice competencies of undergraduate nursing students using a developed multi-criteria decision-analysis model. Nurse Educ Pract. 2024;103919.
  • González LMP, del Pilar Ureña M, Andrade D, Vergara-Escobar OJ, Palacios C. Camargo-Figuera FA. Validation of an instrument to measure knowledge, attitudes and skills towards Evidence-Based Practice in nursing students in Colombia. Nurse Educ. Pract. 2024;76:103904.
  • Pourteimour S, Yaghmaei S, Babamohamadi H. The relationship between mental workload and job performance among Iranian nurses providing care to COVID‐19 patients: A cross‐sectional study. J. Nurs. Manag. 2021;29(6):1723-1732.
  • Penconek T, Tate K, Bernardes A, et al. Determinants of nurse manager job satisfaction: A systematic review. Int. J. Nurs. Stud. 2021;118:103906.
  • Tekingündüz S, Yıldız E, İnci R. Relationships between nurses’ perceptions of patient safety culture and job stress, trust, identification, and leadership. JHNM. 2021;8(3):344-354.
  • Malhotra N, Sahadev S, Sharom NQ. Organisational justice, organisational identification and job involvement: the mediating role of psychological need satisfaction and the moderating role of person-organisation fit. Int. J. Hum. Resour. Stud. 2022;33(8):1526-1561.
  • Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). Hillside, NJ: Lawrence Erlbaum Associates, 1988.
  • Ruzafa‐Martínez M, López‐Iborra L, Madrigal‐Torres M. Attitude towards evidence‐based nursing questionnaire: development and psychometric testing in Spanish community nurses. J Eval Clin Pract. 2011;17(4):664-670.
  • Ayhan Y, Kocaman, G, Bektaş M. The validity and reliability of attitude towards evidence-based nursing questionnaire for Turkish. Journal of Research and Development in Nursing. 2015;17(2/3):21-35.
  • Mael F. Ashforth BE. Alumni and their alma mater: A partial test of the reformulated model of organizational identification. J. Organ. Behav. 1992;13(2):103-123.
  • Tüzün Kİ. The relationship among organizational, trust, organizational identity and organizational identification, an empirical study. PhD Dissertation, University of the Gazi, 2006.
  • Çöl G. The effects of perceived empowerment on job performance, Doğuş University Journal. 2008;9(1):35-46.
  • Şeşen H, Basım HN. The effect of employees’ justice perception on organizational citizenship behaviors: the mediating role of job satisfaction. METU Stud. Dev. 2010;37(8):171-193.
  • Polat MA. field study on antecedents and consequences of organizational identification. PhD Dissertation, University of the Bursa, 2009.
  • World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-2194.
  • Orak OS, Emirza E, Gülırmak K. Investigation of the attitudes of nursing working at a university hospital towards evidence based nursing in terms of their professional and scientific activity experiences. TOGU Journal of Health Sciences. 2022;2(1):25-38.
  • Pursio K, Kankkunen P, Sanner‐Stiehr E, Kvist T. Professional autonomy in nursing-An integrative review. J Nurs Manag. 2021;1–13.

Hemşirelerin Kanıta Dayalı Uygulamaya Yönelik Tutumlarını Etkileyen Faktörler: Bir Üniversite Hastanesi Ve Kamu Hastanesi Örneği

Year 2025, Volume: 11 Issue: 3, 102 - 108, 30.09.2025
https://doi.org/10.30934/kusbed.1657357

Abstract

Objective: The aim of this study is to examine the relationship between nurses' attitudes toward evidence-based practice and organizational variables such as job satisfaction, job performance, organizational trust, and organizational identification in two different healthcare organizations.
Methods: Data for this cross-sectional and correlational study were collected via face-to-face interviews from 493 nurses selected through stratified random sampling from two hospitals in Turkey. Data were collected using the Evidence-Based Nursing Attitude Questionnaire, Organizational Identification Scale, Job Performance Scale, Job Satisfaction Scale, and Organizational Trust Scale.
Results: It was found that the total scores of the evidence-based nursing scale of nurses working in public hospitals (63[57-68]) were higher than those of nurses working in university hospitals (58.5[49-65]) (p<0.001). When the total scores obtained from the two hospitals were examined, significant correlations were found between the total scores of the evidence-based nursing scale of nurses and the scores of organizational identification (p<0.01), job performance (p<0.05), job satisfaction (p<0.01) and organizational trust (p<0.01).
Conclusion: The study highlights the importance of organizational variables such as organizational identification, job performance, job satisfaction, and organizational trust in shaping nurses' attitudes towards evidence-based practice. The importance of these factors should be taken into consideration in order to develop positive attitudes towards evidence-based practices among nurses, thus encouraging the dissemination of evidence-based practices within healthcare organizations.

References

  • Abdullah MI, Huang D, Sarfraz M, Ivascu L, Riaz A. Effects of internal service quality on nurses’ job satisfaction, commitment and performance: Mediating role of employee well‐being. Nursing Open. 2021;8(2):607-619
  • Sonğur C, Özer Ö, Gün, Ç, Top M. Patient safety culture, evidence-based practice, and performance in nursing. Syst. Pract. Action Res. 2018;31(4):359-374.
  • García-Expósito J, Tort-Nasarre G, Torné-Ruiz A, Roca J, Esqué S, Sanromà-Ortíz M. Constructing applied knowledge in nursing students: A learning experience centered on evidence-based practice. Nurs. Rep. 2025;15:41.
  • Melnyk BM, Tan A, Hsieh AP, Gallagher‐Ford, L. Evidence‐Based Practice Culture and Mentorship Predict EBP implementation, nurse job satisfaction, and intent to stay: Support for the ARCC© Model. Worldviews Evid. Based Nurs. 2021;18(4):272-281
  • Skela‐Savič B, Lobe B. Differences in beliefs on and implementation of evidence‐based practice according to type of health care institution-A national cross‐sectional study among Slovenian nurses. J. Nurs. Manag. 2021;29(5):971-981
  • Tomotaki A, Saiki M, Fukahori H, Yamamoto T, Nishigaki M, Matsuoka C., Yasuda E., Sakai I. Psychometric properties of the Japanese version of the evidence-based practice beliefs scale among clinical nurses. JINR. 2025;e2023-0042.
  • Melnyk BM, & Fineout-Overholt E. Evidence-based practice in nursing and healthcare: A guide to best practice, 4th ed. Philadelphia, PA: Wolters Kluwer, 2019.
  • Teixeira AC, Nogueira A, Barbieri‐Figueiredo MDC. Professional empowerment and evidence‐based nursing: A mixed‐method systematic review. J Clin Nurs. 2023;32(13-14):3046-3057
  • Mohamed RA, Alhujaily M, Ahmed FA, Nouh WG, Almowafy AA. Exploring the potential impact of applying web-based training program on nurses’ knowledge, skills, and attitudes regarding evidence-based practice: A quasi-experimental study. Plos one. 2024;19(2):e0297071.
  • Pitsillidou M, Roupa Z, Farmakas A, Noula M. Factors affecting the application and implementation of evidence-based practice in nursing. Acta Inform Med. 2021;29(4):281
  • Hu WL, Hong Y, Wang H, Chuang YC, Ye Y, Zheng Q, Huang L. Assessing evidence-based practice competencies of undergraduate nursing students using a developed multi-criteria decision-analysis model. Nurse Educ Pract. 2024;103919.
  • González LMP, del Pilar Ureña M, Andrade D, Vergara-Escobar OJ, Palacios C. Camargo-Figuera FA. Validation of an instrument to measure knowledge, attitudes and skills towards Evidence-Based Practice in nursing students in Colombia. Nurse Educ. Pract. 2024;76:103904.
  • Pourteimour S, Yaghmaei S, Babamohamadi H. The relationship between mental workload and job performance among Iranian nurses providing care to COVID‐19 patients: A cross‐sectional study. J. Nurs. Manag. 2021;29(6):1723-1732.
  • Penconek T, Tate K, Bernardes A, et al. Determinants of nurse manager job satisfaction: A systematic review. Int. J. Nurs. Stud. 2021;118:103906.
  • Tekingündüz S, Yıldız E, İnci R. Relationships between nurses’ perceptions of patient safety culture and job stress, trust, identification, and leadership. JHNM. 2021;8(3):344-354.
  • Malhotra N, Sahadev S, Sharom NQ. Organisational justice, organisational identification and job involvement: the mediating role of psychological need satisfaction and the moderating role of person-organisation fit. Int. J. Hum. Resour. Stud. 2022;33(8):1526-1561.
  • Cohen J. Statistical power analysis for the behavioral sciences (2nd ed.). Hillside, NJ: Lawrence Erlbaum Associates, 1988.
  • Ruzafa‐Martínez M, López‐Iborra L, Madrigal‐Torres M. Attitude towards evidence‐based nursing questionnaire: development and psychometric testing in Spanish community nurses. J Eval Clin Pract. 2011;17(4):664-670.
  • Ayhan Y, Kocaman, G, Bektaş M. The validity and reliability of attitude towards evidence-based nursing questionnaire for Turkish. Journal of Research and Development in Nursing. 2015;17(2/3):21-35.
  • Mael F. Ashforth BE. Alumni and their alma mater: A partial test of the reformulated model of organizational identification. J. Organ. Behav. 1992;13(2):103-123.
  • Tüzün Kİ. The relationship among organizational, trust, organizational identity and organizational identification, an empirical study. PhD Dissertation, University of the Gazi, 2006.
  • Çöl G. The effects of perceived empowerment on job performance, Doğuş University Journal. 2008;9(1):35-46.
  • Şeşen H, Basım HN. The effect of employees’ justice perception on organizational citizenship behaviors: the mediating role of job satisfaction. METU Stud. Dev. 2010;37(8):171-193.
  • Polat MA. field study on antecedents and consequences of organizational identification. PhD Dissertation, University of the Bursa, 2009.
  • World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-2194.
  • Orak OS, Emirza E, Gülırmak K. Investigation of the attitudes of nursing working at a university hospital towards evidence based nursing in terms of their professional and scientific activity experiences. TOGU Journal of Health Sciences. 2022;2(1):25-38.
  • Pursio K, Kankkunen P, Sanner‐Stiehr E, Kvist T. Professional autonomy in nursing-An integrative review. J Nurs Manag. 2021;1–13.
There are 27 citations in total.

Details

Primary Language English
Subjects Primary Health Care
Journal Section Original Article
Authors

Zeliha Yaman 0000-0002-5551-0855

Sabahattin Tekingündüz 0000-0002-2528-9029

Gülhan Temel 0000-0002-2835-6979

Publication Date September 30, 2025
Submission Date March 14, 2025
Acceptance Date May 26, 2025
Published in Issue Year 2025 Volume: 11 Issue: 3

Cite

APA Yaman, Z., Tekingündüz, S., & Temel, G. (2025). Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 11(3), 102-108. https://doi.org/10.30934/kusbed.1657357
AMA Yaman Z, Tekingündüz S, Temel G. Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case. KOU Sag Bil Derg. September 2025;11(3):102-108. doi:10.30934/kusbed.1657357
Chicago Yaman, Zeliha, Sabahattin Tekingündüz, and Gülhan Temel. “Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 11, no. 3 (September 2025): 102-8. https://doi.org/10.30934/kusbed.1657357.
EndNote Yaman Z, Tekingündüz S, Temel G (September 1, 2025) Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 11 3 102–108.
IEEE Z. Yaman, S. Tekingündüz, and G. Temel, “Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case”, KOU Sag Bil Derg, vol. 11, no. 3, pp. 102–108, 2025, doi: 10.30934/kusbed.1657357.
ISNAD Yaman, Zeliha et al. “Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 11/3 (September2025), 102-108. https://doi.org/10.30934/kusbed.1657357.
JAMA Yaman Z, Tekingündüz S, Temel G. Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case. KOU Sag Bil Derg. 2025;11:102–108.
MLA Yaman, Zeliha et al. “Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, vol. 11, no. 3, 2025, pp. 102-8, doi:10.30934/kusbed.1657357.
Vancouver Yaman Z, Tekingündüz S, Temel G. Factors Affecting Nurses’ Attitudes Towards Evidence-Based Practice: A University Hospital and Public Hospital Case. KOU Sag Bil Derg. 2025;11(3):102-8.