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
Zeliha Yaman
,
Sabahattin Tekingündüz
,
Gülhan Temel
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.
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
Zeliha Yaman
,
Sabahattin Tekingündüz
,
Gülhan Temel
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.