Factors Related to the Implementation of Evidenced-based Practice (EBP) of Nursing Staffing Levels in Hospitals: A Literature Review

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Ikar Swito
Andi Indahwaty Sidin
Rini Rachmawaty


The implementation of Evidenced-based practice (EBP) was one of the factors in increasing the quality of health services as an ideal problem-solving approach. The ability of nurses to appliance EBP was influenced by many factors, not only on individual nurses consisting by the support of unit leader and colleague. The purpose of this study was to determine the factors associated with the implementation of EBP at the care room level establishing on the support of coworkers and nursing managers. This writing used a literature review study, from several databases namely PubMed, ProQuest, Google Scholar, and ScienceDirect with a limitation of the last 5 years. 17 journals met the inclusion criteria and the results of a literature review study show: eight journals conclude that the support of colleagues and authority in changing practices affects the implementation of EBP, 13 journals concluded the role of managerial nurses affects the implementation of EBP consisting of leadership support and mentorship including the lack of knowledge and skills of nursing leaders regarding EBP. Data from the collected and identified literature study clearly showed that EBP knowledge and skills of nursing leaders related to EBP are important factors in increasing the implementation of EBP but co-worker factors can be a supporter and also an obstacle to the implementation of EBP if it is not well managed.


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Swito, I. ., Sidin, A. I. ., & Rachmawaty, R. . (2021). Factors Related to the Implementation of Evidenced-based Practice (EBP) of Nursing Staffing Levels in Hospitals: A Literature Review. Journal of Asian Multicultural Research for Medical and Health Science Study, 2(1), 60-68. https://doi.org/10.47616/jamrmhss.v2i1.88


Chen, L., Wu, Y., Zhou, C., Li, X., & Zhao, H. (2019). Value, Knowledge, and Implementation on Evidence-based practice among nurse managers in China: a regional cross-sectional survey. Journal of Nursing Management. https://doi.org/10.1111/jonm.12907

Farokhzadian, J., Nayeri, N., Borhani, F., & Zare, M. (2015). Nurse leaders’ Attitudes, Self-Efficacy and training Needs for Implementing Evidence-Based Practice: Is It Time for a Change toward Safe Care? British Journal of Medicine and Medical Research, 7(8), 662–671. https://doi.org/10.9734/bjmmr/2015/16487

Gifford, W., Zhang, Q., Chen, S., Davies, B., Xie, R., Wen, S. W., & Harvey, G. (2018). When east meets west: A qualitative study of barriers and facilitators to evidence-based practice in Hunan China. BMC Nursing, 17(1), 1–11. https://doi.org/10.1186/s12912-018-0295-x

Hamaideh, S. H. (2017). Sources of Knowledge and Barriers of Implementing Evidence-Based Practice Among Mental Health Nurses in Saudi Arabia. Perspectives in Psychiatric Care, 53(3), 190–198. https://doi.org/10.1111/ppc.12156

Harper, M. G., Gallagher-Ford, L., Warren, J. I., Troseth, M., Sinnott, L. T., & Thomas, B. K. (2017). Evidence-Based Practice and U.S. Healthcare Outcomes: Findings from a National Survey with Nursing Professional Development Practitioners. Journal for Nurses in Professional Development, 33(4), 170–179. https://doi.org/10.1097/NND.0000000000000360

Irmayanti, R. (2019). Persepsi perawat tentang evidence based nursing practice (ebnp) dirumah sakit dr.achmad mochtar bukittinggi. 1–4.

Jordan, P., Bowers, C., & Morton, D. (2016). Barriers to implementing evidence-based practice in a private intensive care unit in the Eastern Cape. Southern African Journal of Critical Care, 32(2), 50–54. https://doi.org/10.7196/SAJCC.2016.v32i2.253

World Health Organization. (2017). Facilitating evidence-based practice in nursing and midwifery in the WHO European Region. WHO.Int, 2–6. http://www.euro.who.int/__data/assets/pdf_file/0017/348020/WH06_EBP_report_complete.pdf?ua=1

Melnyk, B. M., Gallagher-Ford, L., Thomas, B. K., Troseth, M., Wyngarden, K., & Szalacha, L. (2016). A Study of Chief Nurse Executives Indicates Low Prioritization of Evidence-Based Practice and Shortcomings in Hospital Performance Metrics Across the United States. Worldviews on Evidence-Based Nursing, 13(1), 6–14. https://doi.org/10.1111/wvn.12133

Nguyen, T. N. M., & Wilson, A. (2016). Hospital readiness for undertaking evidence-based practice: A survey. Nursing and Health Sciences, 18(4), 465–472. https://doi.org/10.1111/nhs.12293

Pittman, J., Cohee, A., Storey, S., LaMothe, J., Gilbert, J., Bakoyannis, G., Ofner, S., & Newhouse, R. (2019). A Multisite Health System Survey to Assess Organizational Context to Support Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 16(4), 271–280. https://doi.org/10.1111/wvn.12375

Saunders, H., & Vehviläinen-Julkunen, K. (2017). Nurses’ Evidence-Based Practice Beliefs and the Role of Evidence-Based Practice Mentors at University Hospitals in Finland. Worldviews on Evidence-Based Nursing, 14(1), 35–45. https://doi.org/10.1111/wvn.12189

Shuman, C. J., Powers, K., Banaszak-Holl, J., & Titler, M. G. (2019). Unit Leadership and Climates for Evidence-Based Practice Implementation in Acute Care: A Cross-Sectional Descriptive Study. Journal of Nursing Scholarship, 51(1), 114–124. https://doi.org/10.1111/jnu.12452

Shuman, C. J., Liu, X., Aebersold, M. L., Tschannen, D., Banaszak-Holl, J., & Titler, M. G. (2018). Associations among unit leadership and unit climates for implementation in acute care: a cross-sectional study. Implementation Science : IS, 13(1), 62. https://doi.org/10.1186/s13012-018-0753-6

Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the Use of Evidence-Based Practice and Research Utilization Through the Identification of Barriers to Implementation in a Critical Access Hospital. Journal of Nursing Administration, 47(1), 56–61. https://doi.org/10.1097/NNA.0000000000000437

Van der Goot, W. E., Keers, J. C., Kuipers, R., Nieweg, R. M. B., & de Groot, M. (2018). The effect of a multifaceted evidence-based practice programme for nurses on knowledge, skills, attitudes, and perceived barriers: A cohort study. Nurse Education Today, 63(June 2017), 6–11. https://doi.org/10.1016/j.nedt.2018.01.008

Yoo, J. Y., Kim, J. H., Kim, J. S., Kim, H. L., & Ki, J. S. (2019). 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, 14(12), 1–15. https://doi.org/10.1371/journal.pone.0226742