An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice


  • Fathimath Shifaza Flinders University
  • Mohammad Hamiduzzaman College of Health, Medicine & Wellbeing, University of Newcastle, Australia



Clinical decision making, Evidence-based practice, EBP, Evidence-based nursing, Evidence-based decisions, knowledge translation, research literacy


While healthcare institutions around the world strive to adopt evidence-based practice (EBP) as the new standard in best practice, the nursing profession still faces multiple barriers and limitations in implementation. The aim of this paper is to present the analysis of EBP from the perspective of nurses working within two major South Australian hospitals, assessing their implementation and beliefs and exploring avenues for further research-based upon their feedback. A descriptive survey using the EBP beliefs (EBP-b) and the EBP implementation (EBP-I) scales were developed by Melnyk and Fineout-Overholt. Nurses scored high in the EBP belief scale reflecting significant positive readiness towards EBP. A positive correlation was observed between EBP beliefs and implementation, yet implementation rates were very low. More research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem. Based on the evidence it appears that more research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem.


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A. Mackey and S. Bassendowski, "The History of Evidence-Based Practice in Nursing Education and Practice," (in eng), J Prof Nurs, vol. 33, no. 1, pp. 51-55, Jan-Feb 2017, doi: 10.1016/j.profnurs.2016.05.009.

M. Dawes et al., "Sicily statement on evidence-based practice," (in eng), BMC Med Educ, vol. 5, no. 1, p. 1, Jan 5 2005, doi: 10.1186/1472-6920-5-1.

M. J. Leach and B. Tucker, "Current understandings of the research–practice gap from the viewpoint of complementary medicine academics: a mixed-method investigation," Explore, vol. 13, no. 1, pp. 53-61, 2017.

B. M. Melnyk et al., "Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence‐based practice: Implications for accelerating the paradigm shift," Worldviews on Evidence‐Based Nursing, vol. 1, no. 3, pp. 185-193, 2004.

B. M. Melnyk, L. Gallagher-Ford, and E. Fineout-Overholt, Implementing the evidence-based practice (EBP) competencies in healthcare: a practical guide for improving quality, safety, and outcomes. Sigma Theta Tau, 2016.

F. Shifaza and M. Hamiduzzaman, "System Factors Influencing the Australian Nurses' Evidence-based Clinical Decision Making: A Systematic Review of Recent Studies," Evidence Based Care, vol. 9, no. 2, pp. 17-30, 2019.

Elifa Ihda Rahmayanti, "Readiness, Barriers and Potential Strenght of Nursing in Implementing Evidence-Based Practice," International Journal of Caring Sciences, vol. 13, no. 2, pp. 1203-1211, 2020.

A. Hashish, E. Aly, and S. Alsayed, "Evidence-Based Practice and its Relationship to Quality Improvement: A Cross-Sectional Study among‎ Egyptian Nurses," The Open Nursing Journal, vol. 14, no. 1, 2020.

C. Moloney, M. Taylor, and N. Ralph, "Flooded with evidence: using a'spillway'model to improve research implementation in nursing practice," Australian Journal of Advanced Nursing, The, vol. 34, no. 1, pp. 23-31, 2016.

I. R. Blackman and T. M. Giles, "Can nursing students practice what is preached? Factors impacting graduating nurses' abilities and achievement to apply evidence‐based practices," Worldviews on Evidence‐Based Nursing, vol. 14, no. 2, pp. 108-117, 2017.

M. Al Qadire, "Undergraduate student nurses' knowledge of evidence-based practice: A short online survey," Nurse education today, vol. 72, pp. 1-5, 2019.

K. Leung, L. Trevena, and D. Waters, "Development of a competency framework for evidence-based practice in nursing," (in eng), Nurse Educ Today, vol. 39, pp. 189-96, Apr 2016, doi: 10.1016/j.nedt.2016.01.026.

M. P. McEvoy, M. Crilly, T. Young, J. Farrelly, and L. K. Lewis, "How Comprehensively Is Evidence-Based Practice Represented in Australian Health Professional Accreditation Documents? A Systematic Audit," Teaching and Learning in Medicine, vol. 28, no. 1, pp. 26-34, 2016/01/02 2016, doi: 10.1080/10401334.2015.1107490.

S. G. Funk, M. T. Champagne, R. A. Wiese, and E. M. Tornquist, "Barriers to using research findings in practice: The clinician's perspective," Applied nursing research, vol. 4, no. 2, pp. 90-95, 1991.

R. Levin, M. Vetter, E. Fineout-Overholt, B. Melnyk, and M. Barnes, "Advancing research and clinical practice through close collaboration (ARCC): a pilot test of an intervention to improve evidence-based care and patient outcomes in a community health setting," in 8th Annual National/International Evidence-Based Practice Conference Translating Research into Best Practice with Vulnerable Populations, 2005.

D. Dang and S. Dearholt, Supplemental materials for Johns Hopkins Nursing Evidence-Based Practice: Model and Guidelines. Sigma Theta Tau International, 2018.

M. G. Titler et al., "The Iowa model of evidence-based practice to promote quality care," Critical care nursing clinics of North America, vol. 13, no. 4, pp. 497-509, 2001.

M. A. Rosswurm and J. H. Larrabee, "A model for change to evidence‐based practice," Image: The Journal of Nursing Scholarship, vol. 31, no. 4, pp. 317-322, 1999.

K. Stevens, "Star model of EBP: Knowledge transformation," Academic Center for Evidence-based Practice. The University of Texas Health Science Center at San Antonio. Retrieved from http://nursing. uthscsa. edu/onrs/starmodel/star-model. asp, 2012.

B. M. Melnyk, E. Fineout-Overholt, M. Giggleman, and K. Choy, "A Test of the ARCC© Model Improves Implementation of Evidence-Based Practice, Healthcare Culture, and Patient Outcomes," Worldviews on Evidence-Based Nursing, vol. 14, no. 1, pp. 5-9, 2017, doi:

B. M. Melnyk, E. Fineout‐Overholt, and M. Z. Mays, "The evidence‐based practice beliefs and implementation scales: psychometric properties of two new instruments," Worldviews on Evidence‐Based Nursing, vol. 5, no. 4, pp. 208-216, 2008.

S. C. Kim, L. Ecoff, C. E. Brown, A. M. Gallo, J. F. Stichler, and J. E. Davidson, "Benefits of a regional evidence‐based practice fellowship program: A test of the ARCC model," Worldviews on Evidence‐Based Nursing, vol. 14, no. 2, pp. 90-98, 2017.

E. Perruchoud, S. Fernandes, H. Verloo, and F. Pereira, "Beliefs and implementation of evidence-based practice among nurses in the nursing homes of a Swiss canton: An observational cross-sectional study," Journal of Clinical Nursing, vol. 30, no. 21-22, pp. 3218-3229, 2021, doi:

M. Khammarnia, M. Haj Mohammadi, Z. Amani, S. Rezaeian, and F. Setoodehzadeh, "Barriers to implementation of evidence based practice in zahedan teaching hospitals, iran, 2014," (in eng), Nurs Res Pract, vol. 2015, pp. 357140-357140, 2015, doi: 10.1155/2015/357140.

A. Koschel, M. Cross, H. Haines, K. Ervin, D. Skinner-Louis, and D. Carbone, "Research and evidence based practice in a rural Victorian cohort," Australian Journal of Advanced Nursing, The, vol. 30, no. 2, pp. 13-19, 2012.

F. Shifaza, D. Evans, and H. Bradley, "Nurses’ perceptions of barriers and facilitators to implement EBP in the Maldives," Advances in Nursing, vol. 2014, 2014.

P. Drury, E. McInnes, J. Hardy, S. Dale, and S. Middleton, "Stroke unit Nurse Managers' views of individual and organizational factors liable to influence evidence-based practice: A survey," International Journal of Nursing Practice, vol. 22, no. 2, pp. 169-178, 2016, doi:




How to Cite

F. Shifaza and M. . Hamiduzzaman, “An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice”, International Journal of Advanced Health Science and Technology, vol. 1, no. 2, pp. 34–41, Dec. 2021.



Health Science