Nurse Managers' Implementation Leadership and Hospital Nurses' Evidence‐Based Practice: A Multilevel Analysis of the Mediating Effects of Evidence‐Based Practice Beliefs.
Evidence‐based practice (EBP) is recognized as essential for improving patient outcomes and healthcare quality. Implementation leadership by nurse managers plays a crucial role in promoting EBP in hospital wards. However, the mechanisms by which implementation leadership is related to nurses' EBP ac...
| Publicado en: | Nursing & Health Sciences Vol. 27; no. 4; pp. 1 - 10 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190384868&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190384868 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14410745 82B jtl: Nursing & Health Sciences issn: 14410745 maglogo: Y pubinfo: dt: Dec2025 vid: 27 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 190384868 190384868 190384868 10.1111/nhs.70229 190384868 ppf: 1 ppct: 9 formats: tig: atl: Nurse Managers' Implementation Leadership and Hospital Nurses' Evidence‐Based Practice: A Multilevel Analysis of the Mediating Effects of Evidence‐Based Practice Beliefs. aug: au: Saiki, Masatoshi Tomotaki, Ai Yasuda, Emi Nishigaki, Masakazu Yamamoto, Takeshi Matsuoka, Chiyo Sakai, Ikuko affil: Department of Advanced Clinical Nursing, Frontier Clinical Nursing, Graduate School of Nursing, Chiba University, Chiba, Japan sug: subj: Nurse Managers Leadership Implementation Science Nursing Staff, Hospital Psychosocial Factors Nursing Practice, Evidence-Based Quality of Nursing Care Nurse Attitudes Human Funding Source Male Female Adult Middle Age Japan Secondary Analysis Cross Sectional Studies Questionnaires Academic Medical Centers Attitude of Health Personnel Structural Equation Modeling Quality of Health Care Convenience Sample Scales Descriptive Statistics Comparative Studies Summated Rating Scaling Intraclass Correlation Coefficient Pearson's Correlation Coefficient Data Analysis Software Mediation Analysis Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Evidence‐based practice (EBP) is recognized as essential for improving patient outcomes and healthcare quality. Implementation leadership by nurse managers plays a crucial role in promoting EBP in hospital wards. However, the mechanisms by which implementation leadership is related to nurses' EBP activities remain unclear. This research, a secondary analysis of cross‐sectional data from three Japanese university hospitals, included 473 nurses from 84 wards. Implementation leadership, EBP beliefs, and EBP behaviors were measured using the Implementation Leadership Scale, EBP Beliefs Scale, and EBP Questionnaire‐Japanese version. Multilevel structural equation modeling showed that at the ward level, implementation leadership directly affected staff nurses' EBP behaviors. At the individual level, the relationship between implementation leadership and EBP behaviors was fully mediated by EBP beliefs. The intraclass correlation coefficient was higher for Implementation Leadership Scale scores (0.20) than for EBP Beliefs Scale (0.05) and EBP Questionnaire‐Japanese version scores (0.03), indicating that implementation leadership was assessed similarly within wards. However, individual factors primarily affected EBP beliefs and behaviors. These findings suggest the importance of ward‐level support and individual belief formation in promoting EBP implementation. Trial Registration: This trail is registered with UMIN000045782 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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