The Association Between Nursing Work Environment and Evidence‐Based Practice.
Introduction: Evidence‐based practice (EBP) is essential for improving the quality of care and health outcomes in healthcare organizations. This study aimed to analyze the association between the nursing work environment and EBP elements, including attitude, training, implementation and quality of c...
| Publicado en: | Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) Vol. 22; no. 6; pp. 1 - 10 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
John Wiley & Sons, Inc.
Dec2025
|
| 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=190585183&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190585183 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17416787 NRNX jtl: Worldviews on Evidence-Based Nursing (John Wiley & Sons, Inc.) issn: 17416787 maglogo: N pubinfo: dt: Dec2025 vid: 22 iid: 6 pid: 52269 pub: John Wiley & Sons, Inc. artinfo: ui: 190585183 190585183 190585183 10.1111/wvn.70082 190585183 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The Association Between Nursing Work Environment and Evidence‐Based Practice. aug: au: Lana, Alberto Fernández‐Arce, Lucía González‐García, María Fernández‐Iglesias, Rocío Andina‐Díaz, Elena Fernández Feito, Ana affil: Department of Preventive Medicine and Public Health, School of Medicine and Health Sciences, University of Oviedo, Oviedo, Spain sug: subj: Nursing Practice, Evidence-Based Education Registered Nurses Psychosocial Factors Nurse Attitudes Evaluation Work Environment Quality of Nursing Care Implementation Science Human Funding Source Spain Female Male Adult Middle Age Multicenter Studies Cross Sectional Studies Primary Health Care Questionnaires Self Report Comparative Studies Descriptive Statistics Data Analysis Software Odds Ratio Confidence Intervals Logistic Regression Chi Square Test One-Way Analysis of Variance Sociodemographic Factors Organizational Culture Personnel Staffing and Scheduling Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Introduction: Evidence‐based practice (EBP) is essential for improving the quality of care and health outcomes in healthcare organizations. This study aimed to analyze the association between the nursing work environment and EBP elements, including attitude, training, implementation and quality of care. Methods: A multicenter, cross‐sectional study was conducted with 1022 registered nurses from 57 primary care centers and four public hospitals in northern Spain. The Practice Environment Scale of the Nursing Work Index (PES‐NWI) was used to assess the nursing work environment. Data collection also included the Health Sciences Evidence‐Based Practice (HS‐EBP) questionnaire to evaluate attitudes toward EBP, and self‐reported measures of EBP training, EBP implementation, and overall quality of care. Odds ratios (OR) and 95% confidence intervals for the association between the nursing work environment and EBP elements were calculated using logistic regression adjusted for sociodemographic and occupational characteristics. Results: Compared to nurses who reported working in unfavorable environments (n = 220; 21.5%), those working in favorable environments (n = 437; 42.8%) exhibited a positive attitude toward EBP (OR = 2.89; 95% CI [2.00, 4.18]), EBP implementation (OR = 2.30; 95% CI [1.52, 3.39]) and higher quality of care (OR = 2.35; 95% CI [1.61, 3.44]). Using a composite measure that considered all EBP elements, favorable environments were associated with overall EBP engagement (OR = 3.47; 95% CI [2.38, 5.07]). The most influential environmental dimensions were adequate staffing and strong nursing foundations. Linking Evidence to Action: A favorable nursing work environment was strongly associated with a positive attitude toward EBP, the implementation of EBP, and a commitment to providing high‐quality care. Key strategies to promote EBP should involve healthcare and academic institutions working together to establish a healthy work environment with appropriate staffing and care foundations rooted in nursing theory. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|