Determinants of Implementation of Evidence-Based Practice in Clinical Decision-Making among Nurses in Primary Health Care Facilities

Authors

  • Opeoluwa Oluwatoyin Olabode Department of Nursing, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Oyo State
    Nigeria
  • Funmilayo A. Okanlawon Department of Nursing, Faculty of Clinical Sciences, University of Ibadan, Ibadan, Oyo State
    Nigeria
  • Emmanuel O. Adesuyi School of Nursing & Midwifery, Birmingham City University; Institute of Nursing Research, Osogbo, Osun State
    United Kingdom
  • Oluwadamilare Akingbade Institute of Nursing Research, Osogbo, Osun State; Faculty of Nursing, University of Alberta, Edmonton
    Nigeria
  • Chinomso Nwozichi Kennesaw State University, Wellstar School of Nursing, Georgia
    United States
  • Yetunde Olufunmilayo Tola Department of Public Health Sciences, Faculty of Public Health, University of Waterloo, Waterloo, Ontario
    Canada

Abstract

Background. Healthcare workers and institutions often face a lack of evidence-based and cost-effective care, which, if addressed, could improve practice and outcomes.

Aim. To assess the determinants of implementation of evidence-based practice (EBP) in clinical decision-making (CDM) among nurses in primary health care facilities.

Methods. The study utilized a descriptive cross-sectional design involving 266 nurses from primary healthcare facilities in Ondo State. Data were collected through a structured questionnaire administered via the online survey platform Google Forms. Findings are presented in frequency and percentage tables, and inferential statistics were analyzed using Chi-square tests at a 5% level of statistical significance.

Results. Knowledge has been identified as a key determinant in the implementation of Evidence-Based Practice (EBP) in Chronic Disease Management (CDM) among nurses in primary healthcare facilities. The study revealed that 73.7% of respondents demonstrated a strong knowledge of EBP in CDM, with the highest levels reported among ward managers. Additionally, access to EBP resources and consistent support from employers were major factors influencing successful EBP implementation, with 86% of respondents affirming the importance of these supports. Regarding implementation levels, 53.4% of respondents reported high implementation of EBP in CDM, while the remaining 46.6% indicated low implementation.

Conclusions. The study concluded that while nurses generally possessed good knowledge of Evidence-Based Practice, the highest levels of expertise were observed among ward managers. Key barriers to Evidence-Based Practice implementation in Chronic Disease Management were also identified, including limited network accessibility and inconsistent electricity supply.

Keywords: determinants; implementation; evidence-based practice; clinical decision-making; nurses.

 

Downloads

Published

2024-12-13

Issue

Vol. 2 No. 31 (2024)

Section

Articles

License

Copyright (c) 2024 Author(s). Published by Lithuanian Sports University.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

How to Cite

Determinants of Implementation of Evidence-Based Practice in Clinical Decision-Making among Nurses in Primary Health Care Facilities. (2024). Reabilitacijos Mokslai: Slauga, Kineziterapija, Ergoterapija, 2(31), 90-106. https://doi.org/10.33607/rmske.v2i31.1541