Pediatric Nurses' Knowledge, Perceived Barriers and Motivators Related To Evidence Based Nursing at University Children Hospitals, Egypt.

Abstract

Background: Evidence based practice (EBP) is aimed at integration of best research evidence with clinical expertise, and patient values in making clinical decisions about their care. In order to improve the use of EBP in pediatric nursing there is a need for good understanding of the awareness, knowledge and attitude and perceived barriers and motivators that might affect its implementation. Aim: to identify the pediatric nurses' knowledge, perceived barriers and motivators related to use of EBN at the University Children Hospitals in Egypt. Materials & Methods: a descriptive cross-sectional research design on a sample of 121 bachelor-degree nurses working in the study setting. A self-administered questionnaire was used to collect data regarding nurses' knowledge and perceived barriers and motivators to practicing EBN. Results: The results showed that the nurses' knowledge about EBP and their awareness about its resources were very low. The category of barriers with the highest score was organization (median=2.20), while the lowest was communication (median=1.8). The scores of motivators were higher than those of the barriers. Multivariate analysis showed that a higher qualification is a positive predictor of nurse’s knowledge score. As for the barriers perception score, the knowledge score was a negative predictor, while working at Ain-shams hospital is a positive predictor. Conclusion: the pediatric nurses in the study settings have a lack of experience with research and EBN, and deficient knowledge especially among those with lower qualification. The organization-related barriers are the most perceived.