ArticleJournal of research in nursing : JRN2019
A qualitative examination of the perceived impact of bureaucratic managerialism on evidence-based practice implementation in Nigeria: a collective case study.
Article in Journal of research in nursing : JRN, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- Promoting evidence-based nursing through collaboration, autonomy, and agency: A qualitative case study.International journal of nursing sciences · 2026Article
- Evidence-Based Practice Attributes Among Specialist Nurses in Acute Care: A Cross-Sectional Study.Health science reports · 2026Article
- Implementing Evidence-Based Practice in Critical Care Nursing: An Ethnographic Case Study of Knowledge Use.Journal of advanced nursing · 2026Article
- Organisational contextual drivers of evidence-based practice across acute and primary care.BMC nursing · 2025Article
- Dimensions of Health System Performance Assessment: A Scoping Review.Iranian journal of public health · 2025Review
- Leading evidence-based practice: nurse managers' strategies for knowledge utilisation in acute care settings.BMC nursing · 2025Article
- Complementing Managerialism Ideology with Leaderism Discourse: An Idea to Address Management and Leadership Challenges in the Iranian Health System.Medical journal of the Islamic Republic of Iran · 2024Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence-based practice (EBP) is widely recognised as an essential aspect of contemporary healthcare delivery. However, the rise in cost containment and quest for profitability in healthcare management is found to be compromising implementation of evidence-based initiatives aimed at improving care quality.
aimsThe aim of this work was to examine perspectives of nurses regarding the impact of bureaucratic managerialism on EBP implementation in the Nigerian acute care setting.
methodsA qualitative case study methodology was utilised to gather data from two large acute care settings. Drawing on semi-structured interviews, 12 staff nurses, 21 ward managers and 2 nurse managers were interviewed. Data were inductively analysed and themes generated.
resultsThe managerial practice in this context is founded on bureaucratic managerialism, which in turn generated hierarchical constraints that denied nurses the opportunity to self-govern. Implementation of evidence-based initiatives was consequently opposed by the managerial desire to maximise throughput.
conclusionsThere is need for nurse managers to have greater managerial influence, which would allow opportunities for implementing EBPs to be created. Managerial autonomy for nurse managers would allow them to create enabling environments capable of facilitating successful implementation.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.