Evidence map›Paper›PMID 39440962›Full record

Observational studyInternational nursing review2025

Organizational evidence-based practice culture, implementation leadership, and nurses: A bidirectional mediation model.

Shuang Hu, Siying Liu, Xianfeng Li, Junqiang Zhao, Jia Chen, Wenjun Chen, Jiale Hu

Abstract readObservational Study
In one paragraph

Observational study in International nursing review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Shuang HuXiangya School of Nursing, Central South University, Changsha, China.
Siying LiuDepartment of Nursing, Hunan Provincial Maternal and Child Health Hospital, Changsha, China.
Xianfeng LiOphthalmology Department, Changsha Central Hospital, Changsha, China.
Junqiang ZhaoWaypoint Research Institute, Waypoint Centre for Mental Health Care, Penetanguishene, Ontario, Canada.
Jia ChenXiangya School of Nursing, Central South University, Changsha, China.
Wenjun ChenXiangya School of Nursing, Central South University, Changsha, China.
Jiale HuDepartment of Nurse Anesthesia, Virginia Commonwealth University, Richmond, Virginia, USA.

Funding

2023 Annual Independent Exploration and Innovation Project for Graduate Students at Central South University 2023ZZTS0836Hunan Provincial Key Laboratory of Nursing 2017TP1004
6 · The paper itself

Abstract

aimThis study aimed to explore 1) factors that influenced the evidence-based practice competencies and behaviors of clinical nurses and 2) the interaction between the organizational evidence-based practice culture, head nurses' implementation leadership, and nurses' evidence-based practice competencies and behaviors.

backgroundThe significance of organizational evidence-based practice culture and head nurses' implementation leadership in enhancing nurses' evidence-based practice competencies and behavior is widely recognized in healthcare settings. However, there is limited knowledge of how these factors influence nurses' evidence-based practice competencies and behavior.

methodsA cross-sectional survey was conducted at 10 hospitals in China. Data were collected via online questionnaires from October to December 2020, utilizing social characteristic questionnaires, the Evidence-Based Practice Questionnaire, the Organizational Culture and Readiness Scale for System-wide Implementation of Evidence-Based Practice, and the Implementation Leadership Scale. All data were imported into the IBM Statistical Program for the Social Sciences (SPSS) 27.0 and PROCESS version 4.1 macro on SPSS for statistical analysis. The design and reporting of our study adhered to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Checklist.

resultsWe received 1047 (99.15%) valid questionnaires. The multiple linear regression analysis showed that significant factors were organizational evidence-based practice culture, implementation leadership, and years of experience in nursing. After controlling for the impact of the covariate (years of experience in nursing), it was found that organizational evidence-based practice culture partially mediated the relationship between head nurses' implementation leadership and nurses' evidence-based practice competencies and behaviors. Additionally, head nurses' implementation leadership partially mediated the relationship between organizational evidence-based practice culture and nurses' evidence-based practice competencies and behaviors.

conclusionOrganizational evidence-based practice culture, head nurses' implementation leadership, and years of experience in nursing significantly predict nurses' evidence-based practice competencies and behaviors. Organizational evidence-based practice culture and head nurses' implementation leadership mutually mediated their influence on nurses' implementation of evidence-based practice. IMPLICATIONS FOR NURSING AND POLICY: Head nurses should proactively seek opportunities to enhance their implementation leadership, such as participating in training programs (e.g., mentoring and coaching programs) and attending conferences, workshops, or seminars on implementation leadership. Policymakers should also consider providing more policy support for implementing leadership development and cultivating a positive evidence-based practice culture.

Indexed as

Evidence-Based NursingEvidence-Based PracticeLeadershipNursing Staff, HospitalOrganizational CultureAdultChinaClinical CompetenceCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and Questionnairesevidence‐based practicehead nurseimplementation leadershipnursingorganizational culture

Identifiers

PMID39440962
PMCPMC11969321

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.