Evidence map›Paper›PMID 40211261›Full record

ArticleBMC nursing2025

Barriers and facilitators in implementing evidence-based practice: a parallel cross-sectional mixed methods study among nursing administrators.

Nourah Alsadaan, Osama Mohamed Elsayed Ramadan

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Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed, 1 synthesis or guideline 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

2 authors.

Nourah AlsadaanCollege of Nursing, Nursing Administration and Education Department, Jouf University, Sakaka, 72388, Saudi Arabia. naalsadan@ju.edu.sa.ORCID https://orcid.org/0000-0001-7285-0184
Osama Mohamed Elsayed RamadanCollege of Nursing, Department of Maternity and Paediatric Health Nursing, Jouf University, Sakaka, 72388, Saudi Arabia. omramadan@ju.edu.sa.ORCID http://orcid.org/0000-0002-9616-8590

Funding

This work was funded by the Deanship of Graduate Studies and Scientific Research at Jouf University under grant DGSSR-2023-01-02353
6 · The paper itself

Abstract

backgroundEvidence-based practice (EBP) is a cornerstone of quality healthcare, yet a significant gap persists between nursing administrators' advocacy for EBP and its clinical adoption, particularly in resource-constrained settings.

aimThis study investigates barriers and facilitators to EBP adoption as perceived by nursing administrators in Saudi Arabian hospitals to inform tailored interventions.

designA parallel mixed-method, cross-sectional design was employed.

methodsA total of 385 nursing administrators from 12 stratified hospital types in the Northern Region of Saudi Arabia completed structured surveys assessing EBP barriers and facilitators. Semi-structured interviews with 40 purposively sampled participants provided qualitative insights. Data were analyzed using descriptive, correlational, and thematic approaches.

resultsKey barriers included insufficient staffing and time resources, particularly in private and specialized hospitals (mean = 4.05, SD = 1.46, p < 0.05). Supportive organizational policies (p = 0.015) and leadership experience significantly influenced EBP adoption. Barriers, such as resource constraints, were negatively correlated with willingness to adopt EBP (r = -0.17 to -0.35), while multifaceted strategies explained 27% of the variance in implementation intentions. Qualitative findings highlighted that 92% prioritized patient care quality, while 80% emphasized cost-benefit trade-offs.

conclusionThis study highlights the critical role of organizational support, leadership advocacy, and tailored interventions in overcoming EBP barriers. Gender diversity among administrators and the influence of hierarchical dynamics in Saudi Arabian healthcare settings provide novel insights for improving EBP adoption. IMPLICATIONS FOR THE PROFESSION: The findings provide actionable strategies for policymakers and nursing leaders to enhance EBP adoption, fostering improved healthcare outcomes and leadership effectiveness. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

BarriersEvidence-based practiceFacilitatorsLeadershipMixed-methodsNursing administrationSaudi Arabia

Identifiers

PMID40211261
PMCPMC11987419

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.