ArticleBMC nursing2025
Exploring the influence of organizational culture on evidence-based practice adoption among nurses in tertiary hospitals: a qualitative study.
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 13 papers.
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.
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.
Who cites it
13 citing papers in PubMed.
- Facilitators and barriers to innovation and research capacity among clinical nurses: A qualitative systematic review.International journal of nursing studies advances · 2026Review
- Role of Evidence-Based Practice in Quality of Work Life Among Nurses: A Cross-Sectional Study.Worldviews on evidence-based nursing · 2026Article
- Determinants of nursing care rationing among nurses employed in surgical and conservative hospital wards.BMC nursing · 2026Article
- Determining the Organizational Culture and Readiness for Evidence-Based Practice Amongst Surgical Ward Nurses in Namibia: A Cross-Sectional Study.Health science reports · 2026Article
- Do intergenerational interactions affect organizational trust, commitment, and satisfaction in the workplace in nursing: perceptions of generation Z towards others.BMC psychology · 2026Article
- Nursing Students' Experiences of Learning Evidence-Based Practice Through a Flipped Classroom: A Qualitative Study.Nursing reports (Pavia, Italy) · 2026Article
- Reimagining community health nursing: a qualitative participatory action research study of nurse-led primary healthcare innovation in rural Saudi Arabia.BMC nursing · 2026Article
- Article
- Documented Tobacco Cessation Care and Patient Outcomes in Malawi: Analysis of Post-Training Clinical Records.Advances in medical education and practice · 2026Article
- Strengthening evidence-based practice culture in nursing: An ethnographic study in the central highlands of Vietnam.Belitung nursing journal · 2026Article
- Knowledge, attitudes, and practices of gynecologic oncology nurses toward patient decision aids for fertility preservation: a cross-sectional study in Zhengzhou, China.Frontiers in public health · 2026Article
- Factors Influencing Clinical Reasoning Among Clinical Nurses: An Integrative Review Using the Decision-Making Ecology Model.Journal of nursing management · 2026Review
- The Association Between Nursing Work Environment and Evidence-Based Practice.Worldviews on evidence-based nursing · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
Abstract
backgroundEvidence-based practice (EBP) is widely acknowledged as a foundation for safe, high-quality nursing care. Despite institutional support and training initiatives, the integration of EBP into daily clinical practice remains inconsistent, particularly in tertiary healthcare settings. Organizational culture plays a critical role in shaping nurses' engagement with evidence, yet its influence remains underexplored in Middle Eastern contexts. This study explored how organizational culture affects EBP adoption among nurses in tertiary hospitals in Riyadh, Saudi Arabia.
methodsA qualitative study using a phenomenological design was conducted between January and March 2025. Semi-structured interviews were carried out with 20 registered nurses from three tertiary hospitals. Participants were purposively sampled for diversity in roles and departments. Data were analyzed thematically using Braun and Clarke's six-phase framework.
resultsFour key themes emerged: (1) Culture of Hierarchy and Silence, where leadership distance suppressed nurse agency; (2) Inconsistent EBP Messaging, reflecting a gap between institutional rhetoric and practice; (3) Peer Influence and Informal Norms, showing how unit-level cultures shaped EBP behaviors; and (4) Agency, Identity, and Professional Growth, highlighting nurses' resilience and internal motivation to apply evidence despite systemic barriers.
conclusionsOrganizational culture significantly influences nurses' EBP adoption. Hierarchical norms, symbolic compliance, and inconsistent leadership engagement hinder implementation, while peer support and professional agency act as enablers. Cultural and relational change strategies are needed alongside technical training to promote EBP in tertiary settings.
Indexed as
Identifiers
What OpenQuestion holds
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.