Evidence map›Paper›PMID 41729121›Full record

SynthesisInternational nursing review2026

The Effect of Education on Evidence-Based Practice Implementation Among Nurse Leaders: A Mixed-Methods Systematic Review.

Dawn M Horsom, Natasha Keogh, Geraldine Lee, Mohamad M Saab

Abstract readSystematic Review
In one paragraph

Synthesis in International nursing review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

4 authors.

Dawn M HorsomCatherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.ORCID https://orcid.org/0009-0004-5908-5712
Natasha KeoghCatherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.ORCID https://orcid.org/0009-0005-2921-6264
Geraldine LeeCatherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0001-6385-8600
Mohamad M SaabCatherine McAuley School of Nursing and Midwifery, University College Cork, Cork, Ireland.ORCID https://orcid.org/0000-0002-7277-6268

Funding

the Nursing and Midwifery Planning and Development Unit, Health Service Executive
6 · The paper itself

Abstract

aimThis mixed methods systematic review explored the effect of education on the implementation of evidence-based practice among nurse leaders within healthcare settings.

introductionEducation influences nurse leaders' ability to implement evidence-based practice. Successful implementation requires multifaceted strategies, including organisational support and leadership engagement, to overcome persistent challenges and ensure evidence-based knowledge is translated into high-quality, person-centred care.

methodsThis review followed Joanna Briggs Institute (JBI) guidance and was reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. CINAHL, PubMed, Cochrane Central Register of Controlled Trials, Web of Science, ClinicalTrials.gov, and Google Scholar were searched without language or year limits to June 2025. Studies were double screened, appraised using the Mixed-Method Appraisal Tool, and synthesised using convergent parallel synthesis.

resultsA total of 3,646 records were identified, with nine studies included. Education positively influenced nurse leaders' knowledge, attitudes, beliefs, clinical skills, and leadership behaviours regarding evidence-based practice. Perceptions of leadership support improved following interventions. However, evidence on long-term sustainability was limited. Organisational culture, resourcing, communication, and collaboration acted as both barriers and facilitators to implementation. DISCUSSION: Education strengthens nurse leaders' capacity to support evidence-based practice but is most effective when embedded within supportive organisational contexts. Education alone is insufficient without alignment with culture, resources, and leadership structures.

conclusionEducation enhances nurse leaders' ability to implement evidence-based practice, but sustained impact requires organisational readiness and ongoing support. IMPLICATIONS FOR NURSING AND NURSING POLICY: Targeted education, combined with organisational support, can strengthen leadership capacity and improve care quality and patient outcomes. Policies that invest in structured evidence-based practice education for nurse leaders, alongside organisational infrastructure and protected time, may enhance sustainable evidence-based care delivery.

Indexed as

Evidence-Based NursingEvidence-Based PracticeLeadershipNurse AdministratorsHumansEducationevidence‐based practiceleadershipnurse leadersnursingsystematic review

Identifiers

PMID41729121
PMCPMC12927687

What OpenQuestion holds

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LicenceCC BY-NC
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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.