Evidence map›Paper›PMID 42136524›Full record

ArticleJournal of nursing management2026

Perceptions of Factors Associated With Sustainability of Evidence-Based Nursing Practice: A Sequential Mixed Methods Study.

Jie Lai, Yujie Zhang, Jing Chi, Jingxia Miao, Hua Lin, Weixiang Luo, Jiaqi Fu, Shisi Deng, Zihan Guo, Chuhan Zhong and 4 more

Abstract read
In one paragraph

Article in Journal of nursing management, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

14 authors.

Jie LaiNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0000-0003-4919-8196
Yujie ZhangNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0009-0009-9305-2718
Jing ChiNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0000-0001-8456-3529
Jingxia MiaoNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0009-0002-4654-855X
Hua LinThe Second Nanning People's Hospital, Nanning, China.ORCID https://orcid.org/0009-0008-5628-7246
Weixiang LuoShenzhen People's Hospital (The First Affiliated Hospital, Southern University of Science and Technology, The Second Clinical Medical College, Jinan University), Shenzhen, China, jnu.edu.cn.ORCID https://orcid.org/0000-0003-3896-1854
Jiaqi FuNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0000-0001-5353-6835
Shisi DengNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0009-0003-1454-7592
Zihan GuoNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0009-0005-3375-1075
Chuhan ZhongNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0009-0006-0374-3573
Jianyao TangNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0009-0006-9059-8203
Bingqian GuoNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0009-0001-4708-8287
Tingting YangNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0009-0001-2701-2306
Yanni WuNanfang Hospital, Southern Medical University, Guangzhou, China, fimmu.com.ORCID https://orcid.org/0000-0003-1938-2785

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2025A1515012965National Natural Science Foundation of China 72304131National Natural Science Foundation of China 72574095Southern Medical University 2023J005
6 · The paper itself

Abstract

backgroundTo improve the quality of nursing services and patient outcomes, the implementation of evidence-based nursing practice (EBNP) becomes increasingly important. Little is known about determinants to sustainability of EBNP.

objectiveTo explore potential barriers and facilitators in the sustainability of EBNP from Chinese nurses' perspectives.

methodsA cross-sectional survey and semistructured interviews were conducted among Chinese nurses participating in evidence-based practice (EBP) between May to June 2023 and June to July 2024. The interviews and answers to the open-ended questions were analyzed using content analysis. Based on the length of time that EBNP has been routinely applied in clinical settings, we divided the time into seven stages from not routinely used to greater than 5 years. Descriptive statistics evaluated barriers and facilitators influencing sustainability in different stages.

resultsOf 406 nurses surveyed, 319 provided valid responses. Fifteen nurses participated in interviews. Among 48 constructs in updated Consolidated Framework for Implementation Research, participants reported 3 as barriers, 7 as facilitators, and 21 as both barriers and facilitators. The remaining 17 constructs were not mentioned by participants or were mentioned with insufficient frequency to be categorized as either barriers or facilitators. Major facilitators included benefits to patients and professionals, access to information technology infrastructure, commitment, competent leadership, team and leadership support, incentives, training, assessment of patients' and professionals' needs, regular tailoring of strategies, and quality control measures/supervision. Barriers across the sustainment phases included heavy workload, staffing shortages, limited leadership support, low compliance, and low enthusiasm among nurses, even after EBP had been sustained for over 5 years.

conclusionThe findings enhance understanding of factors promoting the sustainability of EBP from nurses' perspectives. They highlight that dynamically identifying related barriers provides lessons for designing strategies and programs that promote the sustainability of EBNP in China.

Indexed as

Evidence-Based NursingNursesPerceptionAdultAttitude of Health PersonnelChinaCross-Sectional StudiesFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSurveys and QuestionnairesbarrierCFIRevidence-based nursing practicefacilitatormixed-methodssustainability

Identifiers

PMID42136524
PMCPMC13176852

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.