Evidence map›Paper›PMID 42339535›Full record

ArticleJournal of nursing management2026

"More Than My Own Effort": A Qualitative Study of Factors Influencing EBP Competence Among Traditional Chinese Medicine Specialist Nurses.

Yan Li, Yu Chen, Wenji Xu, Jie Sun, Shizheng Du

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

5 authors.

Yan LiDepartment of Nursing, Jiangsu Province Hospital of Chinese Medicine, Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.ORCID https://orcid.org/0009-0005-9329-198X
Yu ChenSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.ORCID https://orcid.org/0009-0006-2445-4914
Wenji XuSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.ORCID https://orcid.org/0009-0007-0526-4696
Jie SunSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.ORCID https://orcid.org/0009-0000-7001-6815
Shizheng DuSchool of Nursing, Nanjing University of Chinese Medicine, Nanjing, China, njucm.edu.cn.ORCID https://orcid.org/0000-0003-3385-3790

Funding

Jiangsu Province Hospital of Chinese Medicine YJZ202366Postgraduate Research & Practice Innovation Program of Jiangsu Province SJCX24_0816
6 · The paper itself

Abstract

aimsTo explore factors influencing evidence-based practice (EBP) competence among traditional Chinese medicine (TCM) specialist nurses using the Capability, Opportunity, Motivation, and Behavior (COM-B) model.

backgroundEBP underpins quality and safety in nursing. TCM nursing is increasingly delivered across TCM and general hospital settings, yet integration of EBP within TCM nursing remains challenging. Little is known about what shapes EBP competence and practice among TCM specialist nurses who play key roles in delivering TCM nursing techniques and mentoring others.

methodsA qualitative study using semistructured interviews was conducted with 17 TCM specialist nurses between April and August 2024. Data were analyzed using theory-informed thematic analysis. Initial coding was conducted inductively, and themes were subsequently refined and interpreted in relation to the COM-B model.

resultsFour overarching domains were identified and interpreted in relation to the COM-B model: capability-related factors (basic and advanced skills), opportunity-related factors (stakeholder buy-in, resource constraints, available time, and evidence-related challenges), motivation-related factors (role clarity and volitional tensions), and behavioral enactment of EBP competence in practice (inadequate engagement in EBP, self-directed learning, and practice-grounded expertise).

conclusionsFindings highlight the need for targeted strategies to enhance capability, expand institutional and systemic opportunities, address capability, opportunity, and motivation-related barriers, and strengthen the enactment of EBP competence in practice. Such efforts may help strengthen the development and enactment of EBP competence among TCM specialist nurses.

Indexed as

Clinical CompetenceMedicine, Chinese TraditionalAdultFemaleHumansInterviews as TopicMaleMotivationQualitative ResearchCOM-B modelcompetenceevidence-based practiceinfluencing factorsqualitative researchtraditional Chinese medicine specialist nurse

Identifiers

PMID42339535
PMCPMC13291799

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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.