Evidence map›Paper›PMID 42439588›Full record

SynthesisWorldviews on evidence-based nursing2026

Enhancing Nurse Leaders Evidence-Based Practice Implementation Leadership Competence. A Systematic Review and Meta-Analysis of Educational Interventions.

Jaakko Varpula, Riitta Askola, Desale Tewelde Kahsay, Anna Axelin, Laura Virtanen, Riikka Maijala, Laura-Maria Peltonen

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Worldviews on evidence-based nursing, 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

7 authors.

Jaakko VarpulaDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0001-9674-567X
Riitta AskolaDepartment of Nursing Science, University of Turku, Turku, Finland.
Desale Tewelde KahsayDepartment of Nursing Science, University of Turku, Turku, Finland.
Anna AxelinDepartment of Nursing Science, University of Turku, Turku, Finland.
Laura VirtanenThe Wellbeing Services County of Southwest Finland, Turku, Finland.
Riikka MaijalaThe Wellbeing Services County of Southwest Finland, Turku, Finland.
Laura-Maria PeltonenDepartment of Nursing Science, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0001-5740-6480

Funding

Stiftelsen Eschnerska Frilasarettet sr foundation
6 · The paper itself

Abstract

backgroundNurse leaders play a pivotal role in facilitating evidence-based practice (EBP). Gaps persist in their competence and engagement in EBP implementation leadership. Educational interventions targeted at nurse leaders can improve their EBP competencies.

aimTo evaluate the effectiveness of educational interventions on nurse leaders' competence in EBP implementation leadership and organizational, staff, and patient-related outcomes.

methodsA comprehensive search was conducted across major databases and trial registries in September 2024. Six intervention studies met the inclusion criteria, encompassing various healthcare settings and leadership roles. Data were synthesized narratively and analyzed statistically using meta-analysis.

resultsEducational interventions significantly improved nurse leaders' implementation leadership (SMD = 0.74), EBP competence (SMD = 1.76), and knowledge (SMD = 1.05). Organizational readiness (SMD = 0.65) and implementation climate (SMD = 1.60) also showed positive effects. The overall certainty of evidence was rated low due to methodological limitations. LINKING EVIDENCE TO ACTION: Educational interventions targeting nurse leaders are effective in enhancing EBP implementation leadership competencies and fostering supportive organizational environments. Investing in educational programs for nurse leaders may strengthen EBP implementation leadership, implementation climate, and organizational readiness.

Indexed as

Evidence-Based PracticeLeadershipNurse AdministratorsProfessional CompetenceHumanscontinuingeducationevidence‐based practiceleadershipnursing

Identifiers

PMID42439588
PMCPMC13360643

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.