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Background: There is a limited number of studies in Turkey that jointly evaluate the evidence-based practice levels of nurses working in surgical units, the barriers they encounter in practice, and the facilitating factors that support practice. In particular, understanding the extent to which evidence-based nursing practice beliefs predict evidence-based care practice behaviors is important for designing in-house training programs, creating clinical guidelines, and developing in-service mentoring systems.
Purpose: This research was conducted to reveal the levels of evidence-based nursing practice among nurses working in surgical units, identify barriers to implementation, and define factors that facilitate implementation. It is anticipated that the findings will guide clinical managers, education planners, and policy developers in creating evidence-based improvement strategies.
Methodology: The research is a descriptive-cross-sectional study. The population consists of nurses working in the Surgical Clinics at Uludağ University Faculty of Medicine Hospital in Bursa, Turkey (N:350). The sample calculation for the study was performed using the known population sample method. The minimum number of individuals required in the sample was calculated using the Raosoft sample calculation tool, yielding a sample size (n) of 184 when a 5% margin of error and a 95% confidence interval were applied.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Surgical nurses | Nurses working in surgical clinics and operating rooms |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Measuring evidence-based nursing knowledge and practice levels using a scale | Other | Turkish Ministry of Health Uludağ University Faculty of Medicine Hospital Nurses working in surgical clinics will be assessed using the Research Use Barriers Scale and the Evidence-Based Practice Usage Scale to determine their levels of evidence-based nursing practice, the barriers they encounter, and the facilitating factors. |
| Measure | Description | Time Frame |
|---|---|---|
| Evidence-Based Practice Usage Scale | It includes 18 items, including creating a PICO (Population, Intervention, Comparison, Outcome) question about the applications, using evidence to change clinical practices, and sharing the collected data results with colleagues. A five-point frequency scale (ranging from 0 = '0 times' to 4 = '>8 times') is used to indicate how often participants performed each item in the last eight weeks, with a total score ranging from 0 to 72. A higher score indicates greater use of evidence-based nursing care. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Research Usage Barriers Scale | The scale consists of four subdimensions: nursing, practice, research, and presentation. The "Nursing" subdimension contains eight items that assess nurses' value, skills, and awareness of research, while the "Practice" subdimension contains eight items that assess perceived barriers and limitations in the work environment. The "Research" sub-dimension consists of 6 items that assess the quality of research, while the "Presentation" sub-dimension consists of 6 items that assess comprehensibility and usability. A score of 1 on the four-point Likert scale means "no obstacle," 2 means "minor obstacle," 3 means "moderate obstacle," and 4 means "major obstacle." Alternatively, the option "0-no opinion" is also included in the scale, but these responses are not included in the scoring. Therefore, the overall average score of the scale ranges from 30 to 120 points. |
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Inclusion Criteria:
Exclusion Criteria:
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Nurses working in the Clinical Department (Surgical fields) at Uludağ University Faculty of Medicine Hospital, Ministry of Health of the Republic of Turkey
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| AKİF BULUT, PhD | Contact | +905468722872 | +905468722872 | akifblt23@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Yasemin Eda Tekin, Assit. Prof. | Mudanya University | Principal Investigator |
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| 6 months |