Assessing Attitudes towards Knowledge and use of Evidence-Based Practice among Nurses Working in a Teaching Hospital in Kuala Lumpur

Felor Javadi Bashar


Evidence-based practice provides the most effective care that is available with the aim of improving clients’ outcome. However, despite existing policies related to encouragement to or requirement of evidence-based practice (EBP), results of reviewed studies show nurses do not generally incorporate research evidence in their daily practice. This study aimed to assess nurses’ attitudes towards knowledge and use of EBP in a teaching hospital in Kuala Lumpur. This study used descriptive cross-sectional survey among 265 nurses (out of 851), working in the different adult medical-surgical wards, who were selected through the quota sampling. Participants in this study, reported positive attitudes towards EBP, good knowledge of EBP, but poor utilization of evidence in their practice. Results of this study affirmed the findings of previous researches, showed despite having positive attitude and perception of good knowledge/skill regarding EBP; nurses did not incorporate evidence into practice. Application of EBP in clinical setting increases the quality of patient care, clients’ outcome and nurses’ job satisfaction and retention. In this regard, nursing managers and authorities have an important role in providing supports, facilities and persuading environment to focus nurses on evidence-based practice. It is recommended that the effect of personal and professional agents on actual EBP activities among nurses should be assessed through the observational studies rather than self-report questionnaire.


Evidence-Based Practice, Nurse, Attitude, Knowledge, EBP use

Full Text:



Analysis, N. C. f. H. W. (2002). Projected Supply, Demand, and Shortages of Registered Nurses: 2000-2020. Washington, D.C.: U.S. : National Center for Health Workforce Analysis.

Bahtsevani, C., Willman, A., Stoltz, P. & Östman, M. (2010). Experiences of the implementation of clinical practice guidelines–interviews with nurse managers and nurses in hospital care. Scandinavian Journal of Caring Sciences, 24(3), 514-522.

Belden, C. V., Leafman, J., Nehrenz, G. & Miller, P. (2012). The Effect of Evidence Based Practice on Workplace Empowerment of Rural Registered Nurses. Online Journal of Rural Nursing and Health Care, 12(2), 64-76.

Biron, A. D., Richer, M. C. & Ezer, H. (2007). A conceptual framework contributing to nursing administration and research. Journal of nursing management, 15(2), 188-196.

Bradshaw, W. G. (2010). Importance of nursing leadership in advancing evidence-based nursing practice. Neonatal Network: The Journal of Neonatal Nursing, 29(2), 117-122.

Brown, C. E., Ecoff, L., Kim, S. C., Wickline, M. A., Rose, B., Klimpel, K. & Glaser, D. (2010). Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. J Clin Nurs, 19(13-14), 1944-1951. doi: 10.1111/j.1365-2702.2009.03184.x

Brown, C. E., Wickline, M. A., Ecoff, L. & Glaser, D. (2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence‐based practice at an academic medical center. Journal of advanced nursing, 65(2), 371-381.

Côté, F., Gagnon, J., Houme, P. K., Abdeljelil, A. B. & Gagnon, M. P. (2012). Using the theory of planned behaviour to predict nurses’ intention to integrate research evidence into clinical decision‐making. Journal of advanced nursing, 68(10), 2289-2298.

Cuddon, J. A. (2012). Dictionary of literary terms and literary theory: John Wiley & Sons.

Doolin, C. T., Quinn, L. D., Bryant, L. G., Lyons, A. A. & Kleinpell, R. M. (2011). Family presence during cardiopulmonary resuscitation: Using evidence‐based knowledge to guide the advanced practice nurse in developing formal policy and practice guidelines. Journal of the American Academy of Nurse Practitioners, 23(1), 8-14.

Estabrooks, C. A., Floyd, J. A., Scott‐Findlay, S., O'Leary, K. A. & Gushta, M. (2003). Individual determinants of research utilization: a systematic review. Journal of advanced nursing, 43(5), 506-520.

Ferguson, L. M. & Day, R. A. (2007). Challenges for new nurses in evidence‐based practice. Journal of nursing management, 15(1), 107-113.

Fishbein, M. (1979). A theory of reasoned action: some applications and implications.

Gerrish, K. & Cooke, J. (2013). Factors influencing evidence-based practice among community nurses. Journal of Community Nursing, 27(4), 98-101.

Gifford, W., Davies, B., Edwards, N., Griffin, P. & Lybanon, V. (2007). Managerial leadership for nurses' use of research evidence: an integrative review of the literature. Worldviews on Evidence‐Based Nursing, 4(3), 126-145.

Godin, G., Bélanger-Gravel, A., Eccles, M. & Grimshaw, J. (2008). Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories. Implement Sci, 3(36), 1-12.

Heaslip, V., Hewitt-Taylor, J. & Rowe, N. E. (2012). Reflecting on nurses’ views on using research in practice. British Journal of Nursing, 21(22), 1341.

Hewitt-Taylor, J., Heaslip, V. & Rowe, N. E. (2012). Applying research to practice: exploring the barriers. British Journal of Nursing, 21(6), 356-359.

Kin, Y. W., Mordiffi, S. Z., Liang, S., ANG, E. N. K., Xue, Z. & Majid, S. (2013). Nurses' perception towards evidence-based practice: A descriptive study. Singapore Nursing Journal, , 40(1), 34-41.

Lenz, B. K. & Barnard, P. (2009). Advancing evidence-based practice in rural nursing. Journal for Nurses in Staff Development, 25(1), E14-E19.

Mashiach Eizenberg, M. (2011). Implementation of evidence‐based nursing practice: nurses’ personal and professional factors? Journal of advanced nursing, 67(1), 33-42.

McSherry, R., Artley, A. & Holloran, J. (2006). Research Awareness: An Important Factor for Evidence‐Based Practice? Worldviews on Evidence‐Based Nursing, 3(3), 103-115.

Milner, M., Estabrooks, C. A. & Myrick, F. (2006). Research utilization and clinical nurse educators: a systematic review. Journal of evaluation in clinical practice, 12(6), 639-655.

Moch, S. D., Cronje, R. J. & Branson, J. (2010). Part 1. Undergraduate nursing evidence-based practice education: envisioning the role of students. Journal of Professional Nursing, 26(1), 5-13.

Rycroft-Malone, J. & Bucknall, T. (2011). Models and frameworks for implementing evidence-based practice: Linking evidence to action (Vol. 2): John Wiley & Sons.

Schantz, M. Y. & Soini, T. (2013). Journal club as a method for nurses and nursing students’ collaborative learning: a descriptive study. Journal club as a method for nurses and nursing students’ collaborative learning: a descriptive study. Health Science Journal, 7(3), 285.

Scott, K., & McSherry, R. (2009). Evidence‐based nursing: clarifying the concepts for nurses in practice. J Clin Nurs, 18(8), 1085-1095.

Shaneyfelt, T., Baum, K. D., Bell, D., Feldstein, D., Houston, T. K., Kaatz, S., Whelan, C. & Green, M. (2006). Instruments for evaluating education in evidence-based practice. JAMA: the journal of the American Medical Association, 296(9), 1116-1127.

Sherriff, K. L., Wallis, M. & Chaboyer, W. (2007). Nurses' attitudes to and perceptions of knowledge and skills regarding evidence‐based practice. International journal of nursing practice, 13(6), 363-369.

Shirey, M. R. (2006). Evidence-based practice: how nurse leaders can facilitate innovation. Nursing administration quarterly, 30(3), 252-265.

Thompson, D., Estabrooks, C., Scott-Findlay, S., Moore, K. & Wallin, L. (2007). Interventions aimed at increasing research use in nursing: a systematic review. Implementation Science, 2(1), 15.

Timmins, F., Mccabe, C. & Mcsherry, R. (2012). Research awareness: managerial challenges for nurses in the Republic of Ireland. Journal of nursing management, 20(2), 224-235.

Upton, D. & Upton, P. (2006). Development of an evidence‐based practice questionnaire for nurses. Journal of advanced nursing, 53(4), 454-458.

Vratny, A. & Shriver, D. (2007). A conceptual model for growing evidence-based practice. Nursing administration quarterly, 31(2), 162-170.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2019 (CC-BY) Australian International Academic Centre PTY.LTD.

International Journal of Education and Literacy Studies  

You may require to add the '' domain to your e-mail 'safe list’ If you do not receive e-mail in your 'inbox'. Otherwise, you may check your 'Spam mail' or 'junk mail' folders.