The document summarizes a study that assessed nurses' knowledge, attitudes, and practice of evidence-based practice at AIIMS hospital in India. The study found that over half of nurses had good knowledge and positive attitudes towards EBP, and half reported frequent use of EBP. Knowledge, attitudes, and reported practice were higher among nurses with more education. While experience did not significantly correlate with outcomes, education level was found to proportionally relate to higher EBP knowledge, attitudes, and practice. The study concludes continuing education on EBP for nurses is important to enhance clinical skills and practice.

1. Presenter: Anju Jose
NIS
AIIMS.
Evidence-based Practice: Knowledge,
Attitudes and Practice Among Nurses
in AIIMS.
Guide: Dr. Deepak Agrawal
Professor, Dept. Neuro surgery and Gamma-Knife
Chairman, Computerisation
AIIMS.

2. Introduction
• EBP- The conscientious, explicit and
judicious use of current best evidence in
making decisions about the care of
individual patients.

3. Background of the study
• There is a discrepancy between the amount of
research evidence that exists and the use of this
evidence within clinical health care practice.
• There is a need to improve quality of care and
patient safety by enhancing Nurses’ practice of
EBP.

4. Need for the study
 Evidence-based practice (EBP) has been
increasingly emphasized in nursing, but its
implementation is still sometimes met with
confusion and resistance.
 Therefore, identifying factors affecting its
implementation is crucial.

5. Review of literature
 Nurses had lower scores on knowledge and
skills and moderate scores on practice and
attitudes associated with EBP. (Koehn ML, Lehman K
2008)
Inadequate time and knowledge were the top
barriers to the implementation of research among
nurses. (Paramonczyk A 2005)

6. Problem statement
A Study To Assess Knowledge, Attitudes
And Practice regarding Evidence-based
Practice Among Nurses in AIIMS.

7. Objectives
1. To assess knowledge, attitudes and practice
regarding Evidence-based Practice among
nurses in AIIMS.
2. To find out associations between selected
demographic variables (academic qualification,
years of experience) and perceived EBP
practice, attitudes and knowledge.

8. Methodology
• Research approach: Quantitative
approach.
• Research design: Cross sectional survey.
• Setting: Selected wards in main AIIMS.
• Population: Nurses working in main AIIMS.

9. Sample & sampling technique
 Sample: Nurses working in selected areas of main
AIIMS and fulfilling the inclusion criteria.
 Sampling technique: Convenience sampling
technique.
• Inclusion criteria
 Nurses working in AIIMS and having clinical
experience of more than 1 year.
 Nurses who are willing to participate in the study.
• Sample size: 50

10. Tool: Evidence Based Practice
Questionnaire(EBPQ).
• Standardised and structured. Upton D. & Upton P. (2006)
• A 24-item, self-administered questionnaire.
• Gathers information and opinions on the use of EBP among
health professionals.
• 3 sub-scales: Practice of EBP, Attitudes towards EBP and
Knowledge of EBP.
• Reliability: Cronbach's alpha= 0.87.

11. Ethical considerations
• An informed written consent was obtained from
the subjects before data collection.
• Confidentiality of information and anonymity of
the subjects were maintained.

12. Method for data collection
• The subjects those fulfilling the inclusion criteria were
explained the purpose of the study.
• An informed written consent form was signed by the
subjects.
• Subjects filled Evidence Based Practice
Questionnaire(EBPQ).
• After the data collection, a thanks was given to subjects.

13. Analysis and
Interpretation

14. Methods of data analysis
• Data was analyzed using SPSS version-16.0
• Descriptive statistical methods
Mean
Standard Deviation
Frequency, Percentage
• Inferential statistical methods
chi-square test

15. N=50
Demographic characteristics of the subjects F (%)
Age MEAN ± SD (Range) : 31.33 + 4.610 (26 - 49)
25-35 years 25 (50)
35-45 years 15 (30)
>45 years 10 (20)
Gender Male 10 (20)
Female 40 (80)
Educational
qualification
GNM 10 (20)
BSc Nursing 35 (70)
MSc Nursing 5 (10)
Years of
experience
<5 21 (42)
5-10 24 (48)
>10 5 (10)
Table No.1

16. Figure No 1: Pie diagram on percentage
distribution of knowledge of evidence-based
practice.
12%
24%
64%
POOR
AVERAGE
GOOD

17. Figure No 2: Pie diagram on percentage
distribution of attitudes towards evidence-
based practice
54%
46%
POSITIVE
NEGATIVE

18. Figure No 3: Pie diagram on percentage
distribution of practice of EBP.
50%50% POOR
GOOD

19. Perceptions of EBP practice
Perceptions of EBP practice Good
F (%)
Poor
F (%)
Sharing information with colleagues 37 (74) 13 (26)
Evaluating the outcomes of own practice 43 (86) 7 (14)
Formulating clear questions 29 (58) 21 (42)
Integrating evidence with expertise 34 (68) 16 (32)
Finding relevant evidence 29 (58) 21(42)
Critically appraising literature 25(50) 25 (50)
N=50
Table No.2

20. Attitudes towards EBP
Attitudes towards EBP Positive
F (%)
Negative
F (%)
EBP is fundamental to professional
practice
41 (82) 9 (18)
Welcoming questions on own practice 24 (48) 26 (52)
Changing practice due to evidence
found
41(82) 9 (18)
Making time in a work schedule for
research
19 (38) 31 (62)
N=50Table No.3

21. Knowledge of EBP
Knowledge of EBP
Good
F (%)
Average
F(%)
Poor
F (%)
Sharing ideas and information with
colleagues
35 (70) 11 (22) 4 (8)
Reviewing own practices 34 (68) 8 (16) 8 (16)
Disseminating new ideas about care to
colleagues
33 (66) 12 (24) 5 (10)
Applying information to individual cases 38 (76) 6 (12) 6 (12)
Determining how useful (clinically applicable)
material is
38 (76) 8 (16) 4 (8)
Identifying gaps in professional practice 27 (54) 13 (26) 10 (20)
N=50Table No.4

22. Knowledge of EBP
Knowledge/Skills of EBP
Good
F (%)
Average
F (%)
Poor
F(%)
Monitoring and reviewing practice 33 (66) 12 (24) 5 (10)
Determining the validity (close to the
truth) of material
32 (64) 12 (24) 6(12)
Retrieving evidence 35 (70) 10 (20) 5 (10)
Critically analysing evidence against set
standards
36 (72) 12 (24) 2 (4)
Awareness of major information types/sources 28 (56) 17 (34) 5 (10)
IT skills 49 (98) 1 (2) 0
Research skills 39 (78) 7 (14) 4 (8)
N=50Table No. 5

23. Objective-2
To find out associations between
selected demographic variables
(academic qualification, years of
experience) and perceived EBP
practice, attitudes and knowledge.

24. Educational
qualification
Frequency
(%)
Knowledge/Skills
of EBP
P value
Poor Average Good
GNM 10 (20) 6 4 0 0.01*
BSc Nursing 35 (70) 0 8 27
MSc Nursing 5 (10) 0 0 5
@ Chi square test/Fisher's exact test *p<0.05
Association between educational qualification and
knowledge of EBP
N=50Table No.8

25. Educational
qualification
Frequency
(%)
Attitudes P value
Negative Positive
GNM 10 (20) 8 2 0.01*
BSc Nursing 35 (70) 15 20
MSc Nursing 5 (10) 0 5
@ Chi square test/Fisher's exact test *p<0.05
Association between educational qualification and
attitudes towards EBP
N=50Table No.7

26. Educational
qualification
Frequency
(%)
Practice of EBP P value
Poor Good
GNM 10 (20) 10 0 0.01*
BSc Nursing 35 (70) 15 20
MSc Nursing 5 (10) 0 5
@ Chi square test/Fisher's exact test *p<0.05
Association between educational qualification
and perceived practice of EBP
N=50Table No.6

27. Years of
experience
Frequency (%) Perceived knowledge of
evidence-based practice
P
value
Poor Average Good
<5 21 (42) 0 0 21 0.09
5-10 24 (48) 3 12 9
>10 5 (10) 3 0 2
@ Chi square test/Fisher's exact test *p<0.05
Association between clinical experience and
knowledge of EBP
N=50Table No.9

28. Years of
experience
Frequency
(%)
Practice of EBP P value
Poor Good
<5 21 (42) 10 11 0.06
5-10 24 (48) 10 14
>10 5 (10) 5 0
@ Chi square test/Fisher's exact test *p<0.05
Association between clinical experience
and perceived practice of EBP
N=50Table No.10

29. Years of
experience
Frequency
(%)
Attitudes of EBP P value
Negative Positive
<5 21 (42) 13 8 0.07
5-10 24 (48) 7 17
>10 5 (10) 3 2
@ Chi square test/Fisher's exact test *p<0.05
Association between clinical experience
and attitudes towards EBP
N=50Table No.11

30. Major findings and discussion
 More than half of the nurses had good knowledge (64%) and
positive attitude (54%) towards evidence based practice. Half
(50%) of the nurses reported frequent utilisation of evidence
based practice.
 These findings are supported by studies done by
 Roberts K, Belcher D and Jacobson J. 2004
 Sherriff KL, Wallis M and Chaboyer W. 2007
 This finding is in contrast to a previous study which reported that
nurses had lower scores on knowledge and skills, and moderate
scores on practice and attitudes.
Koehn ML and Lehman K. 2008

31.  The level of knowledge, attitude and practice of EBP
was proportionate to the educational qualification of the
nurses.
 This finding is supported by a previous study which
found that nurses with higher qualifications were better
able to benefit from EBP activities. Majid S, Foo S, Luyt
B, et al. 2011
Major findings and discussion

32.  No significant positive associations were found
between years of experience and knowledge,
practice and attitudes.
 This finding is in disagreement with another study
which found that nurses who had more years of
experience reported more frequent use of EBP
and positive attitudes towards EBP. Motamedi SH,
Seyednour R, Noorikhajavi M, Afghah S (2007)
Major findings and discussion

33. Conclusion
• Continuing education regarding EBP for nurses is crucial
in order to enhance nurses’ clinical practice, knowledge
and skills, and hospital management should take steps to
minimise the barriers to EBP implementation.