Worldviews on Evidence-Based Nursing最新文献

{"title":"Determinants of Stress and Obstacles to Diabetes-Related Quality of Life in Adults With Type 2 Diabetes: A Cross-Sectional Interaction-Mediation Analysis.","authors":"Siti Fadlilah, Santi Damayanti, Maria Dyah Kurniasari, Shih Hsin Hsiao, Lee Kai Ling, Po Hao Feng, Hazel Novela Villagracia, Hsiu Ting Tsai","doi":"10.1111/wvn.70168","DOIUrl":"10.1111/wvn.70168","url":null,"abstract":"<p><strong>Background: </strong>Diabetes-related quality of life (DR-QoL) is shaped by interactions between cardiometabolic dysfunction and psychological stress, yet these mechanisms are rarely examined within a unified framework.</p><p><strong>Aims: </strong>To evaluate the independent, interactive, and mediating effects of cardiometabolic factors and stress on DR-QoL obstacles.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 1815 adults with type 2 diabetes from 15 Indonesian provinces (2023-2024). Stress and DR-QoL obstacles were assessed using validated instruments. Independent and synergistic effects were examined using logistic regression, and mediation was tested via path analysis.</p><p><strong>Results: </strong>Overweight, obesity, stage 2 systolic hypertension, and abnormal fasting blood glucose (FBG) significantly predicted high stress (AOR = 1.982-20.889; p < 0.001), with synergistic interactions markedly amplifying the risk (AOR up to 53.972). DR-QoL obstacles were strongly associated with cardiometabolic abnormalities (AOR = 1.352-18.420) and high stress (AOR = 18.930), with the highest risk observed in participants with multiple concurrent abnormalities (AOR = 52.097). Mediation analysis identified FBG and stress as key mediators, with stress showing the strongest direct effect on DR-QoL obstacles (β = 0.397).</p><p><strong>Linking evidence to action: </strong>These findings highlight FBG and stress as central mechanistic targets for interventions aimed at reducing DR-QoL obstacles.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70168"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empowering Nurses Through Shared Governance: A Council-Led Evidence-Based Initiative Driving Practice and Policy Advancement.","authors":"Holly Chignolli, Christine Frank-Scott, Jessica Gibson, Lindsay Ring, Kjersten Stromberg, Cindy Zellefrow","doi":"10.1111/wvn.70147","DOIUrl":"10.1111/wvn.70147","url":null,"abstract":"<p><strong>Background: </strong>Engaging frontline nurses in evidence-based practice (EBP) remains a challenge due to time constraints, variable experience levels, and competing priorities. Shared governance councils, particularly those grounded in a learner-centered approach, can serve as platforms for nurse-led EBP initiatives that influence practice and policy.</p><p><strong>Aim: </strong>To describe how a shared governance council at a large academic medical center successfully implemented a year-long EBP initiative focused on fall prevention, leading to practice and policy change.</p><p><strong>Methods: </strong>Using the Advancing Research and Clinical Practice through Close Collaboration (ARCC) model and the Seven Steps of EBP, council members received mentorship and education from EBP experts. Members collaborated in small groups to develop a PICO(T) question, conduct literature searches, critically appraise evidence, synthesize findings, and disseminate results.</p><p><strong>Results: </strong>The initiative resulted in high levels of nurse engagement, growth in EBP knowledge and confidence, and a formal change in the hospital's nursing fall prevention policy. Council members developed skills in critical appraisal and scholarly dissemination. The council's work was presented at multiple internal and external forums.</p><p><strong>Linking evidence to action: </strong>This case demonstrates that shared governance councils can drive meaningful change to improve outcomes. EBP shared governance councils are important for engaging nurses at all levels to promote and sustain EBP in nursing at the bedside and beyond. Hospitals should support shared governance councils by offering protected time, mentorship, and integration into strategic priorities. Councils should focus on policy-relevant initiatives and use structured, learner-centered methods to promote engagement, confidence, and sustained impact. This model is replicable and highlights the role of structural support in fostering EBP capacity and practice transformation.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70147"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Effects of Various Modalities of Cognitive Behavioral Therapy for Insomnia in Adolescents: A Systematic Review and Network Meta-Analysis.","authors":"Iftitakhur Rohmah, Ti-No Hsieh, Ya-Wen Jan, Faizul Hasan, Yi-Chen Chen, Akhmad Fajri Widodo, Hsin-Chien Lee, Chia-Jou Lin, Hsiao-Yean Chiu","doi":"10.1111/wvn.70158","DOIUrl":"10.1111/wvn.70158","url":null,"abstract":"<p><strong>Background: </strong>Insomnia during adolescence impairs mood and cognitive functioning, yet access to effective behavioral sleep treatment is limited. Although CBTi is considered the first-line therapy, the relative value of different delivery formats has remained unclear.</p><p><strong>Objective: </strong>This study systematically evaluated and compared the efficacy of various cognitive behavioral therapy for insomnia (CBTi) delivery formats in improving sleep outcomes among adolescents using a network meta-analysis (NMA).</p><p><strong>Methods: </strong>A comprehensive search of five databases, namely PubMed, Embase, PsycINFO, CINAHL, and the Cochrane Library, was conducted through September 28, 2025. Eligible studies were randomized controlled trials (RCTs) involving adolescents with insomnia that examined at least one CBTi modality, including web-based, face-to-face, group-based, mobile-app-based, self-help, brief CBTi, and sleep hygiene. Both pairwise and network meta-analyses were conducted using a frequentist random-effects model. Risk of bias was evaluated using the Cochrane Risk of Bias 2.0 tool, and confidence in evidence was examined using the Confidence in NMA framework. Sleep outcomes included total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE), and insomnia severity.</p><p><strong>Results: </strong>Twenty-two RCTs evaluating seven CBTi modalities were analyzed. Web-based CBTi consistently outperformed other delivery formats across most outcomes, significantly improving TST by 33 min, reducing SOL by 23 min, increasing SE by 7%, and reducing insomnia severity by 5 points compared with usual care. P score analysis identified web-based CBTi as the most effective modality for TST (86%), SOL (79%), SE (74%), and insomnia severity (99%). No significant differences were observed for WASO.</p><p><strong>Linking evidence to action: </strong>Web-based CBTi is the most effective delivery format for improving sleep outcomes among adolescents. These findings support integrating CBTi into adolescent-focused sleep care pathways. Implementation of web-based CBTi as a first-line option in school and primary-care pathways could expand access and improve outcomes.</p><p><strong>Trial registration: </strong>PROSPERO: CRD420251128688.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70158"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation Leadership in Evidence-Based Practice in Healthcare: A Systematic Review and Meta-Analysis.","authors":"Suvi Kuha, Jouko Miettunen, Outi Kanste","doi":"10.1111/wvn.70163","DOIUrl":"10.1111/wvn.70163","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based practice (EBP) is essential in contemporary high-pressure healthcare environments, yet its implementation remains challenging. Despite the pivotal role of leadership, the lack of pooled quantitative evidence limits understanding of implementation leadership levels and the identification of development needs.</p><p><strong>Aim: </strong>To investigate the pooled mean levels of implementation leadership in EBP among healthcare professionals and managers.</p><p><strong>Design: </strong>Systematic review and meta-analysis.</p><p><strong>Methods: </strong>This systematic review followed the Joanna Briggs Institute methodology and utilized the PRISMA statement. Findings were synthesized using random-effects meta-analyses of mean levels. Heterogeneity was assessed using the I² statistic. A systematic search was conducted in November 2025 in MEDLINE (Ovid), CINAHL, Scopus, Web of Science, ProQuest, and Medic with no date or geographical limits. Studies in English, Finnish, and Swedish were included.</p><p><strong>Results: </strong>A total of 22 studies published between 2014 and 2025 across nine countries, involving 9970 participants, were included. The overall pooled mean level of implementation leadership in EBP, measured using the Implementation Leadership Scale (range 0-4), was 2.66 (95% CI: 2.49-2.83). Subscale pooled means were highest for supportive leadership (3.00, 95% CI: 2.83-3.16), followed by knowledgeable (2.78, 95% CI: 2.57-3.00), perseverant (2.77, 95% CI: 2.58-2.96), and proactive leadership (2.43, 95% CI: 2.25-2.61). Subgroup analyses showed pooled means of 2.47 (95% CI: 1.98-2.97) for managers and 2.70 (95% CI: 2.52-2.88) for professionals. Considerable heterogeneity was observed across studies.</p><p><strong>Linking evidence to action: </strong>Strengthening implementation leadership to support EBP is needed across healthcare. Organizations should invest in structured, targeted leadership development initiatives that cultivate supportive, knowledgeable, perseverant, and especially proactive leadership behaviors, while ensuring programmes are context-sensitive and adaptable to variability across healthcare settings. In addition, role-based differences highlight the need for tailored support for managers that reflect the complexity and accountability of their leadership responsibilities.</p><p><strong>Trial registration: </strong>PROSPERO ID: [CRD420251241584].</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70163"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13458221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Influence of Hospitalization and Nursing Interventions on Inpatients' Sleep Quality: A Multicenter Observational Study.","authors":"Filip Bellon, Adriano Targa, Isabel Perez-Loza, Eva Abad-Corpa, Esther Rubinat-Arnaldo, María Isabel Orts-Cortés, Montserrat Gea-Sánchez","doi":"10.1111/wvn.70162","DOIUrl":"10.1111/wvn.70162","url":null,"abstract":"<p><strong>Background: </strong>Sleep quality is a critical component of health and recovery, yet it remains a significant challenge during hospitalization. Poor sleep among inpatients is common and worsens throughout hospital stays, adversely affecting health outcomes and patient wellbeing. Despite its importance, sleep often receives limited attention within hospital policies and nursing practices.</p><p><strong>Aim: </strong>To evaluate the impact of hospitalization and night-time nursing interventions on the sleep quality of noncritical patients in Spanish public hospitals.</p><p><strong>Methods: </strong>An observational, multicenter study was conducted across 12 public hospitals. Data were collected from patients admitted to surgical and medical units between January 2020 and February 2022. Sleep quality was assessed using the Pittsburgh Sleep Quality Index at hospital admission and discharge. Night-time nursing interventions (including medication administration, vital signs monitoring, blood sample collection, and anxiety management interventions), sociodemographic, anthropometric, clinical variables, and self-reported disturbances were also recorded. Statistical analyses included descriptive statistics and linear regression models adjusted for potential confounding factors.</p><p><strong>Results: </strong>The study included 383 patients. Most patients (71%) presented poor sleep quality upon admission, which worsened during hospitalization (85.9%). A significant association was found between the number of intervention days and poorer sleep quality. Collection of blood samples was significantly associated with worsened sleep quality in female patients, while anxiety management was associated with lower sleep quality in males. Discomfort with roommates and night-time nursing interventions were also related to worse sleep quality.</p><p><strong>Linking evidence to action: </strong>Hospitalization exacerbates poor sleep quality in noncritical patients. Night-time nursing interventions, discomfort with the hospital environment, and anxiety management are key factors. Interventions addressing these modifiable factors could improve patients' sleep quality and recovery. Hospital policies should incorporate sleep as a key quality indicator, promoting strategies to reduce unnecessary night-time interventions and environmental disturbances. Nursing education must emphasize sleep-friendly care practices and appropriate planning of night-time activities.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70162"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13526904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delirium Prevention in Acute Care Telemetry: An Evidence-Based Practice Project.","authors":"Dana Gray, Xong Yalo, Raquel Hei, Susan Schmitz, Martha Graese, Katherine Mendenhall, Stephanie Edmonds, Teresa Cyrus","doi":"10.1111/wvn.70153","DOIUrl":"10.1111/wvn.70153","url":null,"abstract":"<p><strong>Rationale: </strong>Delirium among hospitalized patients is a common but largely preventable condition resulting in poor outcomes and increased healthcare costs. Research suggests that addressing the nursing knowledge gap regarding delirium and implementing prevention tactics can help prevent delirium from developing.</p><p><strong>Aim of initiative: </strong>This evidence-based practice project aimed to reduce the incidence of delirium through early identification of delirium development and implementation of tailored nursing interventions.</p><p><strong>Implementation procedure: </strong>A pre-survey was distributed to assess the nursing staff's knowledge, attitudes, and behaviors regarding delirium. Education was developed based on survey results and tailored to address knowledge gaps and barriers to implementing existing delirium prevention tactics. The education was delivered in various formats and focused on delirium risk factors and the early implementation of evidence-based delirium prevention strategies. The education reinforced the clinical nurses' process of ordering and implementing a delirium prevention bundle and sleep promotion orders while also integrating new knowledge on risk factors and hallmarks of delirium.</p><p><strong>Outcomes: </strong>Clinical nurses' knowledge, attitudes, and self-reported behaviors showed improvement in the post-implementation survey. Delirium rates were reduced by 11.8%. After delirium developed, the patients' length of stay was reduced by 0.75 days.</p><p><strong>Implications for practice: </strong>Proactive, preventative measures can improve clinical outcomes and trajectories related to delirium. Therefore, continuing nursing education on delirium prevention strategies can improve patients' health outcomes in the acute care setting.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70153"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13507620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148819701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory Support in the Emergency Department: An Updated Systematic Review and Meta-Analysis.","authors":"Jane O'Donnell, Rebecca Fenn","doi":"10.1111/wvn.70165","DOIUrl":"10.1111/wvn.70165","url":null,"abstract":"<p><strong>Background: </strong>An estimated 20% of emergency department (ED) patients require respiratory support (RS). Evidence suggests that nasal high flow (NHF) reduces RS need.</p><p><strong>Aims: </strong>This is an update of a published review comparing NHF to non-invasive ventilation (NIV) or to conventional oxygen therapy (COT) in adult ED patients.</p><p><strong>Method: </strong>This updated systematic review (SR) and meta-analysis (MA) methods reflect the Cochrane Collaboration's methodology. The search of six databases was first completed in July 2023 and then repeated in November 2025. Databases were searched for randomized controlled trials (RCTs) comparing NHF to COT or NIV in the ED. Three summary estimates were reported: (1) need to escalate care, (2) mortality, and (3) adverse events (AEs).</p><p><strong>Results: </strong>The updated search identified three new studies, bringing the total to 21 eligible RCTs (n = 2158). One of the six MA conclusions was statistically significant. Compared with COT, NHF showed no SS difference in the risk of escalation (RR 0.65; 95% CI [0.41, 1.04]; p = 0.07), mortality (RR 1.05; 95% CI [0.74, 1.51]; p = 0.77), and AE (RR was 0.98; 95% CI [0.6, 1.6]; p = 0.94) outcomes were found. Compared with NIV, NHF increased the risk of escalation by 86% (RR 1.86; 95% CI [1.26, 2.75]; p = 0.001), but mortality risk was not SS (RR 1.33; 95% CI [0.86, 2.06]; p = 0.20).</p><p><strong>Linking evidence to action: </strong>Evidence suggests NHF therapy may be an alternative to COT in managing RS in EDs. While NHF may not be as effective as NIV at preventing escalation, it does not increase mortality risk, offering a nuanced approach to RS tailored to patient-specific needs. This evidence-informed decision-making can enhance patient outcomes. However, further research is needed, especially given the COVID-19 pandemic's impact on ED research.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70165"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13338584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Nurse Leaders Evidence-Based Practice Implementation Leadership Competence. A Systematic Review and Meta-Analysis of Educational Interventions.","authors":"Jaakko Varpula, Riitta Askola, Desale Tewelde Kahsay, Anna Axelin, Laura Virtanen, Riikka Maijala, Laura-Maria Peltonen","doi":"10.1111/wvn.70164","DOIUrl":"10.1111/wvn.70164","url":null,"abstract":"<p><strong>Background: </strong>Nurse 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.</p><p><strong>Aim: </strong>To evaluate the effectiveness of educational interventions on nurse leaders' competence in EBP implementation leadership and organizational, staff, and patient-related outcomes.</p><p><strong>Methods: </strong>A 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.</p><p><strong>Results: </strong>Educational 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.</p><p><strong>Linking evidence to action: </strong>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.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70164"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Italian Adaptation and Psychometric Validation of the Evidence-Based Practice (EBP) Competency Scale.","authors":"Dhurata Ivziku, Mattia Bozzetti, Alessio Lo Cascio, Valentina Vanzi, Blerina Duka, Alketa Dervishi, Daniela Tartaglini, Daniele Napolitano","doi":"10.1111/wvn.70166","DOIUrl":"10.1111/wvn.70166","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based practice (EBP) competence is essential to high-quality and safe nursing care, yet rigorously validated instruments to assess EBP competencies are lacking in the Italian context.</p><p><strong>Aims: </strong>To translate, culturally adapt, and psychometrically validate the Italian version of the Evidence-Based Practice Competency Scale for registered nurses and advanced practice nurses.</p><p><strong>Methods: </strong>In 2024, a cross-sectional online survey of Italian nurses was conducted. The 24-item EBP Competency Scale was translated and culturally adapted following international guidelines. Content validity was assessed by a 16-member expert panel, and 405 nurses completed the scale and a sociodemographic questionnaire. The sample was randomly split for exploratory and confirmatory factor analyses, and internal consistency, test-retest reliability, and measurement invariance by prior EBP training were examined.</p><p><strong>Results: </strong>Content validity indices were high (I-CVI = 0.75-1.00; S-CVI = 0.92). A one-factor model explained 72.1% of variance and showed excellent fit. Reliability was very high (α = 0.974; ICC = 0.83). Multigroup CFA supported configural and metric invariance and partial scalar invariance, with lower latent EBP competence in nurses without prior training.</p><p><strong>Linking evidence to action: </strong>The Italian EBP Competency Scale is a valid and reliable instrument for assessing EBP competence among Italian nurses. Its use can support benchmarking, guide EBP-focused education and implementation strategies, and provide a foundation for future advanced psychometric applications.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70166"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13360654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148431050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Evidence-Based Practice in Quality of Work Life Among Nurses: A Cross-Sectional Study.","authors":"Anas H Khalifeh, Ahmad Rayan, Suhair H Al-Ghabeesh, Mohammad R Alosta, Mohammed Albashtawy, Islam Oweidat, Rabaa Y Athamneh","doi":"10.1111/wvn.70169","DOIUrl":"10.1111/wvn.70169","url":null,"abstract":"<p><strong>Background: </strong>Modern healthcare systems are experiencing a rapid state of change, and it is evidence-based practice (EBP) that is playing a key role in ensuring safe and quality patient care. While EBP has been correlated with favorable patient outcomes, its predictive association with the quality of nursing work life (QNWL) has not been explored, especially in the Middle East region like Jordan.</p><p><strong>Aim: </strong>This study evaluated EBP knowledge, attitudes, practices, and barriers among Jordanian nurses and factors that predict QNWL.</p><p><strong>Methods: </strong>Descriptive, correlational, and cross-sectional research designs have been used. A convenience sample of 198 nurses in five Jordanian hospitals was completed in EBPQ, EBP Barriers Scale, and Brooks' QNWL Scale.</p><p><strong>Results: </strong>Participants (mean age 29.99; 58.1% female) reported a moderate level of EBP (M = 111.30) or QNWL (M = 153.45). Organizational issues were the greatest challenge to EBP implementation. Higher levels of QNWL had significant relationships with being female, having a bachelor's degree, and working in private hospitals. Of interest, EBP knowledge was one of the predictors of QNWL, followed by educational level.</p><p><strong>Linking evidence to action: </strong>Findings indicate that strengthening the knowledge of nurses on EBP can improve QNWL. Structured skill-based EBP training and skills development through mentorship should be given priority. Managers should encourage conducive environments with time and resource protection. Policymakers should make EBP competencies part of continuing professional development as well as licensure standards. Future studies should use longitudinal and intervention designs to investigate mechanisms of causal influence and test EBP-oriented workforce strategies.</p>","PeriodicalId":49355,"journal":{"name":"Worldviews on Evidence-Based Nursing","volume":"23 4","pages":"e70169"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}