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Background <p>Although evidence-based practices are crucial for enhancing nursing abilities and patient outcomes, many nurses encounter barriers and facilitators that limit their capacity to effectively apply evidence-based practices. Self-efficacy is crucial to how nurses view and overcome these challenges.</p> Aim <p>This study aimed to examine the relationship between evidence-based practice facilitators and barriers and nurses’ competencies, with a specific focus on self-efficacy as a mediating factor.</p> Design <p>A correlational descriptive design was used.</p> Methods and tools <p>A stratified random sampling of 350 nurses provided data for the study using structured questionnaires that assessed evidence-based practice facilitators, barriers, nurses’ self-efficacy, and competencies.</p> Results <p>The strongest positive correlation was observed between practice competency and Knowledge (<i>r</i> = 0.903, <i>p</i> &lt; 0.001), skills (<i>r</i> = 0.903, <i>p</i> &lt; 0.001), and utilization (<i>r</i> = 0.921, <i>p</i> &lt; 0.001). On the other hand, EBP barriers show significant negative correlations with attitude (<i>r</i> = -0.140, <i>p</i> = 0.009), knowledge (<i>r</i> = -0.114, <i>p</i> = 0.032), and skills (<i>r</i> = -0.198, <i>p</i> &lt; 0.001).</p> Conclusion <p>The findings of this study highlight a significant mediating effect of self-efficacy on the relationship between evidence-based practice facilitators, barriers, and nurses’ competencies.</p> Nursing implications <p>The results of this study demonstrate how critical it is to support nurses’ self-efficacy to help them overcome obstacles and improve their capacity to apply evidence-based practices, which will ultimately improve nursing competence and patient care.</p> Clinical trial number <p>Not applicable.</p>

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The relationship between evidence-based practices’ facilitators and barriers among nurses and their competencies: self-efficacy as a mediator

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月25日

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  • Amal Diab Ghanem Atalla,
  • Ayman Mohamed El-Ashry,
  • Samia Mohamed Sobhi Mohamed

摘要

Background

Although evidence-based practices are crucial for enhancing nursing abilities and patient outcomes, many nurses encounter barriers and facilitators that limit their capacity to effectively apply evidence-based practices. Self-efficacy is crucial to how nurses view and overcome these challenges.

Aim

This study aimed to examine the relationship between evidence-based practice facilitators and barriers and nurses’ competencies, with a specific focus on self-efficacy as a mediating factor.

Design

A correlational descriptive design was used.

Methods and tools

A stratified random sampling of 350 nurses provided data for the study using structured questionnaires that assessed evidence-based practice facilitators, barriers, nurses’ self-efficacy, and competencies.

Results

The strongest positive correlation was observed between practice competency and Knowledge (r = 0.903, p < 0.001), skills (r = 0.903, p < 0.001), and utilization (r = 0.921, p < 0.001). On the other hand, EBP barriers show significant negative correlations with attitude (r = -0.140, p = 0.009), knowledge (r = -0.114, p = 0.032), and skills (r = -0.198, p < 0.001).

Conclusion

The findings of this study highlight a significant mediating effect of self-efficacy on the relationship between evidence-based practice facilitators, barriers, and nurses’ competencies.

Nursing implications

The results of this study demonstrate how critical it is to support nurses’ self-efficacy to help them overcome obstacles and improve their capacity to apply evidence-based practices, which will ultimately improve nursing competence and patient care.

Clinical trial number

Not applicable.