Journal List > J Korean Acad Nurs Adm > v.21(2) > 1051788

Kim, Kim, and Park: Factors Influencing Competency in Evidence-based Practice among Clinical Nurses



The aim of this study was to describe competency in evidence-based practice (EBP) among clinical nurses and to explore critical thinking disposition (CTD) and organizational culture (OC) as possible predictors for competency in EBP. Also this study was conducted to identify baseline data for purpose of developing evidence-based OC to ensure safety of patients and to improve quality of nursing services in clinical setting.


With a descriptive correlation study design, a competency in EBP questionnaire was administered to a convenience sample of nurses (N=393) from a single general hospital in Gyeonggi Province.


The overall mean score for competency in EBP was 3.03±0.53. Factors influencing competency in EBP were education (β=0.23, p<.001), attendance at lectures on EBP (β=0.18, p<.001), intellectual eagerness & healthy skepticism (β=0.27, p<.001) among CTD, and hierarchy-oriented OC (β=0.14, p=.005), which explained about 35% of the total variance.


Critical thinking and competency in EBP should be part of nursing education especially for undergraduate students as well as strengthening clinical practice by activation of EBP. The results of this study that hierarchy-oriented OC, is a significant predictor for competency in EBP is difficult to accept. Its seemed to require further exploration.

Figures and Tables

Table 1

Competency of EBP by General Characteristics (N=393)


*Statistical analysis was excluded as it was improper to compare; EBP=Evidence-based practice.

Table 2

Critical Thinking Disposition, Organizational Culture, Competency in EBP among Clinical Nurses (N=393)


EBP=Evidence-based practice.

Table 3

Correlation between Critical Thinking Disposition, Organizational Culture, and Competency of EBP among Clinical Nurses


EBP=Evidence-based practice, IEHS=Intellectual eagerness & healthy skepticism; IF=Intellectual fairness; IO=Innovation-oriented, RO=Relation-oriented, HO=Hierarchy-oriented, TO=Task-oriented.

Table 4

Influencing Factors of Competency in EBP among Clinical Nurses


EBP=Evidence-based practice; *Dummy variables (Marital status 1=married, 0=single/Education 1=≥Graduate, 0=others/Position 1=≥head nurse, 0=others/Attendance at lecture -Critical thinking 1=yes, 0=no/Attendance at lecture -EBP 1=yes, 0=no/Have heard of the EBP? 1=yes, 0=no).


This study was supported by Dongnam Health University research fund in 2012.


1. Smith JR, Donze A. Assessing environmental readiness: first steps in developing an evidence-based practice implementation culture. J Perinat Neonatal Nurs. 2010; 24(1):61–71. quiz 72-73DOI: 10.1097/JPN.0b013e3181ce1357.
2. Heater BS, Becker AM, Olson RK. Nursing interventions and patient outcomes: meta-analysis of studies. Nurs Res. 1988; 37(5):303–307.
3. Coopersmith CM, Rebmann TL, Zack JE, Ward MR, Corcoran RM, Schallom ME, et al. Effect of an education program on decreasing catheter-related bloodstream infections in the surgical intensive care unit. Crit Care Med. 2002; 30(1):59–64.
4. Magers TL. Using evidence-based practice to reduce catheter-associated urinary tract infections. Am J Nurs. 2013; 113(6):34–42. quiz 43-44DOI: 10.1097/01.NAJ.0000430923.07539.a7.
5. McGinty J, Anderson G. Predictors of physician compliance with American Heart Association guidelines for acute myocardial infarction. Crit Care Nurs Q. 2008; 31(2):161–172. DOI: 10.1097/01.cnq.0000314476.64377.12.
6. Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks E, Crean HF, Sinkin RA, et al. Reducing premature infants' length of stay and improving parents' mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial. Pediatrics. 2006; 118(5):e1414–e1427. DOI: 10.1542/peds.2005-2580.
7. Sigma Theta Tau International. Evidence based nursing position statement [Internet]. Indianapolis, IN: Sigma Theta Tau International;2005. cited 2014 June, 3. Available from:
8. Park MH. Understanding and application of evidence-based nursing. Seoul: Koonja Press;2006. p. 12. p. 214.
9. Pravikoff DS, Tanner AB, Pierce ST. Readiness of U.S. nurses for evidence-based practice. Am J Nurs. 2005; 105(9):40–51. quiz 52.
10. Cho MS, Song MR, Cha SK. Nurses' perceptions regarding evidence-based practice facilitators in a tertiary hospital. J Korean Acad Fundam Nurs. 2011; 18(3):300–309.
11. Lim KC, Park KO, Kwon JS, Jeong JS, Choe MA, Kim JH, et al. Registered nurses' knowledge, attitudes, and practice about evidence-based practice at general hospitals in Korea. J Korean Clin Nurs Res. 2011; 17(3):375–387.
12. Jang KS, Kim NY. Theory: EBN and nurse education. Korean J Nurs Query. 2005; 13(2):77–91.
13. Ahn YH. Critical thinking and the standards of nursing education. J Educ Eval Health Prof. 2004; 1(1):99. DOI: 10.3352/jeehp.2004.1.1.99.
14. Ploeg J, Davies B, Edwards N, Gifford W, Miller PE. Factors influencing best-practice guideline implementation: Lessons learned from administrators, nursing staff, and project leaders. Worldviews Evid Based Nurs. 2007; 4(4):210–219. DOI: 10.1111/j.1741-6787.2007.00106.x.
15. Son YJ, Kim SH, Park YS, Lee SK, Lee YM. The influence of information retrieval skill on evidence based practice competency in clinical nurses. Korean J Adult Nurs. 2012; 24(6):635–646. DOI: 10.7475/kjan.2012.24.6.635.
16. Kim JS, Gu MO, Jo SY. Factors influencing evidence-based practice readiness for tertiary general hospital nurses. J Korea Acad Ind Coop Soc. 2013; 14(6):2945–2957. DOI: 10.5762/KAIS.2013.14.6.2945.
17. Park SH. The effect of the program for the improvement of college students' critical thinking ability [dissertation]. Seoul: Sookmyung Women's University;1999. 134–136.
18. Kim MS, Han SJ, Kim JH. The development of the nursing organization culture measurement tool. J Korean Acad Nurs Adm. 2004; 10(2):175–184.
19. Yi J, Park M. Nurses' access & use of information resources and barriers & competency of evidence based practice. Korean J Adult Nurs. 2011; 23(3):255–266. DOI: 10.11111/jkana.2013.19.1.39.
20. Park M. Implementation of evidence based nursing education into nursing management clinical practicum: Outcome evaluation and diffusion strategies. J Korean Acad Nurs Adm. 2013; 19(1):39–47. DOI: 10.11111/jkana.2013.19.1.39.
21. Williamson KM, Fineout-Overholt E, Kent B, Hutchinson AM. Teaching EBP: Integrating technology into academic curricula to facilitate evidence-based decision-making. Worldviews Evid Based Nurs. 2011; 8(4):247–251. DOI: 10.1111/j.1741-6787.2010.00192.x.
22. Profetto-McGrath J, Smith KB, Hugo K, Patel A, Dussault B. Nurse educators' critical thinking dispositions and research utilization. Nurse Educ Pract. 2009; 9(3):199–208. DOI: 10.1016/j.nepr.2008.06.003.
23. Wangensteen S, Johansson IS, Björkström ME, Nordström G. Research utilisation and critical thinking among newly graduated nurses: Predictors for research use. A quantitative crosssectional study. J Clin Nurs. 2011; 20(17-18):2436–2447. DOI: 10.1111/j.1365-2702.2010.03629.x.
24. Kwon HJ, Suk BH, Chee SJ, Ahn YM, Kim YJ, Park SA, et al. The relationship between the types of nursing organizational culture, nurses' satisfaction with life, and job satisfaction. J Korean Clin Nurs Res. 2011; 17(1):57–69.
25. Son MS. Relationship of nursing organizational culture to nurses' self-efficacy and empowerment [master's thesis]. Busan: Pusan Catholic University;2012. 40–41.
26. Lee EJ, Han JY, Kim MY. Effects of the organizational culture on the job satisfaction and organization commitment. J Korean Acad Nurs Adm. 2008; 14(1):5–12.
27. Stetler CB. Role of the organization in translating research into evidence-based practice. Outcomes Manag. 2003; 7(3):97–103. quiz 104-105
28. Kim MS, Han SJ, Kim JA, Park HT. A study for examine into nursing organizational culture(1). J Korean Acad Nurs Adm. 1998; 4(1):89–105.
29. Forsman H, Gustavsson P, Ehrenberg A, Rudman A, Wallin L. Research use in clinical practice - extent and patterns among nurses one and three years postgraduation. J Adv Nurs. 2009; 65(6):1195–1206. DOI: 10.1111/j.1365-2648.2008.04942.x.
30. Scott-Findlay S, Golden-Biddle K. Understanding how organizational culture shapes research use. J Nurs Adm. 2005; 35(7-8):359–365.
Similar articles