EVIDENCE-BASED NURSING CARE AMONG SURGICAL NURSES

Background: There is a limited number of studies in Turkey that jointly evaluate the evidence-based practice levels of nurses working in surgical units, the barriers they encounter in practice, and the facilitating factors that support practice. In particular, understanding the extent to which evidence-based nursing practice beliefs predict evidence-based care practice behaviors is important for designing in-house training programs, creating clinical guidelines, and developing in-service mentoring systems.

Purpose: This research was conducted to reveal the levels of evidence-based nursing practice among nurses working in surgical units, identify barriers to implementation, and define factors that facilitate implementation. It is anticipated that the findings will guide clinical managers, education planners, and policy developers in creating evidence-based improvement strategies.

Methodology: The research is a descriptive-cross-sectional study. The population consists of nurses working in the Surgical Clinics at Uludağ University Faculty of Medicine Hospital in Bursa, Turkey (N:350). The sample calculation for the study was performed using the known population sample method. The minimum number of individuals required in the sample was calculated using the Raosoft sample calculation tool, yielding a sample size (n) of 184 when a 5% margin of error and a 95% confidence interval were applied.

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Key information

Conditions

Nurse's Role

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Working as a Clinical Nurse (in surgical areas) at Uludağ University Faculty of Medicine Hospital, Ministry of Health, Republic of Turkey,
Agreeing to participate in the study as a volunteer,
Not having any visual, auditory, or psychological problems that would prevent them from completing the questionnaire and scales,
Being a graduate of nursing school.

Exclusion criteria

Not working as a nurse in the Clinical Department (surgical fields) at Uludağ University Faculty of Medicine Hospital, Ministry of Health of the Republic of Turkey,
Not agreeing to participate in the research as a volunteer,
Having any visual, auditory, or psychological problems that would prevent them from completing the questionnaire and scales,
Not being a graduate of nursing school.

Treatment and study plan

Measuring evidence-based nursing knowledge and practice levels using a scale

Other

Turkish Ministry of Health Uludağ University Faculty of Medicine Hospital Nurses working in surgical clinics will be assessed using the Research Use Barriers Scale and the Evidence-Based Practice Usage Scale to determine their levels of evidence-based nursing practice, the barriers they encounter, and the facilitating factors.

Primary outcomes

Evidence-Based Practice Usage Scale

Time frame: 6 months

It includes 18 items, including creating a PICO (Population, Intervention, Comparison, Outcome) question about the applications, using evidence to change clinical practices, and sharing the collected data results with colleagues. A five-point frequency scale (ranging from 0 = '0 times' to 4 = '>8 times') is used to indicate how often participants performed each item in the last eight weeks, with a total score ranging from 0 to 72. A higher score indicates greater use of evidence-based nursing care.

Secondary outcomes

Research Usage Barriers Scale

Time frame: 6 months

The scale consists of four subdimensions: nursing, practice, research, and presentation. The "Nursing" subdimension contains eight items that assess nurses' value, skills, and awareness of research, while the "Practice" subdimension contains eight items that assess perceived barriers and limitations in the work environment. The "Research" sub-dimension consists of 6 items that assess the quality of research, while the "Presentation" sub-dimension consists of 6 items that assess comprehensibility and usability. A score of 1 on the four-point Likert scale means "no obstacle," 2 means "minor obstacle," 3 means "moderate obstacle," and 4 means "major obstacle." Alternatively, the option "0-no opinion" is also included in the scale, but these responses are not included in the scoring. Therefore, the overall average score of the scale ranges from 30 to 120 points.

Study contacts

Contact information is provided by the study sponsor or research team.

AKİF BULUT, PhD

CONTACT

[email protected]

+905468722872 ext. +905468722872

Sponsors and collaborators

Lead sponsor

AKİF BULUT

Other

Registry information

Official study title

EVIDENCE-BASED NURSING CARE AT THE BOTTOM OF THE HIERARCHY: PRACTICE, BARRIERS, AND FACILITATORS

Important dates

Study start: 2026
Primary completion: 2027
Study completion: 2027
First posted: Jan 27, 2026
Registry last updated: Jan 30, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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