Integrating ınsights: a mixed-methods approach to nurses' competencies in evidence-based practice and clinical decision-making

Abstract

Aim To identify the factors influencing nurses' Evidence‐based practices (EBP) competencies and clinical decision‐making (CDM) levels. Design A convergent parallel mixed‐methods study. Methods The quantitative data were collected from 387 nurses via the EBP Competence Questionnaire and the Clinical Decision‐Making in Nursing Scale, while qualitative data were gathered from semi‐structured interviews with 20 nurses. Quantitative data were analysed using descriptive statistics, ANOVA, and multiple linear regression, and qualitative data were subjected to thematic content analysis. Results Regression analysis revealed that higher education, research involvement, and following scientific publications positively influenced EBP competencies. Working in inpatient units and clinical nursing roles negatively affected EBP and CDM abilities. A significant positive correlation was found between EBP competence and CDM skills. Qualitative findings identified four themes: Implementation Areas of EBP, Competence in EBP, Impacts of EBP, and Facilitators and Barriers to EBP. Conclusion Strengthening nurses' EBP competencies and CDM requires targeted strategies such as education, access to organizational resources and supportive policies. Implications for the Profession Addressing barriers and fostering a culture of continuous learning can enhance patient care and nursing outcomes. Impact By addressing gaps in EBP implementation and decision‐making skills, the findings serve as a benchmark for policymakers, educators and healthcare administrators to create supportive infrastructures, promote continuous professional development, and foster a culture of evidence‐based practice worldwide. Reporting Method The study was reported in accordance with the GRAMMS guidelines. Patient or Public Contribution No patient or public contribution.