Factors related to evidence-based practice among health professionals: a cross-sectional study
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Keywords

Evidence-based clinical practice
Continuing education
Health services
Nursing
Health services research

How to Cite

1.
Schwenck RCB, Domenico EBL de. Factors related to evidence-based practice among health professionals: a cross-sectional study. Online Braz J Nurs [Internet]. 2026 Apr. 17 [cited 2026 Apr. 25];25(1):e20266847. Available from: https://objnursing.uff.br/nursing/article/view/6847

Abstract

Objective: To identify factors associated with evidence-based practice (EBP) among health professionals. Method: This was an observational, cross-sectional study conducted in a large, high-complexity private institution located in the cities of São Paulo and Brasília, Brazil. A total of 305 health professionals participated. Data were collected using an electronic questionnaire that included sociodemographic and professional variables, along with the Prática Baseada em Evidências nas Ciências da Saúde (HS-EBP) questionnaire. The analysis included descriptive and inferential statistics. The Kruskal–Wallis test was used to assess the association between job satisfaction and the mean scores of the instrument’s dimensions. Statistical significance was set at 5%. Results: The overall HS-EBP mean score was high, with the highest scores observed in the Beliefs–Attitudes dimension, followed by Practice and Barriers–Facilitators. A significant association was found between job satisfaction and the Practice and Barriers–Facilitators dimensions, as well as the overall instrument mean. Higher questionnaire scores were associated with more frequent reading of scientific articles and greater participation in training activities. Conclusion: Despite favorable attitudes toward EBP, its operationalization still faces challenges. This scenario highlights the need for institutional strategies that integrate organizational support and continuing education to improve the quality of care.

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References

Cormican A, Hirani SP, McKeown E. Healthcare professionals’ perceived barriers and facilitators of implementing clinical practice guidelines for stroke rehabilitation: A systematic review. Clin Rehabil. 2023; 37(5):701-712. https://doi.org/10.1177/0269215522114 1036. PMID: 36475911.

Tenny S, Varacallo MA. Evidence-Based Medicine. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 29262040

Abu-Odah H, Said NB, Nair SC, Allsop MJ, Currow DC, Salah MS, et al. Identifying barriers and facilitators of translating research evidence into clinical practice: A systematic review of reviews. Health Soc Care Community. 2022;30(6):e3265-e3276. https://doi.org/1 0.1111/hsc.13898. PMID: 35775332.

Atalla ADG, El-Ashry AM, Mohamed SMS. The relationship between evidence-based practices’ facilitators and barriers among nurses and their competencies: self-efficacy as a mediator. BMC Nurs. 2025;24(1):458. https://doi.org/10.1186/s12912-025-02 896-2. PMID: 40281594.

Furtado L, Coelho F, Mendonça N, Soares H, Gomes L, Sousa JP, et al. Exploring Professional Practice Environments and Organisational Context Factors Affecting Nurses’ Adoption of Evidence-Based Practice: A Scoping Review. Healthcare (Basel). 2024; 12(2):245. https://doi.org/10.3390/healthcare12020245. PMID: 38255132.

Pitsillidou M, Roupa Z, Farmakas A, Noula M. Factors Affecting the Application and Implementation of Evidence-based Practice in Nursing. Acta Inform Med. 2021;29(4):281-287. https://doi.org/10.5455/aim.2021. 29.281-287. PMID: 35197664.

Fernández-Domínguez JC, Sesé-Abad A, Morales-Asencio JM, Sastre-Fullana P, Pol-Castañeda S, de Pedro-Gómez JE. Content validity of a health science evidence-based practice questionnaire (HS-EBP) with a web-based modified Delphi approach. Int J Qual Health Care. 2016;28(6):764-773. https://doi.org/10.1093/intqh c/mzw106. PMID: 27655793.

Schwenck RCB, Domenico EBL de. Cross-cultural adaptation and validation of the “health sciences evidence-based practice questionnaire” into Brazilian Portuguese. REME. 2023;27:e-1494. https://doi.org/10. 35699/2316-9389.2023.38648.

Hair Jr. JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 8. ed. Australia: Cengage Learning; 2019.

Kline RB. Principles and practice of structural equation modeling. 4. ed. New York: The Guilford Press; 2016.

Brunt BA, Morris MM. Nursing Professional Development Evidence-Based Practice. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2025. PMID: 36943994

Santos D, Cardoso D, Cardoso AF, Duque FM, Fernandes B, Sousa R, et al. Barriers and facilitators of evidence-based practice in the Portuguese context: perceptions of formal nursing leaders. JBI Evid Implement. 2024;22(4):396-404. https://doi.org/10.109 7/xeb.0000000000000451. PMID: 39045835.

Fossum M, Opsal A, Ehrenberg A. Nurses’ sources of information to inform clinical practice: An integrative review to guide evidence-based practice. Worldviews Evid Based Nurs. 2022;19(5):372-379. https://doi.org/ 10.1111/wvn.12569. PMID: 35244324.

Camargo FC, Iwamoto HH, Galvão CM, Pereira G de A, Andrade RB, Masso GC. Competences and Barriers for the Evidence-Based Practice in Nursing: an integrative review. Rev Bras Enferm. 2018;71(4):2030-2038. https://doi.org/10.1590/0034-7167-2016-0617. PMID: 30156693.

Wood C. Leadership and management for nurses working at an advanced level. Br J Nurs. 2021;30(5):28 2-286. https://doi.org/10.12968/bjon.2021.30.5.282. PMID: 33733852.

Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators. J Nurs Adm. 2012;42(9):410-417. https://doi. org/10.1097/nna.0b013e3182664e0a. PMID: 229227 50.

Alsadaan N, Ramadan OME. Barriers and facilitators in implementing evidence-based practice: a parallel cross-sectional mixed methods study among nursing administrators. BMC Nurs. 2025;24(1):403. https://doi. org/10.1186/s12912-025-03059-z. PMID: 40211261.

Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, organizadores. JBI Manual for Evidence Synthesis. Adelaide: JBI; 2024. https://doi.org/10.46658/JBIMES-24-01

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