Current Analysis of Evidence-Based Competencies among Clinical Nurses and Influencing Factors

Objective: To investigate the evidence-based competencies of clinical nurses at a tertiary-level hospital in Wuhan and their influencing factors, providing a reliable theoretical basis for implementing evidence-based nursing interventions in clinical practice. Methods: A questionnaire survey was conducted among 120 nurses at a tertiary-level general hospital in Wuhan using the Clinical Nurse Evidence-Based Competency Survey and the Chinese version of the Evidence-Based Nursing Practice Barriers Scale. Results: 84% of the clinical nurses scored in the slightly poor range for the original total score of their evidence-based qualities, while 4% scored in the very poor range; 11% of the clinical nurses had a moderate impact score for the original total of their barriers in evidence-based nursing practice, and 73% had a severe impact score, indicating the presence of obstacles in evidence-based nursing practice. Independent factors influencing evidence-based competency included professional title, educational background, and evidence-based practice barriers score (P < 0.05). Nurses with higher titles, higher education levels, and lower evidence-based practice barriers scores demonstrated superior evidence-based competency. Conclusion: The overall status of evidence-based practice among clinical nurses requires improvement. Hospitals should provide organizational support, strengthen evidence-based nursing education through a combination of elite training and tiered training approaches, enhance hardware facilities, and promote the development of evidence-based nursing.