![]() There is a need to create and implement educational interventions and programs to overcome the barriers to effective EBP implementation among primary healthcare nurses. Findings showed that nurses encounter organizational-related barriers to a moderate extent and EBP implementation varies depending on gender, level of education, and job position. The findings showed that the three top-ranked barriers were: (1) results of the studies are not generalizable to nurses' setting, (2) facilities are inadequate, and (3) physicians do not cooperate with the implementation. The highest mean score was reported in the organizational subscale, followed by the innovation and communication subscales, whereas the lowest mean score was reported in the adopter subscale. The overall raw score on the BARRIERS scale was 86.21 (standard deviation = 16.15). Regression analysis was performed to identify the effects of predictor variables on the four subscales. A total of 284 nurses were surveyed using the BARRIERS scale. This study employed a correlational and cross-sectional design. This study aimed to examine the barriers perceived by primary healthcare nurses in implementing EBP. In Saudi Arabia, a few studies were conducted in hospital and mental health settings, and no study has explored the topic in primary healthcare settings. Several studies have been conducted to investigate the barriers to implementing evidence-based practice (EBP) worldwide. Nursing managers may consider preparing nurses through education. Findings support the need for healthcare systems to create a culture that facilitates EBP implementation to enhance nurses’ EBP competencies and improve patients’ outcomes. Nurses reported their hospitals support EBP through training (68.2%). Encouragement to attend EBP trainings from nursing leadership was perceived by most nurses (51.1%). Unit type (ER) (p < 0.05), knowledge (p < 0.001), and attitudes (p < 0.001) were associated with implementation. Magnet recognition (p < 0.01) and knowledge (p < 0.001) had significant influence on nurses’ attitudes. Level of education (p < 0.05), EBP training (p < 0.05), unit type (ICU (p < 0.001) and ER (p < 0.01)), perceived nursing leadership (p < 0.001), and work environment (p < 0.05) supports were found significantly associated with nurses’ knowledge. Data were collected from a convenience sample of staff nurses (N = 227) working in four hospitals using a cross-sectional, correlational descriptive design. The purpose of the study was to examine organizational factors influencing nurses’ EBP knowledge, attitudes, and implementation and identify staff nurses’ perceptions of EBP nursing leadership and hospital supports in Saudi Arabia. The integration of nurses’ EBP competencies and organizational support has been suggested to create an effective arena in implementing EBP. Evidence-based practice (EBP) is crucial in keeping nurses aware of the current knowledge and improving clinical decision-making.
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