The Influence of Perceived Organizational Support on Evidence-Based Practice among Jordanian Nurses: A Cross-Sectional Study

感知组织支持对约旦护士循证实践的影响:一项横断面研究

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Abstract

INTRODUCTION: Evidence-based practice (EBP) is vital for improving healthcare quality and patient outcomes, yet its successful implementation often depends on organizational factors such as perceived organizational support (POS). Nurses, as frontline healthcare providers, require both professional and organizational support to translate evidence into practice effectively. In Jordan, despite recognition of EBP's importance, its implementation among nurses faces challenges, with organizational support playing a pivotal role. OBJECTIVES: This study aimed to examine the association between POS and EBP implementation and to identify the predictors of EBP practice, attitudes, and knowledge among nurses in Jordan. METHODS: A cross-sectional descriptive correlational design was employed. Data were collected from 188 registered nurses working in three major governmental hospitals in Jordan. POS was measured using the Perceived Organizational Support Scale, while EBP implementation was assessed using the Evidence-Based Practice Questionnaire. Descriptive statistics, Pearson's correlation, and multivariate regression analyses were conducted to determine relationships and predictors. RESULTS: The findings revealed low-to-moderate levels of POS among participants (M = 17.52, SD = 3.78). For EBP, nurses reported moderate attitudes (M = 9.44, SD = 2.92) and knowledge/skills (M = 33.06, SD = 7.80), but relatively weak implementation in practice (M = 14.45, SD = 3.79). POS total score significantly correlated with EBP practice and implementation (r = .30, P = .002), EBP attitude (r = .81, P < .001), and EBP knowledge and skills (r = .50, P = .006). Age, participation in decision-making, autonomy in clinical practice, gender, and POS total score were significant predictors of EBP implementation. Female nurses and those reporting higher autonomy and organizational support demonstrated greater EBP engagement. CONCLUSION: The findings of this study empirically demonstrate that fostering an organizational culture of support-particularly by enhancing nurse autonomy and involvement in decision-making-is a critical lever for bridging the knowledge-to-practice gap in EBP.

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