• Aliyu Adamu Discipline of Nursing School of Nursing and Public Health Howard College Campus University of KwaZulu-Natal
  • Joanne Rachel Naidoo Discipline of Nursing School of Nursing and Public Health Howard College Campus University of KwaZulu-Natal




The changing context of many disease profiles within the African continent is necessitating a re-engineered way of nursing. Nurses are required to possess increased knowledge, clinical competency and a greater autonomy in their clinical judgment. Moreover, modern technologies and society’s increasing health awareness are intensifying the need for nurses to provide nursing care based on evidence. Within the context of Nigeria, it is documented that Evidence Based Practice (EBP) is not widely embraced. Therefore, this study aimed to explore and describe the perception of registered nurses in a selected regional hospital in Nigeria towards EBP. Underpinned by a quantitative descriptive design, a five-point Likert scale was used for data collection. The sample was made up of 133 registered nurses from a cross section of 24 units from the selected hospital. Descriptive statistics and correlation analysis were used to summarise and describe the characteristics of the respondents and establish the relationships of the study variables and the respondents’ demographic characteristics. While the respondents perceived themselves as being knowledgeable regarding the usefulness of evidence to inform clinical decisions (91.7%, n=122), there was poor correlation between their knowledge and practice of EBN to inform their nursing care (r = 0.063). Furthermore, inability to understand statistical terms used in research articles was rated as the highest perceived barrier (61.7%, n = 82) regarding evidence-based nursing practice. Further research is needed on a larger sample at regional and community health care settings to assess the practice of EBN. The data collection tool focused on the perceived knowledge, attitudes and practices of nurses regarding EBN. Further research is needed to assess the actual practices of nurses about EBN.


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Author Biographies

Aliyu Adamu, Discipline of Nursing School of Nursing and Public Health Howard College Campus University of KwaZulu-Natal

A. Adamu, M. Nursing

Joanne Rachel Naidoo, Discipline of Nursing School of Nursing and Public Health Howard College Campus University of KwaZulu-Natal

J.R. Naidoo, PhD (Nursing), Lecturer


Agbedia, C. 2012. Re-envisioning nursing education and practice in Nigeria for the 21st century. Open Journal of Nursing 2:226–230.

Ayandiran, E., Olayiwola, F., Irinoye, O. & Mtshali, N. 2013. Education reforms in Nigeria: how responsive is nursing profession? Jounal of International Nursing Scholarship, 10(1):1–8.

Bartelt, T.C., Ziebert, C., Sawin, K.J., Malin, S., Nugent, M. & Simpson, P. Evidence-based practice: perceptions, skills and activities of pediatric health care professionals. Journal of Pediatric Nursing 26(3):114–121.

Berland, A., Gundersen, D. & Bentsen, S.B. 2012. Evidence-based practice in primary care: an explorative study of nurse practitioners in Norway. Nurse Education in Practice 12(6):361–365.

Bertulis, R. 2008. Barriers to accessing evidence-based information. Nursing Standard 22(6):35–39.

Bonner, A. & Sando, J. 2008. Examining the knowledge, attitude and use of research by nurses. Journal of Nursing Management 16(3):334–343.

Boström, A.M., Ehrenberg, A., Gustavsson, J.P. & Wallin, L. 2009. Registered nurses’ application of evidenceâ€based practice: a national survey. Journal of Evaluation in Clinical Practice 15(6):1159–1163.

Breimaier, H.E., Halfens, R.J. & Lohrmann, C. 2011. Nurses’ wishes, knowledge, attitudes and perceived barriers on implementing research findings into practice among graduate nurses in Austria. Journal of Clinical Nursing 20(11):1744–1756.

Burney, M., Underwood, J., McEvoy, S., Nelson, G., Dzierba, A., Kauari, V. & Chong, D. 2012. Early detection and treatment of severe sepsis in the emergency department: identifying barriers to implementation of a protocol-based approach. Journal of Emergency Nursing 38(6):512–517.

Chan, G.K., Barnason, S., Dakin, C.L., Gillespie, G., Kamienski, M.C., Stapelton, S., Williams, J., Juarez, A. & Li, S. 2011. Barriers and perceived needs for understanding and using research among emergency nurses. Journal of Emergency Nursing 37(1):24–31.

Heckenberry, M., Wilson, D. & Barrera, P. 2006. Implementing evidence-based nursing practice in a pediatric hospital. Pediatric Nursing 32(4):371.

Knops, A.M., Vermeulen, H., Legemate, D.A, & Ubbink, D.T. 2009. Attitudes, awareness, and barriers regarding evidence-based surgery among surgeons and surgical nurses. World Journal of Surgery 33(7):1348–1355.

Koehn, M.L. & Lehman, K. 2008. Nurses’ perceptions of evidenceâ€based nursing practice. Journal of Advanced Nursing 62:209–215.

Maaskant, J.M., Knops, A.M., Ubbink, D.T. & Vermeulen, H. 2013. Evidence-based practice: a survey among pediatric nurses and pediatricians. Journal of Pediatric Nursing 28(2):150–157.

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y.L., Chang, Y. & Mokhtar, I.A. 2011. Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. Journal of the Medical Library Association 99(3):229

Mantzoukas, S. 2008. A review of evidenceâ€based practice, nursing research and reflection: levelling the hierarchy. Journal of Clinical Nursing 17(2):214–223.

Melnyk, B.M., Fineoutâ€Overholt, E. & Mays, M.Z. 2008. The evidenceâ€based practice beliefs and implementation scales: psychometric properties of two new instruments. Worldviews on Evidenceâ€Based Nursing5(4):208–216.

O’Donnell, C.A. 2004. Attitudes and knowledge of primary care professionals towards evidenceâ€based practice: a postal survey. Journal of Evaluation in Clinical Practice 10(2):197–205.

Ofi, B., Sowunmi, L. & Anarado, N. 2008. Professional nurses’ opinion on research and research utilization for promoting quality nursing care in selected teaching hospitals in Nigeria. International Journal of Nursing Practice 14(3):243–255.

Olade, R.A. 2004. Evidenceâ€based practice and research utilization activities among rural nurses. Journal of Nursing Scholarship 36(3):220–225.

Pope, C. 2003. Resisting evidence: the study of evidence-based medicine as a contemporary social movement. Health: An Interdisciplinary Journal for Social Study of Health, Illness and Medicine 7(3):267–282.

Rycroft-Malone, J., Seers, K., Titchen, A., Harvey, G., Kitson, A. & McCormack, B. 2004. What counts as evidence in evidence-based practice evidence? Journal of Advanced Nursing 47(1):81–90.

Sackett, D., Straus, S.E., Richardson, W.S., Rosenberg, W. & Haynes, B.R. 2000. Evidence-based medicine: how to practice and teach EBM. Edinburgh, Scotland: Churchill Livingstone.

Sherriff, K.L., Wallis, M. & Chaboyer, W. 2007. Nurses’ attitudes to and perceptions of knowledge and skills regarding evidenceâ€based practice. International Journal of Nursing Practice 13(6):363–369.

Squires, J.E., Hutchinson, A.M., Boström, A.M., Hourke, H.M.,Cobban, S.J. & Estabrooks, C.A. 2011. To what extent do nurses use research in clinical practice? A systematic review. Implementation Science 6 (21):1–21.

Ubbink, D., Vermeulen, H., Knops, A., Legemate, D.A., Rengerink, O., Heineman, H.K., Roose, Y.B., Fijnvandraat, C.J., Heymans, H.S. & Simons, R. 2011. Implementation of evidence-based practice: outside the box, throughout the hospital. Netherlands Journal of Medicine 69(2):87–94.

Uneke, C.J., Ezeoha, A.E., Ndukwe, CD., Oyibo, P.G., Onwe, F. & Ogbonna, A. 2010 development of health policy and systems research in Nigeria: lessons for developing countries’ evidence-based health policy making process and practice. Healthcare Policy 6(1):109–126.

Upton, D. & Upton P. 2006. Development of an evidenceâ€based practice questionnaire for nurses. Journal of Advanced Nursing 53(4):454–458.

Yip Wai, K., Mordiffi, S.Z., Liang, S., Kim, E.N., Zhang, X. & Majid, S. 2013. Nurses’ perception towards evidence-based practice: a descriptive study. Singapore Nursing Journal 40(1):34–41.

Zack, M. 1999. Developing a knowledge strategy. California Management Review 41(2):125–145.




How to Cite

Adamu, Aliyu, and Joanne Rachel Naidoo. 2015. “EXPLORING THE PERCEPTIONS OF REGISTERED NURSES TOWARDS EVIDENCE-BASED PRACTICE IN A SELECTED GENERAL HOSPITAL IN NIGERIA”. Africa Journal of Nursing and Midwifery 17 (1):33-46. https://doi.org/10.25159/2520-5293/115.



Received 2015-02-17
Accepted 2015-04-23
Published 2015-07-27