Staff Nurse Ratings of Implementation Self-Efficacy for EBP (ISE4EBP) and Organizational EBP Readiness

Abstract

There is limited research about nurses' confidence in implementing evidence into clinical practice. The purpose of this study was to further test, refine and strengthen the Implementation Self-Efficacy for EBP (ISE4EBP) scale and gain knowledge about staff nurses' perspectives of their confidence in EBP implementation in relation to the work environment as measured by the Context Assessment Index (CAI). We proposed, higher nurses confident in implementing evidence into practice would result in higher levels of implementing evidence-based practices (EBP). Bandura's theory of self-efficacy, which postulates that task-specific self-efficacy predicts performance guided the study. In a sample of 75 registered nurses, the overall average score for the ISE4EBP scale was 63%, indicating moderate confidence in implementation strategies. This study furthered the construct validity of the ISE4EBP scale by demonstrating associations between the ISE4EBP scores with the CAI.