Positive attitudes toward evidence-based nursing were significantly associated with a reduced tendency to commit medical errors and nursing leaders and policymakers should implement strategies to strengthen nurses’ EBP attitudes and mitigate the risk of errors.
Abstract
Nurses are expected to apply the best available evidence in their clinical decision-making processes to enhance patient safety and reduce the risk of medical errors. This study aimed to examine the effect of nurses’ attitudes toward EBP on their tendency to commit medical errors. A descriptive, cross-sectional, and correlational design was used with a sample of 412 nurses. To reach nurses in public hospitals, we adopted a census sampling approach. Data were gathered through face-to-face interviews using a Google Forms questionnaire—accessible via QR codes and email—which incorporated the Attitude Toward Evidence-Based Nursing Scale and the Medical Error Tendency Scale in Nursing. Descriptive statistics and structural equation modeling (SEM) were conducted to test the hypothesized model in accordance with the STROBE guidelines. Nurses reported moderately positive attitudes toward EBP and comparatively low tendencies to commit medical errors. Postgraduate education was significantly associated with more positive EBP attitudes and lower error tendencies. The SEM results revealed a significant association between more positive EBP attitudes and reduced medical error tendencies (β = 0.41, p < 0.001). The proposed model showed acceptable fit indices. Positive attitudes toward evidence-based nursing were significantly associated with a reduced tendency to commit medical errors. Nursing leaders and policymakers should implement strategies to strengthen nurses’ EBP attitudes and mitigate the risk of errors through targeted education, mentorship, and supportive organizational policies and practices. Not applicable.
Background: Professional self-efficacy influences nurses’ clinical performance and the safety of care. Examining its relationship with the tendency toward medical errors is essential for informing strategies to improve patient safety.
Aim: This study aimed to examine the relationship between nurses’ perceived professional self-efficacy and their tendency toward medical errors.
Methods: This descriptive and correlational study was conducted with 200 nurses working in a training and research hospital between October 15 and November 5, 2025. Data were collected using the Nurse Descriptive Information Form, the Nursing Profession Self-Efficacy Scale, and the Tendency Toward Medical Errors Scale. Data were analyzed using descriptive statistics, normality testing (skewness and kurtosis), the Mann–Whitney U test, the Kruskal–Wallis test, and Spearman correlation analysis.
Results: Among the participants, 54.5% were female, 83.5% held a bachelor’s degree, and the mean age was 29.62±5.29 years. Nurses demonstrated high levels of professional self-efficacy (68.61±8.97) and low levels of tendency toward medical errors (228.00±19.79). A statistically significant, moderate positive correlation was found between the total scores of the Nursing Profession Self-Efficacy Scale and the Tendency Toward Medical Errors Scale (r=0.454, p<0.001).
Conclusion: The findings indicate that nurses have high perceived professional self-efficacy and a low tendency toward medical errors. A significant, moderate positive relationship was identified between professional self-efficacy and tendency toward medical errors.
Sumeyye Akçoban, I. Dusak, Fatma Aslan· Journal of Education and Res...· 0 citations
Nursing professionals showed favourable attitudes toward evidence-based practice; however, organizational and educational barriers continue to hinder its implementation.
Medha Wadhwa, Apurvakumar Pandya, Kruti Gupta et al.· International Journal of Hea...· 0 citations
It is suggested that higher moral intelligence is associated with more positive attitudes toward medical errors and may contribute to strengthening patient safety culture and may contribute to strengthening patient safety culture.
Evidence-Based Practice (EBP) is a systematic approach to healthcare that integrates the best available research evidence with clinical expertise and patient values, yet its implementation continues to face multifaceted individual and organizational barriers. Objectives: This study aimed to identify individual and organizational barriers to EBP adoption among nurses and to determine whether these barriers are associated with nurses' demographic characteristics. Methods: An analytical, cross-sectional study was conducted at Government Teaching Hospital, Shahdrah, Lahore, and Sir Ganga Ram Hospital, Lahore. Data were collected from 276 nurses using systematic random sampling and a structured, pre-tested questionnaire. Data were analyzed in SPSS version 23 using descriptive statistics (frequencies, percentages, mean, standard deviation) and, to test for associations, the Chi-square test and Spearman's correlation. Results: The most reported barriers were inadequate education/training in research skills (83.0%), insufficient time to implement EBP (81.5%), high workload (80.1%), and lack of resources (77.9%). The Chi-square test showed no significant association between any demographic characteristic (designation, qualification, experience, department, hospital, or research certification) and overall individual or organizational barriers (all p > .05). Age also showed no significant correlation with barrier scores (Spearman's correlation, all p > .05). Conclusion: Barriers to EBP adoption were highly prevalent and consistently reported across the sample, regardless of nurses' demographic characteristics, suggesting these barriers are systemic rather than concentrated in particular groups of nurses. The findings support broad, organization-wide interventions to improve access to resources, EBP education, and organizational culture.
M. Aslam, Arslan Ashraf, Shakeela Bano et al.· Kashmir Journal of Academic...· 0 citations
Background: In professional nursing practice, decision-making style and self-efficacy are important elements that directly impact patient safety, care equality, and healthcare outcomes. Objective: To examine the relationship between decision-making styles and self-efficacy among nurses in Jordanian hospitals. Methods: A cross-sectional design was used. A convenience sample of 150 nurses was recruited from Jordanian private and governmental hospitals in the central region of Jordan (Amman, Zarqa, and Balqa). The General Self-Efficacy Scale and the Nursing Decision-Making Instrument were used to gather data. Results: 88.7% were categorized as intuitively oriented decision makers, and the overall mean score of nurses’ decision-making styles was high (M=3.74/5). Nurses scored highest in the areas of documenting, anticipating the results of nursing interventions, and conducting structured patient evaluations. Additionally, there was a high level of self-efficacy (M=3.36/4), especially in problem-solving skills and handling clinical problems. Self-efficacy and decision-making styles showed a positive correlation (r=0.412, p<0.001). Significant differences in self-efficacy and decision-making styles were found based on age, years of experience, job title, and educational level. Significantly higher scores were reported in older nurses holding postgraduate degrees, more experienced, and having administrative positions. Nurses’ decision-making styles were significantly predicted by years of experience (β=0.24, p=0.021) and self-efficacy (β=0.34, p<0.001). Conclusions: To improve nurses' confidence, clinical reasoning, and decision-making skills, healthcare organizations should encourage continuous professional development, mentorship, and support structural training programs, which ultimately will improve patient care quality and healthcare outcomes.
Rabia S. Allari, Rahaf Abd Al-Salam Ahmad Allaham, Khulood Batarseh et al.· Al-Rafidain Journal of Medic...· 0 citations
PURPOSE
This study was conducted to gain insight into nurses' attitudes toward Family-Centered Care for adult patients in Post-Anesthesia Care Units (PACUs) of Dutch university hospitals and to explore factors that are associated with these attitudes.
DESIGN
A nationwide, cross-sectional study was performed.
METHODS
An online questionnaire, including the Dutch Families' Importance in Nursing Care-Nurses' Attitudes Revised (FINC-NA-R), was distributed to PACU nurses. Workplace data were collected via contacts from all Dutch university hospitals. The data were analyzed using descriptive statistics, univariable, and multivariable multilevel linear regression analyses.
FINDINGS
A total of 196 eligible PACU nurses (47% response rate) completed the Dutch FINC-NA-R. The mean attitude score was 46.5 (SD 12.2) on the 100-point scale. Nurses showed moderately positive attitudes toward viewing families as a valuable resource in nursing care (mean 59.2, SD 15.6) and not as a burden (mean 57.7, SD 18.5). In contrast, they were less supportive of promoting family involvement (mean 34, SD 14.5) or building family resilience (mean 41.2, SD 13.6). Pediatric specialization was significantly associated with more positive attitudes toward FCC overall and on the "Promoting Family Involvement" subscale, while older age and greater work experience were associated with less positive attitudes on this subscale.
CONCLUSIONS
PACU nurses report neutral to somewhat hesitant attitudes toward involving family in adult perioperative care. Nevertheless, their recognition of families as a valuable resource and not as a burden suggests opportunities for improved collaboration. Achieving meaningful family involvement in the PACU will require investment in a supportive culture, staff training, and active engagement of patients and families in shaping care practices.
Daphne Bloemberg, Annemarie Buitenhuis-Spruijt, Jolanda M. Maaskant et al.· Journal of Perianesthesia Nu...· 0 citations
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