The Open Nursing Journal

ISSN: ― Volume ,

Evidence-Based Practice and its Relationship to Quality Improvement: A Cross-Sectional Study among ‎Egyptian Nurses

Ebtsam Aly Abou Hashish1, 2, *, Sharifah Alsayed2
1 Faculty of Nursing, Alexandria University, Egypt
2 College of Nursing, King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia



Implementing Evidence-Based Practice (EBP) and Quality Improvement (QI) were recognized as the core competencies that should be held by all healthcare professionals, especially nurses, as front-line healthcare providers. Assessment of the current level of knowledge, skills, and attitude of nurses, regarding EBP and QI, is important for the design of strategies that could enhance the competence of nurses in such practices and, in turn, promote patient care quality.


This study aimed to assess the attitudes, knowledge, and skills of nurses in Evidence-Based Practice (EBP) and Quality Improvement (QI), in addition, to studying the relationship between EBP and QI.


A cross-sectional study was conducted using a convenient sample of nurses (N=300) who work in three Egyptian hospitals in Alexandria city, representing the university, governmental, and private health sectors. The EBP and QI questionnaires were used in addition to a demographic form for the studied nurses. Statistical analysis was carried out using ANOVAs, student t-test, Pearson correlation, and Regression analysis (R2).


Nurses displayed positive attitudes toward both EBP and QI. However, they perceived themselves to be lacking sufficient EBP knowledge and need to improve their QI skills. There was a strong positive correlation between EBP and QI with a predictive power of QI on EBP (r= 0.485, R2 = 0.273, p<0.001).


Nurses need educational support for enhancing their attitude, knowledge, and skills related to EBP and QI. To prepare for educational programs, hospitals and nursing administrators should consider the characteristics of nurses, work schedules, and obstacles in the use of EBP. Hospital managers should also implement effective strategies to resolve the barriers and boost facilitators to increase the use of EBP among Egyptian nurses and promote QI.

Keywords: EBP, Cross-sectional study, Hospitals, Nurses, Quality improvement, ANOVA.

Article Information

Identifiers and Pagination:

Year: 2020
Volume: 14
First Page: 254
Last Page: 262
Publisher Id: TONURSJ-14-254
DOI: 10.2174/1874434602014010254

Article History:

Received Date: 20/07/2020
Revision Received Date: 04/10/2020
Acceptance Date: 07/10/2020
Electronic publication date: 02/12/2020
Collection year: 2020

© 2020 Abou Hashish and Alsayed.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at King Abdulaziz Medical City, National Guard Health Affairs Mail Code 6565 P.O.Box.9515 Jeddah, 21423 Kingdom of Saudi Arabia; Tel: 0966502214979; E-mail:;

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