Journal of Continuing Education in the Health Professions



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CURRENT ISSUE BACK ISSUES SUBSCRIBE ADVERTISE ABOUT JCEHP FOR AUTHORS JCEHP AWARD SEARCH (Members only) FULL-TEXT		Volume 30 (2) Volume 30, Issue 2, Spring 2010 J Contin Educ Health Prof 2010; 30(2) ORIGINAL RESEARCH Comparison of Evidence-Based Practice Between Physicians and Nurses: A National Survey of Regional Hospitals in Taiwan Ya-Wen Chui, Yi-Hao Weng, Heng-Lien Lo, Chih-Cheng Hsu, Ya-Hui Shih, Ken N. Kuo A b s t r a c t Introduction: Although evidence-based practice (EBP) has been widely investigated, few studies compare physicians and nurses on performance. Methods: A structured questionnaire survey was used to investigate EBP among physicians and nurses in 61 regional hospitals of Taiwan. Valid postal questionnaires were collected from 605 physicians and 551 nurses during February to May 2007. Results: Physicians were more aware of EBP than nurses. Although both groups had high recognition of belief in and favorable attitudes toward EBP, their knowledge of and skill in EBP were relatively low. When compared with nurses, physicians were more willing to support the promotion of EBP implementations in clinical services. Physicians’ knowledge and skills regarding the application of EBM principles were greater than nurses. Furthermore, physicians more often accessed the on-line evidence-retrieval databases, including the Cochrane Library. The most commonly ranked barriers to EBP applications for both groups included lack of designated personnel, lack of convenient kits, limited basic knowledge of EBP, and time. In general, nurses generated more barriers than physicians. Discussion: There were significant discrepancies between physicians and nurses in their awareness of, attitude toward, knowledge of, skill in, behavior toward, and barriers regarding EBP. In implementing EBP, strategies to overcome barriers and provide on-line evidence-retrieval systems should differ for physicians and nurses. Lessons for Practice Although physicians and nurses have a highly favorable perception of EBP, their knowledge of and skill in EBP are relatively low. Limited knowledge and time are not the only impediments to practice with evidence; physicians and nurses also cite a variety of organizational barriers. There are significant discrepancies between physicians and nurses in the awareness of, attitude toward, knowledge of, skill in, behavior of searching for information on, and barriers regarding EBP.
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