Institutional Factors that Influence Research Utilization among Nurses at Thika Level 5 Hospital in Kiambu County Kenya
DOI:
https://doi.org/10.47941/ijhmnp.3519Keywords:
: Research Utilization, Nursing Practice, Thika Level 5 Hospital, Kenya & Institutional SupportAbstract
Purpose: This study sought to assess the determinants influencing the utilization of research evidence in nursing practice at Thika Level 5 Hospital, Kiambu County, Kenya. The study was guided by Bandura’s theory of social cognition.
Methodology: The study was conducted at Thika Level 5 Hospital (TL5H), Kenya. The target population consisted of 210 nurses employed at Thika Level 5 Hospital. The Taro Yamane formula was used to calculate the sample size for proportions which resulted to 138 participants. A systematic sampling procedure was employed with a sample size of 138 and a sampling frame comprising 210 elements, which gave a sampling interval of 1.5. Research assistants distributed pretested self-administered questionnaires to all research participants to collect quantitative data. Data was collected on the nurses. Data was inputted into Excel and transferred to SPSS version 26 for analysis. The researcher requested permission from the Ethics and Research Committee at Mount Kenya University and NACOSTI.
Findings: The findings indicated a mixed perceptions regarding the level of support available for research utilization. A majority of nurses (55.0%) agreed that their clinical team supports research utilization, while 6.2% strongly agreed. However, 26.4% disagreed, and 12.4% strongly disagreed, suggesting that teamwork in research implementation is inconsistent across different units.
Unique Contribution to Theory, Policy and Practice: The study concludes, that while institutional resources moderately support research utilization, challenges remain regarding time allocation, research accessibility, and perceived research quality. Strengthening managerial support, providing dedicated time for research activities, and enhancing access to relevant research materials can improve research integration in nursing practice.
Downloads
References
Abuadas, M. H. (2021). Correlates of evidence-based nursing practice among nurses in Saudi Arabia: A structural equation model. Belitung Nursing Journal. https://doi.org/10.33546/bnj.1803
Abuerwak, F. M., Alsadi, M., Alosta, M. R., Alnayef, N. M., Batiha, A.-M., & Albashtawy, M. (2024). Critical care nurses’ research utilization and competence levels. In A. Rayan et al. (Eds.), Proceedings of the Second International Nursing Conference “Nursing Profession in the Current Era” (INC 2023) (Vol. 67, pp. 3–16). Atlantis Press. https://doi.org/10.2991/978-94-6463-248-4_2
Abuhammad, S., Alzoubi, K., & Mukattash, T. (2020). Jordanian national study of nurses’ barriers and predictors for research utilization in clinical settings. Risk Management and Healthcare Policy, 13, 2563–2569. https://doi.org/10.2147/RMHP.S279043
Čebohin, M., Pavlović, D., Smolić, R., Hnatešen, D., Farčić, N., & Marjanović, K. (2021). Croatian registered nurses’ perception of barriers to research utilization: A cross-sectional study. Open Access Macedonian Journal of Medical Sciences, 9(G), 28–33. https://doi.org/10.3889/oamjms.2021.6013
Chaokromthong, K., & Sintao, N. (2021). Sample size estimation using Yamane and Cochran and Krejcie and Morgan and Green formulas and Cohen statistical power analysis by G*Power and comparisons. Apheit International Journal, 10(2), 76–86.
Dagne, A. H., Beshah, M. H., Kassa, B. G., & Dagnaw, E. H. (2021). Implementation of evidence-based practice and associated factors among nurses and midwives working in Amhara Region government hospitals: A cross-sectional study. Reproductive Health, 18(1), 36. https://doi.org/10.1186/s12978-021-01096-w
Fossum, M., Opsal, A., & Ehrenberg, A. (2022). Nurses’ sources of information to inform clinical practice: An integrative review to guide evidence-based practice. Worldviews on Evidence-Based Nursing, 19(5), 372–379. https://doi.org/10.1111/wvn.12569
Karlberg Traav, M., Forsman, H., & Eriksson, M. (2022). Registered nurses’ self‐rated research utilization in relation to their work climate: Using cluster analysis to search for patterns. International Journal of Nursing Practice, 28(1), e12944. https://doi.org/10.1111/ijn.12944
Lamesa, D., Seifu, W., Abdella, J., & Ezo, E. (2023). Utilization of evidence-based nursing practice and associated factors among nurses working in Saint Paul’s Hospital Millennium Medical College, Ethiopia. SAGE Open Nursing, 9, 23779608231215599. https://doi.org/10.1177/23779608231215599
Li, C., Li, L., & Wang, Z. (2022). Knowledge, attitude and behaviour to evidence-based practice among psychiatric nurses: A cross-sectional survey. International Journal of Nursing Sciences, 9(3), 343–349. https://doi.org/10.1016/j.ijnss.2022.06.016
Megersa, Y., Dechasa, A., Shibru, A., Mideksa, L., & Tura, M. R. (2023). Evidence-based practice utilisation and its associated factors among nurses working at public hospitals in West Shoa zone, central Ethiopia: A cross-sectional study. BMJ Open, 13(1), e063651. https://doi.org/10.1136/bmjopen-2022-063651
Perruchoud, E., Fernandes, S., Verloo, H., & Pereira, F. (2021). Beliefs and implementation of evidence‐based practice among nurses in the nursing homes of a Swiss canton: An observational cross‐sectional study. Journal of Clinical Nursing, 30(21–22), 3218–3229. https://doi.org/10.1111/jocn.15826
Ramos‐Morcillo, A. J., Fernández‐Salazar, S., Leal‐Costa, C., & Ruzafa‐Martinez, M. (2021). Evidence‐based practice nurses’ competency: Spanish national survey and establishment of a scale of the EBP‐COQ‐Prof©. Journal of Nursing Management, 29(4), 794–804. https://doi.org/10.1111/jonm.13220
Rudman, A., Boström, A., Wallin, L., Gustavsson, P., & Ehrenberg, A. (2020). Registered nurses’ evidence‐based practice revisited: A longitudinal study in mid‐career. Worldviews on Evidence-Based Nursing, 17(5), 348–355. https://doi.org/10.1111/wvn.12468
Schetaki, S., Patelarou, E., Giakoumidakis, K., Kleisiaris, C., & Patelarou, A. (2023). Evidence-based practice competency of registered nurses in the Greek National Health Service. Nursing Reports, 13(3), 1225–1235. https://doi.org/10.3390/nursrep13030105
Yoo, J. Y., Kim, J. H., Kim, J. S., Kim, H. L., & Ki, J. S. (2019). Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture. PLOS ONE, 14(12), e0226742. https://doi.org/10.1371/journal.pone.0226742
Zadvinskis, I. M., Tucker, S., & Hoying, J. (2022). Evidence, expertise, and patient/family preferences to maximize health for older adults with implications for evidence‐based practice. Worldviews on Evidence-Based Nursing, 19(5), 344–351. https://doi.org/10.1111/wvn.12605
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Mildred Materu, Dr. Nilufa Jivraj Shariff, Dr. Muya Daniel Gachathi
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
