![]() ![]() The bias caused by researchers should be noted because no cross-sectional study explained unified training and education for the data collectors in the use of measuring tools, and the dealing of confounding factors within the study design or in data analysis was not shown. No study was excluded in the quality assessment stage because potential valuable insights may be presented even in lower quality researches. Face-to-face interview was used in 5 studies, so the feelings of the participants could be directly presented. Only 2 studies had a response rate under 50%, so the results might be reflective for the actual situation. For those studies that used questionnaires (n = 16), 12 studies reported the reliability or validity of questionnaires. ![]() Thirteen previously reported questionnaires and 6 self-developed questionnaires were used to explore the status of CNs’ EBP. Four studies (20%) used probability sampling method. The study designs were mainly cross-sectional survey (n = 11), and the sample sizes ranged from 19 to 719. No published or in-progress systematic review on this topic is found in Cochrane Library and Jonna Briggs Institute Library before this review.Īs shown in Table Table1, 1, the articles involved in this study were published between 20, conducted in 8 developed countries and 1 developing country. Bibliographic citation management NoteExpress software (Version V3.2.0, Aegean Corporation, Beijing, China) was used to manage the retrieved studies. The field was limited to “title/abstract” and the publication type was limited to “journal article.” Reference tracking was carried out to identify additional potentially relevant references. The following keywords were used: AND AND. A literature search was conducted using combined keywords in 3 English databases (PubMed/MEDLINE, Mag Online Library, Science Direct) and 3 Chinese databases (Chinese Journal Full-Text Database, Wan fang Database, VIP Database for Chinese Technical Periodicals) of peer-reviewed publications covering the dates of publication from January 1996 (the earliest year when EBP in primary care was introduced in detail ) to July 2018. Literatures were retrieved within the authority of the university which authors belonged. In this review, the knowledge, attitudes, and implementation of EBP of CNs were analyzed globally, as well as the facilitators and barriers of EBP implementation of CNs. Another study reviewed the attitudes, knowledge, and perceptions of CNs regarding EBP, but the study was limited in European community settings. One study concluded the practical contents of EBP in community nursing without analyzing the level of CNs’ EBP. Researchers have reviewed the importance of nursing leadership in EBP, the state of readiness for EBP, barriers and facilitators in guidelines, and strategies of EBP implementation, but all these researches were designed for hospital nurses, but not CNs. ![]() Although EBP is equally important to CNs as it is to clinical nurses, EBP in community nursing is still in the initial stage. Systematic implementation of EBP can enhance healthcare safety and improve patient outcomes. EBP refers to using the best available evidence for decision-making and providing efficient and effective care for patients on a scientific basis. WHO has suggested that health improving in communities is dependent upon nursing services underpinned by evidence-based practice (EBP). ![]() However, CNs do not always make decisions based on the up-to-date high quality evidence, but on experiences. Therefore, they have to think critically, analyze complex situations, perform health assessment, and make decisions. CNs generally face more independent work in the varied and dynamic community when there is no medical diagnosis or treatment provided by physicians for either patients or family. CNs can provide health care services, contributing to disease and injury prevention, disability alleviation, and health promotion. Community nurses (CNs) combine the skills of nursing, public health, and some phases of social assistance, and they function as a part of the entire public health programs. These roles of nurses have been recognized by the World Health Organization. Nurses can provide personal care and treatment, work with families and communities, and play a central part in public health and controlling disease and infection. ![]()
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