The Relationship of Evidence-Based Nursing Attitudes of Nurses Working in Surgical Wards With Patient-Centered Care Competencies



      The aim of this study was to determine the relationship between the evidence-based nursing attitudes of nurses working in surgical wards and their patient-centered care competencies.


      This was a prospective, correlational, and cross-sectional study.


      The sample for this study included 209 surgical nurses working in the surgical clinics of a research hospital. Data were collected between March and July 2020 using the Nurses' Descriptive Characteristics form, Evidence-Based Attitude Toward Nursing Scale (EATNS) and the patient-centered care competency of the nurses, Patient-Centered Care Competency Scale (PCCS). Descriptive statistics and correlation analysis were conducted to analyze the data.


      The mean total EATNS was moderate (53.93 ± 7.18, out of 75), and their approach to patient-centered care behaviors was high (69.46 ± 8.64, out of 85).


      We found a medium level of positive correlation and a significant relationship between the attitudes toward evidence-based nursing and patient-centered care competencies of the nurses participating in the study (r = 0.507, P < .05).


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        • Gunes U.
        Steps of evidence-based practice process in nursing.
        Int Ref J Nurs Stud. 2017; 9: 171-187
        • Li S
        • Cao M
        • Zhu X.
        Evidence-based practice.
        Med (Baltimore). 2019; 98 (e17209): 39
        • Benoit P
        • Nicolas G
        • Nadine J
        • et al.
        Perception of Belgian nurses about evidence-based clinical practice implementation: a focus group study.
        Acta Clin Belg. 2017; 73: 110-118
        • Bankert E
        • Lazarek-LaQuay A
        • Joseph JM.
        Patient-centered care.
        (eds)in: Kelly P Vottero B Christie-McAuliffe C Introduction to Quality and Safety Education for Nurses: Core Competencies. Springer Publishing Company, Inc, New York2014: 161-190
        • Keeley K
        • Walker SE
        • Hankemeier DA
        • et al.
        Athletic trainers’ beliefs about and implementation of evidence-based practice.
        J Athl Train. 2016; 51: 35-46
        • Arslanoglu A
        • Kırılmaz H.
        Adaptation of patient-centered care (PCC) competency scale into Turkish.
        Health Care Acad J. 2019; 6: 158-166
        • Sahin G
        • İgde Artıran FA
        Patient centered care-sharing decision making and the quality.
        Turk Klin J Fam Med-Special Top. 2014; 5: 38-43
        • Ozer Kucuk E
        • Cakmak S
        • Kapucu S
        • et al.
        Determination of nursing students’ awareness of evidence-based nursing practice.
        HUHEMFAD. 2017; 4: 1-12
        • Evcimen H
        • Iscan Ayyıldız N.
        Determination of evidence-based nursing attitudes and behaviors of nursing students.
        Süleyman Demirel Univ-J Health Sci. 2019; 10: 141-146
        • Ruzafa-Martinez M
        • Lopez-Iborra L
        • Madrigal-Torres M.
        Attitude toward evidence-based nursing questionnaire: development and psychometric testing in Spanish community nurses.
        J Eval Clin Pract. 2011; 17: 664-670
        • Ayhan Y
        • Kocaman G
        • Bektas M.
        The validity and reliability of attitude toward evidencebased nursing questionnaire for Turkish.
        J Res Dev Nurs. 2015; 17: 21-35
        • Hwang JI.
        Development and testing of a patient-centered care competency scale for hospital nurses.
        Int J Nurs Pract. 2015; 21: 43-51
        • Karakoç-Kumsar A
        • Polat Ş
        • Afşar-Doğrusöz L.
        Determining attitudes of nurses toward evidence-based nursing in a university hospital sample.
        Florence Nightingale J Nurs. 2020; 28: 268-275
        • Suhonen R
        • Lahtinen K
        • Stolt M
        • Pasanen M
        • Lemetti T.
        Validation of the patient-centered care competency scale instrument for finnish nurses.
        J. Pers. Med. 2021; 11: 583
        • Khammarnia M
        • Mohammadi HM
        • Amani Z
        • Rezaeian S
        • Setoodehzadeh F.
        Barriers to implementation of evidence-based practice in zahedan teaching hospitals Iran.
        Nurs Res Pract. 2015; 357140: 1-15
        • Engle RL
        • Mohr DC
        • Holmes SK
        • et al.
        Evidence-based practice and patient-centered care: doing both well.
        Health Care Manage. 2021; 46: 174-184
        • Durmus M
        • Gercek A
        • Ciftci N.
        Influence of problem solving skills of health workers on evidence-based perceptions of attitude.
        JASSS. 2017; 5: 648-661
        • Merih YD
        • Coskuner Potur D
        • Yılmaz Esencan T.
        Where can we find postpartum clinic midwives and nurses in the context of evidence based practice?.
        J Health Nurs Manag. 2017; 4: 8-14
        • Arslan S
        • Konuk Sener D
        • Kücük O
        The opinion of nurses working in pediatric clinics about evidence-based practice.
        YBUHDERGI. 2015; 3: 1-9
        • Dikmen Y
        • Filiz NY
        • Tanrıkulu F
        • et al.
        Attitudes of intensive care nurses toward evidence-based nursing.
        Int J Health Sci Res. 2018; 8: 138-143
        • Erdogan M.
        The Effect of Internal Entrepreneurship on Patient-Centered Care Competencies.
        Sakarya University, Turkey2019 (Master Thesis)
        • Steiger NJ
        • Balog A.
        Realizing patient centered care: putting patients in the center, not the middle.
        Front Health Serv Manage. 2010; 26: 15-25