title: Evidence-based practice: the importance of education and leadership.
abstract: OBJECTIVE
  To describe evidence-based practice among head nurses and to explore whether number of years of duty is associated with such activities. Further to evaluate the effects of education on evidence-based practice and perceived support from immediate superiors.
  
  
  BACKGROUND
  Registered nurses in Sweden are required by law to perform care based on research findings and best experiences. In order to achieve this, evidence-based practice (EBP) is of key importance.
  
  
  METHODS
  All 168 head nurses at two hospitals were asked to participate. Ninety-nine (59%) completed the survey. Data were collected using a study-specific web-based questionnaire.
  
  
  RESULTS
  The majority reported a positive attitude towards EBP, but also a lack of time for EBP activities. A greater number of years as a head nurse was positively correlated with research utilization. Education in research methods and perceived support from immediate superiors were statistically and significantly associated with increased EBP activities.
  
  
  CONCLUSIONS
  The present study highlights the value of education in research methods and the importance of supportive leadership.
  
  
  CONCLUSIONS
  Education is an important factor in the employment of head nurses. We recommend interventions to create increased support for EBP among management, the goal being to deliver high-quality care and increase patient satisfaction.
authors.affiliation: Department of Oncology, Uppsala University Hospital, Uppsala, Sweden. birgitta.johansson@onkologi.uu.se
authors.forename: Birgitta
authors.initials: B
authors.lastname: Johansson
authors.forename: Marie
authors.initials: M
authors.lastname: Fogelberg-Dahm
authors.forename: Barbro
authors.initials: B
authors.lastname: Wadensten
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D004506:Education, Nursing; D004521:Educational Measurement; D004522:Educational Status; D055318:Evidence-Based Nursing; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007857:Leadership; D008297:Male; D008875:Middle Aged; D009718:Nurse Administrators; D015399:Nursing Research; D009745:Nursing, Supervisory; D012944:Social Support; D013192:Staff Development; D011795:Surveys and Questionnaires; D013548:Sweden