title: [Structural Model of Evidence-Based Practice Implementation among Clinical Nurses].
abstract: OBJECTIVE
  This study was conducted to develop and test a structural model of evidence-based practice (EBP) implementation among clinical nurses. The model was based on Melnyk and Fineout-Overholt's Advancing Research and Clinical Practice through Close Collaboration model and Rogers' Diffusion of Innovations theory.
  
  
  METHODS
  Participants were 410 nurses recruited from ten different tertiary hospitals in Korea. A structured self-report questionnaire was used to assess EBP knowledge/skills, EBP beliefs, EBP attitudes, organizational culture & readiness for EBP, dimensions of a learning organization and organizational innovativeness. Collected data were analyzed using SPSS/WINdows 20.0 and AMOS 20.0 program.
  
  
  RESULTS
  The modified research model provided a reasonable fit to the data. Clinical nurses' EBP knowledge/skills, EBP beliefs, and the organizational culture & readiness for EBP had statistically significant positive effects on the implementation of EBP. The impact of EBP attitudes was not significant. The dimensions of the learning organization and organizational innovativeness showed statistically significant negative effects on EBP implementation. These variables explained 32.8% of the variance of EBP implementation among clinical nurses.
  
  
  CONCLUSIONS
  The findings suggest that not only individual nurses' knowledge/skills of and beliefs about EBP but organizational EBP culture should be strengthened to promote clinical nurses' EBP implementation.
authors.affiliation: Department of Nursing, Honam University, Gwangju, Korea.
authors.forename: Hyunyoung
authors.initials: H
authors.lastname: Park
authors.affiliation: College of Nursing, Chonnam National University·Chonnam Research Institute of Nursing Science, Gwangju, Korea. jangks@jnu.ac.kr.
authors.forename: Keum Seong
authors.initials: KS
authors.lastname: Jang
mesh_terms: D000328:Adult; D001290:Attitude; D055317:Evidence-Based Practice; D005260:Female; D006801:Humans; D019359:Knowledge; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D009741:Nursing Staff, Hospital / Q000523:psychology*; D057566:Self Report; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers
keywords: Evidence-Based Practice; Nurses; Organizations