Nurses' Perceptions of Their Managers' Leadership and Work Environment in Surgical Units Regarding the Transfer of Evidence-Based Practice Recommendations to the Clinic: A Multicenter Study Kanıta Dayalı Uygulama Önerilerinin Kliniğe Aktarılmasında Cerrahi Birimlerde Çalışan Hemşirelerin Yöneticilerinin Liderliklerine ve Çalışma Ortamına İlişkin Algıları: Çok Merkezli Bir Çalışma

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Arslan E., Saraç F. S., Özsoy H., Özkan S.

Journal of Health and Nursing Management, cilt.13, sa.2, ss.391-402, 2026 (Scopus)

Özet

Aim: This study was conducted to evaluate the perceptions of nurses working in surgical units regarding their managers' leadership and work environment in the transfer of evidence-based practices to the clinic. Method: This descriptive-cross-sectional study was conducted between October 2024 and February 2025, involving 265 nurses working in the surgical units of two university hospitals and two state hospitals in three different provinces. Data were collected using a 22-question form containing demographic characteristics of the nurses, the Evidence-Based Practice Leadership Scale, and the Evidence-Based Practice Work Environment Scale. Descriptive statistics were used to analyze the data, and independent samples t-tests and one-way analysis of variance (ANOVA) were used to compare scale mean scores and influencing factors. The study was reported using the Strengthening the Reporting of Observational Studies in Epidemiology checklist. Results: The mean scores of surgical nurses on the Evidence-Based Practice Leadership Scale were found to be 27.76 (SD=8.99), and on the Evidence-Based Practice Work Environment Scale were 19.26 (SD=5.82). Surgical nurses participating in the study perceived their managers' leadership in the transfer of evidence-based practice recommendations to the clinic as slightly above average, while their perceptions regarding the work environment were at a moderate level. It was determined that nurses working in university hospitals had higher scores on their perceived EBP leadership than those working in state hospitals. Furthermore, nurses working in surgical wards and operating rooms had higher EBP leadership scores than those working in surgical intensive care units. Nurses who received EBP training at their institution had higher average EBP leadership and EBP work environment scores compared to nurses who did not receive training. Conclusion: In surgical units, the leadership role of administrators and the supportive characteristics of the work environment are important factors in strengthening the transfer of evidence-based practices to the clinic. Surgical units should be evaluated in terms of these factors, and strategies for improvement should be developed.