Jueng, Ruo-Nan, Shu-He Huang, Tsui-Ping Li, Hui-Yu Liang, & Chiu-Mieh Huang (2017). Application of a Q method study to understanding nurses’ perspective of adopting evidence-based nursing. Asian Nursing Research, 11, 253-260.


Purpose: This study applied the Q method to identify and describe the various types of nurse perceptions that are crucially associated with their engagement in evidence-based nursing (EBN). Methods: The study participants were nurses at a medical center and a regional teaching hospital. A series of Q sorts was performed by nurses to subjectively rank the Q statements. Q statements were constructed based on the literature related to EBN adoption by nurses and face-to-face interviews. Results: A total of 60 participants were invited to rank 44 Q statements related to EBN. Factor analysis was conducted on the rankings of the Q statements. The following are the five prominent shared perspectives: (1) emphasized the obstacles to evidence searching and reading ability; (2) emphasized the organizational promotive strategies; (3) emphasized the available supportive resources; (4) emphasized the significance of EBN; and (5) emphasized the evidence-searching ability and external incentives. The five identified groups of perspectives can enhance hospital administrators to acknowledge the barriers and incentives associated with EBN practices. Conclusion: The exploration of clustering nurses’ perceptions may facilitate the development of customized strategies to enable more appropriate training.

Chiu-Mieh Huang <cmhuang@ym.edu.tw> is in the Institute of Clinical Nursing, School of Nursing, National Yang-Ming University, Taipei, Taiwan (Republic of China).