The Relationship Between Evidence-Based Practice And Quality Improvement Among Nurses In Private Hospitals In Ramallah, Palestine: A Cross-Sectional Study رسالة ماجستير

Abstract

Background: Evidence-based practice (EBP) is a cornerstone of modern healthcare, emphasizing the integration of the best available evidence from scientific research with clinical expertise and patient preferences to inform decision-making and improve patient outcomes. In the context of nursing, EBP plays a crucial role in guiding clinical practice and ensuring the delivery of high quality, evidence-based care. Quality improvement (QI) initiatives are essential for enhancing healthcare delivery and patient outcomes. These efforts aim to systematically monitor, evaluate, and improve the processes and outcomes of care, with the overarching goal of delivering safe, effective, and patient-centered services. Purpose: This main aim of the study is to assess nurses’ perception of knowledge, skills, and attitude in evidence-based practice and quality improvement, and investigate the relationship between EBP and QI among nurse in private hospitals, Ramallah, Palestine Material and method: Quantitative cross-sectional research design, convenience sampling method will conduct in private hospital. A convenience sample of nurses present during the data collection period was recruited. Data collected by self-administered questionnaire and will analyze by using SPSS version 22. Result: Among 362 nurses, most were young (22–30 years), held bachelor’s degrees, and worked mainly in surgical, emergency, and ICU departments. EBP and QI practices scored highest compared to knowledge and attitudes, with over 70% achieving strong practice levels. Male nurses, senior staff, those with higher education, and longer experience showed significantly better performance across both EBP and QI domains. Correlation and regression analyses confirmed strong positive associations, with QI knowledge emerging as the strongest predictor of EBP implementation (R²=.619, p<.001). VI Conclusion: our study demonstrated a significant positive relationship between Evidence-Based Practice (EBP) and Quality Improvement (QI) among nurses. Higher education, professional experience, and access to scientific resources were associated with stronger knowledge, attitudes, and practices. Regression analysis identified QI knowledge as the strongest predictor of EBP implementation, emphasizing the importance of theoretical and practical integration. Overall, the findings highlight the synergistic role of EBP and QI in enhancing clinical practice and patient outcomes, and call for structured educational programs and organizational support to strengthen their adoption.