Supplementary Material for: Barriers to Implementing Evidence-Based Practice among Nurses in Saudi Arabia: A Systematic Review

Background: Evidence-based practice (EBP) is essential for enhancing patient safety and care quality. This systematic review investigates the barriers to EBP implementation among nurses in Saudi Arabia. Method: A systematic review was conducted, analyzing original research published between 2013 and 2023 from databases including Scopus, Medline, and Google Scholar. Narrative reviews and non-original studies were excluded. A critical assessment tool was applied to evaluate each of the included studies. Results: A total of 10 studies were identified. Key barriers identified include time constraints and lack of organizational support, significantly hindering nurses' adoption of EBP. Educational initiatives to increase awareness of EBP and its processes have shown positive outcomes, such as fostering a supportive environment, enhancing nurse autonomy, and promoting interprofessional collaboration in quality improvement efforts. Conclusions: This review underscores critical barriers to EBP among nurses in Saudi Arabia, particularly time limitations and insufficient organizational backing. Implementing targeted educational programs can mitigate these challenges, fostering a more conducive environment for EBP adoption and ultimately improving healthcare quality.研究背景：循证实践（Evidence-based Practice，EBP）对于提升患者安全与医疗照护质量至关重要。本系统综述旨在探究沙特阿拉伯护士群体中循证实践推行所面临的障碍。 研究方法：本研究采用系统综述方法，对2013年至2023年间发表于Scopus、Medline及Google Scholar等学术数据库的原创性研究进行系统分析。本研究排除叙述性综述与非原创性研究，并使用批判性评估工具对纳入的各项研究开展质量评价。 研究结果：本综述共纳入10项相关研究。研究识别出的核心推行障碍包括时间限制与组织支持不足，上述因素显著阻碍了护士对循证实践的采纳。旨在提升循证实践及其流程认知的教育干预举措已显现积极成效，具体包括营造支持性工作环境、提升护士自主性，以及在质量改进工作中促进跨专业协作。 研究结论：本综述明确了沙特阿拉伯护士群体推行循证实践面临的关键障碍，其中尤以时间限制与组织支持不足最为突出。实施针对性教育项目可有效缓解上述挑战，为循证实践的采纳营造更有利的环境，最终助力医疗照护质量的提升。