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Must be in a paragraph, the systematic review assessed the evidence-based healthcare (EBHC) competencies of Advanced Practice Nurses (APNs) across 12 quantitative studies, involving 3163 participants, highlighting strengths in global health goals and evidence implementation, but weaknesses in evidence generation and synthesis. The review noted contradictions in factors influencing EBHC competencies, suggesting a positive association with higher education and the presence of an organizational research council.

Detailed Summary and Synthesis

• Study Scope and Instruments: The review included 12 quantitative studies using 15 different instruments.
• Participant Profile: A total of 3163 participants were involved in the studies.
• Competence Assessment:
  • Competencies categorized into five segments per the JBI EBHC model.
  • Strong Competence: Implementing and transferring evidence and global health initiatives.
  • Weak Competence: Generating and synthesizing evidence.
• Associated Factors:
  • Potential positive influence: Higher education levels and the presence of research councils.
  • Factors considered included job title, civil status, nationality, Magnet hospital status, and academic environment.

Interpretation of Findings

• Study Quality: Rated as fair, indicating moderate confidence in the results.
• Statistical Analysis: While specific p-values and significance levels were not provided, the findings on influencing factors were deemed contradictory, highlighting uncertainty in the data.
• Research Gaps: Notable issues with confounding factors and the lack of standard assessment tools for EBHC competence among APNs.

Implications and Recommendations

• Educational Programs: Results suggest revising educational curricula to address identified weaknesses and align them with EBHC model segments.
• Future Research: Urgently needed are systematic, high-quality studies focusing on the breadth and determinants of APN competencies in EBHC.
• Instrument Development: There is a critical need for a standardized tool specifically targeting EBHC competencies to facilitate more accurate assessments.