ABSTRACT
The study aimed to determine the factors that affect nurse utilization of evidence based practices for nursing care of pregnant women with toxemia. Research questions of the study are there barriers that affecting the utilization of the evidence-based practices for pregnant women with toxemia? A descriptive study design was conducted at inpatient units and intensive care unit in [Ain Shams and Suez Canal] Maternity University Hospitals. Convenient sample was used to recruit 110 nurses' according to criteria of the study. Two tools were used for data collection. First tool: Arabic structured interviewing questionnaire sheet to assess: First part, demographic characteristics of study sample and second part, assess factors that affect nurse utilization of evidence based practices. Third part, knowledge assessment sheet to assess nurse's knowledge regarding EBP. Second tool observational check list: for assess nurse's practices regarding EBP. The duration of data collection started from October 2009 and completed by October 2010. Result of the present study revealed that, about slightly more than one third of nurses [36.4%] were has unsatisfactory knowledge about EBP ,Most of studied nurses [80%] didn't utilize EBP process, these results due some factors as lack of technological skills in find evidence [96.4%] and resistance to change are represented by [80%] between studied nurses. In addition, the present study revealed that, Positive significant correlation was found between both nurses' [Knowledge's and Practices] of EBP in relation to their qualification [highly qualified nurse], while there is negative significant correlation with their experience [< 10 years], from The present study concluded that, still there is a gap between EBP and toxemia care for pregnant women due to many barriers as lack of communication skills with technology, inability to read and analysis the EBP researches, not interested with changes or new scientific evidence, insufficient time to apply EBP in clinical area with patient. In the light of the study findings the researchers can recommend that enhance obligatory and motivation system for nursing staff to inform and apply EBP In their specialties bedside, improve awareness of nurses about the importance of application of EBP on health filed through training program for nurses, in different maternity services. In the light of the study findings the researcher can recommend that enhance obligatory and motivation system for nursing staff to inform and apply EBP. In their specialty bedside, improve awareness of nurses about the importance of application on health filed through training program for nurses, about nursing care of patient in different maternity services