Enablers and Barriers to Nurse Managers' Leadership of Evidence-Based Practice During Organisational Change: A Qualitative Study.

AIM: To explore the enablers and barriers to nurse managers' leadership of evidence-based practice during organisational change, as perceived by clinical nurse specialists and nursing directors. DESIGN: A qualitative descriptive interview study. METHODS: Data were collected through semi-structured interviews with clinical nurse specialists and nursing directors selected using purposive sampling. The data were analysed using inductive content analysis. RESULTS: Three main categories were identified that influence nurse managers' leadership of evidence-based practice during organisational change, as perceived by clinical nurse specialists and nursing directors: organisational readiness, partnerships and expertise in evidence-based practice. Organisational readiness included standardised practices and supportive organisational structures. Partnerships involved collaboration with clinical nurse specialists, interprofessional teams and management. Expertise reflected nurse managers' competence in evidence-based practice and the use of digital tools to assess care quality and effectiveness. CONCLUSION: Organisational readiness, partnerships and expertise in evidence-based practice shape how nurse managers lead evidence-based practice during organisational change. These factors influence the consistency of care, staff support and the ability to sustain evidence-based practice in evolving healthcare environments. IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Strengthening organisational readiness, building collaborative partnerships and supporting nurse managers' competence in leading evidence-based practice can enhance care quality, staff wellbeing and patient outcomes during organisational change. IMPACT: This study addressed the challenge of sustaining evidence-based practice during organisational change. The main findings highlight organisational, relational and competence-related factors that influence nurse managers' ability to lead evidence-based practice. The results are relevant for healthcare organisations, nurse leaders and policymakers seeking to strengthen leadership capacity and maintain evidence-based practice during transitions. REPORTING METHOD: This study adhered to relevant EQUATOR guidelines. The Standards for Reporting Qualitative Research (SRQR) checklist was used to guide reporting. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.