Limitations
The modified version of the NHS staff survey framework by Michie and West [28] guided the identification of appropriate organizational variables. Although the focus of the NHS framework is on examining the impact of work contextual factors on patient outcomes, we found the NHS framework helpful for selecting organizational factors from the LANE survey in building a model for the statistical analysis. However, because of NHS framework’s focus on patient outcomes instead of RNs’ practice of EBP, potential organizational variables associated with practicing the distinct EBP activities might not have been identified and included in the regression analyses. A recent published systematic review of measures assessing structural, organizational, provider, patient and innovation factors affecting implementation of health innovation identified 62 different instruments [53]. Frequently assessed organizational factors in the identified instruments not assessed in this present study, were aspects of organizational culture or climate, and organizational readiness for change. These variables should be considered in future studies.