Knowledge Translation Among Advanced Nursing Practitioners In Saudi Arabia; Meta-Analysis

Abstract

Background: Knowledge translation play important role to improve healthcare quality by enabling the integration of evidence-based practice (EBP) into clinical nursing. In Saudi Arabia, advanced nursing practitioners (ANPs) are increasingly expected to lead EBP efforts, yet their implementation is inconsistent due to structural and educational challenges.

Methods: We conducted a systematic review and meta-analysis in accordance with PRISMA 2020 criteria. We searched (PubMed, Scopus, Web of Science, and CINAHL) for relevant studies published between 2020 and 2025. Seven studies were included in the qualitative synthesis, and four were eligible for meta-analysis. The Mixed Methods Appraisal Tool was used to assess study quality.

Results: Analysis targeted EBP knowledge and attitudes, ANP competencies, and organizational facilitators/barriers. Most nursing staff showed adequate EBP knowledge but limited application skills. ANPs show higher clinical role scores. Institutional clarity and competency-based education were essential for EBP success. Meta-analysis showed consistent mean EBP and role scores ranging from 4.3 to 4.9 in the studies.

Conclusion: Despite favorable EBP attitudes, these is significant gaps in its implementation and in formalizing ANP roles. System-level reforms and targeted training are required to improve knowledge translation and develop ANP contributions in Saudi healthcare.