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An Exploration of Information Literacy Challenges among Nurses in Intensive Care Settings: A Qualitative Study
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Mahboubeh Rozeh   , Zahra Abazari * , Shahzad Pashaeypoor |
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Abstract: (8 Views) |
Introduction: Information literacy is recognized as a fundamental competency for nurses, particularly those working in intensive care settings, where rapid evidence-based decision-making is essential. Despite its recognized importance, a considerable gap remains between the expected and actual information literacy competencies of nurses. This study aimed to explore, in depth, the information literacy challenges and needs of nurses working in special care units from their own perspectives.
Methods: This study constituted the qualitative phase of a sequential exploratory mixed-methods design and was conducted using a conventional content analysis approach. Participants were recruited through purposive sampling with maximum variation from nurses working in special care units ICU, CCU and Emergency Departments of selected hospitals affiliated with Tehran University of Medical Sciences. Data were collected through semi-structured, in-depth interviews and continued until data saturation was achieved (15 interviews). Data were analyzed concurrently with data collection using the Graneheim and Lundman (2004) approach. The interview data were analyzed using MAXQDA (Version 20) software..
Results: Data analysis resulted in the extraction of 214 initial codes, which were categorized into 3 main categories and 12 subcategories. The main categories included: 1- Individual barriers (deficiencies in systematic and advanced search skills, time constraints due to workload, low self-efficacy in information utilization, skepticism regarding the accuracy of sources, limited digital and information technology literacy, and weaknesses in evaluating and identifying documented and credible information), 2- Organizational barriers (Inadequate communication and internet infrastructure, limited access to databases, failure to hold capacity-building workshops, and the absence of a librarian or information consultant) , and 3- Professional barriers (weakness of the evidence-based education system and lack of a professional attitude and culture regarding the use of evidence).
Conclusion: Nurses in intensive care units face an interconnected set of individual, organizational, and professional information literacy challenges that directly undermine the quality of evidence-based care. These findings highlight the urgent need for targeted, multi-level interventions – including practical training in advanced search skills, improvements in technological infrastructure, and revision of nursing curricula – to bridge the gap between perceived and actual competencies. Implementing these strategies can empower nurses to engage more actively in evidence-based clinical decision-making, ultimately enhancing the quality and safety of patient care.
Keywords: Information Literacy, Intensive Care Nurses, Evidence-Based Care, Qualitative Study, Conventional Content Analysis |
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| Keywords: nformation Literacy, Intensive Care Nurses, Evidence-Based Care, Qualitative Study, Conventional Content Analysis. |
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Type of Study: qualitative research |
Subject:
nursing
Received: 2026/03/16 | Accepted: 2026/08/1 | Published: 2026/08/1
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