The Indonesian Version of Evidence-Based Practice Questionnaire (EBPQ): An Evaluation of Reliability



Evidence-Based Practice Questionnaire , Translating, Evidedence-Based Practice


Introduction: The use of evidence-based practice (EBP) has been demonstrated to increase the quality of patient care. However, the extent to which it is practiced in Indonesia is yet to be determined. It was necessary to develop a means of measuring EBP in order to acquire a profile of the use of EBP in Indonesia. The EBP questionnaire (EBPQ) developed by Upton and Upton was selected in the current study to evaluate the perceptions of healthcare workers regarding their knowledge of, attitudes toward, and practice of EBP. This questionnaire is widely recognized; however, an Indonesian version has not yet been developed. This study aimed to translate the EBPQ developed by Upton and Upton into Indonesian and to evaluate its reliability. Method: WHO framework on how to translate and adapt an instrument was applied. On completion of the forward translation and discussion process, backward translation of the EBPQ was performed, after which it was pretested and finalized. Reliability was tested by testing the questionnaire on 42 nurses at five hospitals in Depok and Jakarta. Result: Four words were changed. All items are valid. The reliability analysis resulted Cronbach’s a of 0.96 (a = 0.92, 0.80, and 0.96 for practice, attitude, and knowledge, respectively. Thus, 24 translated statements determined to be valid and reliable, were included in the final version. Conclusion: The Indonesian translated version of the EBPQ proposed by Upton and Upton was demonstrated to be valid and reliable. Further studies on the perceptions of healthcare workers  are warranted.


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AbuRuz, M. E., Abu Hayeah, H., Al-Dweik, G., & Al-Akash, H. Y. (2017). Knowledge, attitudes, and practice about evidence-based practice: A Jordanian study. Health Science Journal, 11(2), 1-8.

Ahmad, A. S., Al-Mutar, N. B., Al-Hulabi, F. A., Al-Rashidee, E. S., Doi, S. A., & Thalib, L. (2009). Evidence-based practice among primary care physicians in Kuwait. J Eval Clin Pract, 15(6), 1125-1130.

Ammouri, A. A., Raddaha, A. A., Dsouza, P., Geethakrishnan, R., Noronha, J. A., Obeidat, A. A., & Shakman, L. (2014). Evidence-based practice: Knowledge, attitudes, practice and perceived barriers among nurses in Oman. Sultan Qaboos University Medical Journal, 14(4), 537.

Bland, J. M., & Altman, D. G. (1997). Statistics notes: Cronbach's alpha. BMJ, 314(7080), 572. doi:10.1136/bmj.314.7080.572

Brown, C. E., Wicklines, M. A., Ecoff, L., & Glaser, D. (2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 65(2), 371-381.

DeVellis, R. (2003). cale development: theory and applications. Thousand Okas, CA: Sage.

Gerrish, K., Ashworth, P., Lacey, A., & Bailey, J. (2008). Developing evidence-based practice: Experiences of senior nurses and junior clinical nurses. Journal of Advanced Nursing, 62(1), 62-73.

Indonesian Health Ministry. (2005). Keputusan Menteri Kesehatan Republik Indonesia no. 836/MENKES/SK/VI/2005

tentang Pedoman pengembangan manajemen kinerja perawat dan bidan. Retrieved from

Indonesian Republic. (2014). Undang-undang Republik Indonesia no. 38 tahun 2014 tentang keperawatan. Retrieved from

Koehn, M. L., & Lehman, K. (2008). Nurses’ perceptions of evidence-based nursing practice. Journal of Advanced Nursing, 62(2), 209-215.

Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses' knowledge, skills and attitudes for evidence-based practice. J Adv Nurs, 70(10), 2181-2195. doi:10.1111/jan.12454

Martis, R., Ho, J. J., & Crowther, C. A. (2008). Survey of knowledge and perception on the access to evidence-based practice and clinical practice change among maternal and infant health practitioners in South East Asia. BioMed Central, 8(34),1-10. doi:

McDonald, S., Turner, T., Chamberlain, C., Lumbiganon, P., Thinkhamrop, J., Festin, M. R., . . . Green, S. (2010). Building capacity for evidence generation, synthesis and implementation to improve the care of mothers and babies in South East Asia: methods and design of the SEA-ORCHID Project using a logical framework approach. BMC Medical Research Methodology, 10(61), 1-10. doi:10.1186/1471-2288-10-61

Mollon, D., Fields, W., Gallo, A. M., Wagener, R., Soucy, J., Gustafson, B., & Kim, S. C. (2012). Staff practice, attitudes, and knowledge/skills regarding evidence-based practice before and after an educational intervention. The Journal of Continuing Education in Nursing, 43(9), 411-419.

Moreno-Poyato, A. R., Casanova-Garrigos, G., Roldán-Merino, J. F., Rodríguez-Nogueira, Ó., & group, M. C. w. (2020). Examining the association between evidence-based practice and the nurse-patient therapeutic relationship in mental health units: A cross-sectional study. Journal of Advance Nursing, 0(0), 1-10. doi:

Nunnally, J. C., & Bernstein, I. H. (1978). Psychometric theory: McGraw-Hill New York.

Pravikoff, D. S., Tanner, A. B., & Pierce, S. T. (2005). Readiness of US nurses for evidence-based practice. American Journal of Nursing, 105(9), 40-51.

Rushmer, R., Ward, V., Nguyen, T., & Kuchenmüller, T. (2019). Knowledge translation: Key concepts, terms and activities. In Population health monitoring (pp. 127-150): Springer.

Sackett, D. L., Rosenberg, W. M. C., Gray, J. A. M., Haynes, R. B., & Richardson, W. S. (1996). Evidence based medicine: What it is and what it isn't. BMJ, 312(7023), 71-72. doi:

Shafiei, E., Baratimarnani, A., Goharinezhad, S., Kalhor, R., & Azmal, M. (2014). Nurses' perceptions of evidence-based practice: A quantitative study at a teaching hospital in Iran. Med J Islam Repub Iran, 28, 1-7.

Sigma Theta Tau International. (2005). Evidence-based Nursing position statement. Retrieved from

Staffileno, B. A., Wideman, M., & Carlson, E. J. N. E. (2013). The financial and clinical benefits of a hospital-based PhD nurse researcher. Nursing Economics, 31(4), 194.

Stagner, T. S. (2017). Introduction of evidence-based practice to acute stroke center nursing in Jakarta, Indonesia. (Doctoral Studies Dissertations), Walden University, (3725)

Streiner, D. L. (2003). Starting at the beginning: An introduction to coefficient alpha and internal consistency. Journal of Personality Assessment, 80(1), 99-103. doi:10.1207/S15327752JPA8001_18

Turner, T. (2009). Developing evidence-based clinical practice guidelines in hospitals in Australia, Indonesia, Malaysia, the Philippines and Thailand: values, requirements and barriers. BMC Health Services Research, 9(1), 235. doi:10.1186/1472-6963-9-235

Upton, D., & Upton, P. (2006). Development of an evidence‐based practice questionnaire for nurses. Journal of Advanced Nursing, 53(4), 454-458. doi:10.1111/j.1365-2648.2006.03739.x

Upton, D., Upton, P., & Scurlock-Evans, L. (2017). Evidence-based practice questionnaire. Retrieved from

Waters, D., Crisp, J., Rychetnik, L., & Barratt, A. (2009). The Australian experience of nurses' preparedness for evidence-based practice. Journal of Nursing Management, 17, 510-518.

World Health Organization. (2015). EVIPNet Europe Strategic Plan 2013–17. Denmark: Regional Office for Europe Retrieved from

World Health Organization. (2017). Management of substance abuse. Process of translation and adaptation of instruments. Retrieved from

Zhou, F., Hao, Y., Guo, H., & Liu, H. (2016). Attitude, knowledge, and practice on evidence-based nursing among registered nurses in traditional chinese medicine hospitals: A multiple center cross-sectional survey in China. Evidence-Based Complementary and Alternative Medicine. doi:doi: 10.1155/2016/5478086



How to Cite

Fajarini, M., Rahayu, S., & Setiawan, A. (2021). The Indonesian Version of Evidence-Based Practice Questionnaire (EBPQ): An Evaluation of Reliability. Indonesian Contemporary Nursing Journal , 5(2), 42-48.