A Qualitative Description of Nurses' Experiences With Incorporating Research Into Practice (original) (raw)
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Evaluating factors associated with implementing evidence-based practice in nursing
Journal of Evaluation in Clinical Practice, 2015
Rationale, aims and objectives Evidence-based practice (EBP) has emerged as an innovation for quality improvement in health care. Nurses have important role in implementing EBP but they face many challenges in this context. Evaluation of factors influencing implementation of EBP seems necessary. The aims of this study were to examine nurses' attitude towards EBP, their self-efficacy and training needs, as well as supporting factors and barriers for implementing EBP. Methods A cross-sectional study was conducted on 182 nurses from four teaching hospitals in Kerman, Iran. Data were collected using a questionnaire consisting of two main sections; a section to collect socio-demographic information of participants and a section collecting information on five topics (staff's attitude, self-efficacy skills of EBP, supporting factors, barriers and training needs for implementing EBP). Results The majority (87.4%) of the nurses had not attended any formal training on EBP and 60% of them were not familiar with the concept of EBP. Nurses' attitude towards EBP was unfavourable (2.57 ± 0.99) and their self-efficacy skills of EBP were poor (2.93 ± 1.06). The most important supporting factor was mentoring by nurses who have adequate EBP experience (3.65 ± 1.17) and the biggest barrier was difficulty judging the quality of research papers and reports (2.46 ± 0.95). There was a moderate demand for training in all areas of EBP (3.62 ± 1.12). Conclusions Nursing care needs to move towards quality improvement using EBP. It is necessary to equip nurses with knowledge and skills required for EBP. Managers should design an appropriate strategic plan by considering supporting factors and barriers for integrating EBP into clinical setting. bs_bs_banner
Tensions and contradictions in nurses' perspectives of evidence‐based practice
Journal of nursing management, 2008
Aim To explore nursesÕ understanding and interpretation of evidence-based practice (EBP). Background EBP has been welcomed into the nursing lexicon without a critical examination of its interpretation by practitioners. The literature suggests that there is a great deal of confusion and contradiction over the meaning and application of EBP. Although work has been conducted on how EBP might be implemented, the general issue of how nurses understand and use EBP is largely unexplored. This paper seeks to examine in depth the understandings of EBP, to enable managers, educationalists and policy makers to implement it more effectively. Methods All registered nurses, midwives and health visitors in one UK National Health Service (NHS) Trust were asked to complete a questionnaire in October 2006.
Factors Affecting Implementation of Evidence Based Practice as Perceived by Nurses
Background: Evidence based practice (EBP) involves taking the latest evidence from research studies and using the evidence as a guidance for patient care to achieve the best possible outcomes. Aim: The study purposes to examine factors affecting implementation of EBP as perceived by nurses. Objectives: To identify the factors affecting the implementation of EBP in the clinical setting. Methods: Quantitative, descriptive cross sectional research design was conducted in this study to describe contextual factors affecting EBP. Data was collected by using online questionnaire tool and printed paper questionnaire among nurses (N=246). Result: Organizational factors include providing continuous education on EBP not only one time. On the other hand, they provide opportunity for staff to ameliorate their skill for using in EBP implementation and organizational support. Individual factors involve creating inquiry culture and increasing nurses' awareness of strategies to implement EBP in the clinical practice. Additionally, time was the main barrier affecting EBP implementation. Conclusion and Recommendations: This study suggests that nurses need more continuous EBP educational programs as part of system to enhance their knowledge and skill to implement EBP. Also, provide nurse facilitator who can supply nurses with the evidence and guide them to implement these evidences.
Implementing evidence-based nursing practice
Nurse Leader, 2008
W ithin the nursing profession, it is expected that new information in the form of research findings will be incorporated constantly and knowledgeably into nursing practice. The staff nurse is a critical link in bringing researchbased changes into clinical practice. Depending on the environment, a health care organization may or may not have the resources to ensure critical, succinct, reasonable evaluation and application of research findings as they relate to the point-of-care delivery. Health care organizations are beginning to create mechanisms to facilitate the process of information translation from the literature to practice.
Utilization of research evidence by nurses
Nursing and Health Sciences, 2002
This paper challenges the hegemony (the mindset prevailing within education and health-care environments) that produces and maintains the problems associated with nurses using research evidence in their practise. The challenge is organized around the construct of change. The envisaged changes concern what nurses think and do in relation to nursing research. The position held in the present paper is that the use of research evidence by nurses in their practise will remain a challenge until changes occur to the ways that nurses understand, value and initiate research. It is argued that changing the ways that nurses understand, value and initiate research requires an ideological shift: a re-education from one set of beliefs, perceptions, values and practises to another. The paper concludes with some suggestions for transforming the hegemonic influences of nurse education systems and the health-care organizations in which nurses work.
Readiness , Barriers and Potential Strenght of Nursing in Implementing Evidence-Based Practice
2020
Background: Evidence-based practice (EBP) is an ideal problemsolving approach based on the application of the best research in making health care decisions a nd proven to be able to improve the quality of heal th services. The ability of nurses to carry out EBP is strongly influenced by several factors. The aim of the study was to identify the readiness, barriers and potential stre ngth of nurses in implementing EBP. Methods: A cross-sectional study method using evidence-based practice readiness survey instruments (EBPR Survey), Barrier of EBP and facilitating factors to EBP adoption recruiting 186 nurses in the inpatien t room of Dr. Wahidin Sudirohusodo Makassar. Results: The nurse scored high (median = 63) on the EBP read in ss scale which reflected a significant positive readiness for EBP and reported high knowledge and s kills about EBP (median = 21), positive attitudes a nd beliefs towards EBP (median = 20.5), and workplace culture that supports EBP (median = 21). However, a l...
Reflecting on nurses’ views on using research in practice
British Journal of Nursing, 2012
This paper follows a previous paper (Hewitt-Taylor et al, 2012) in which the authors summarised their reflections on the literature relating to the application of research in practice. This paper builds on these reflections and reports on the findings from one aspect of a study that explored nurses' views on using research in practice. Quantitative methods of data collection and analysis were used and data were gathered using questionnaires. The findings suggest that nurses generally value research, but this does not necessarily mean that they base individual decisions on particular research findings, or that research is considered the most important form of evidence in direct practice. In addition, the resources that enable nurses to find, appraise and make decisions about using research, are not always readily available in practice settings. From this part of the study, it can be concluded that for research utilisation to increase, time, resources, role models and environments that support this ethos are needed, and that an emphasis on research should not eclipse other key forms of nursing knowledge such as patient views and experiences, and professional expertise in the promotion of evidence-based practice.
STRADA Jurnal Ilmiah Kesehatan, 2020
The results of the literature review study clearly show: that attitudes and beliefs, knowledge about EBP, a capability to interpret faithful journals, nurses' demographic characteristics including the level of education, work experience, and age influenced the implementation of EBP. At the organizational level, the obstacles in implementing EBP consist of facilities and infrastructure, leadership, conflict, group dynamics, workplace, and organizational culture, lack of human resources, workload, lack of time, lack of internet access, the need for role models in the implementation of EBP. The results clearly showed that the implementation of evidence-based practice was a complex structure where the support of both individuals and organizations was very influential. It was necessary at the individual level to increase knowledge and skills in implementing EBP. However, workplace organizational management and strategic support integrated into the hospital's vision became the ini...
Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review
American Journal of Nursing Science, 2020
Background: Evidence-based practice is important in improving the overall quality of patient care, enhance nursing practice and increase the confidence in decision-making. Evidence-based practice is a technique used in solving clinical issues regarding patient care by integrating well-designed evidence with patient preferences, patient assessments, and health professionals. This review aims to explore barriers that confront nursing in the implementation of evidence-based practice. Consequently, by determining some of the barriers to the implementation of EBP among nurses, health care systems can form solutions that allow the health centers to avoid such issues and execute the approach among health care providers. Methods: peer review was undertaken following a literature search in the databases involved CINAHL, MEDLINE and EBSCO Web of Science databases. Included studies were from October 2018 to December 2018, English language and peerreviewed studies that aimed to explore the organizational and individual barriers within the healthcare setting. The quality appraisal tool was used to appraise all the included studies. Results: A total of 12 studies were included. Six studies were quantitative, five studies were qualitative, and one study used mixed methods. Four organizational barriers to implementing Evidence-based practice among nurses were found by reviewing the literature which is ("lack of support and supervision", "lack of training" and "education", "limited resources" and "time restriction"). While, four main themes were considering as an individual barrier to implementing Evidence-based practice among nurses: ("lack of nurses' knowledge", "skills and awareness regarding use the Evidence-based practice", "lack of professional characteristic", "nurses' attitude and experience in using" and "language barrier in using or implementing Evidence-based practice"). Conclusions and implications for future practice: Nursing administrators and educators have the main role to facilitate evidence-based practice implementation among nurses, therefore; the findings of this review can help to overcome the identified barriers. Training and education are important to enhance the knowledge and skills of nurses to use evidence-based practice. Time management, providing the required resources and adequate supervision can facilitate the implementation of evidence-based practice which positively influences the quality of care. For further research, it is very fruitful to investigate the common barriers of EBP in one specific culture such as the middle eastern culture. Furthermore, future research may focus on barriers of implementing EBP related to the patients and their families.
International Journal of Advanced Health Science and Technology, 2021
While healthcare institutions around the world strive to adopt evidence-based practice (EBP) as the new standard in best practice, the nursing profession still faces multiple barriers and limitations in implementation. The aim of this paper is to present the analysis of EBP from the perspective of nurses working within two major South Australian hospitals, assessing their implementation and beliefs and exploring avenues for further research-based upon their feedback. A descriptive survey using the EBP beliefs (EBP-b) and the EBP implementation (EBP-I) scales were developed by Melnyk and Fineout-Overholt. Nurses scored high in the EBP belief scale reflecting significant positive readiness towards EBP. A positive correlation was observed between EBP beliefs and implementation, yet implementation rates were very low. More research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem. Based on t...