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González-de la Torre H, Díaz-Pérez D, Rodríguez-Suárez CA, Pinto-Plasencia RJ, Verdú-Soriano J, Cidoncha-Moreno MÁ. Construct validity and reliability of the BARRIERS scale in the Spanish context. ENFERMERIA CLINICA (ENGLISH EDITION) 2024; 34:259-270. [PMID: 39019328 DOI: 10.1016/j.enfcle.2024.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/27/2023] [Accepted: 02/10/2024] [Indexed: 07/19/2024]
Abstract
OBJECTIVE To establish the construct validity of the Spanish version of the BARRIERS scale. METHOD Methodological study of validation of a measurement instrument based on data from previously published studies. The study population consisted of nurses from the Basque Health Service and the Canary Health Service. The following variables were extracted and unified: Years of professional experience, possession of a specialist nursing degree, possession of a doctorate, type of activity performed by the professional and field of work. For construct validation, a confirmatory factor analysis (CFA) was performed based on the initial model proposed for the scale and RASCH analysis. A polychoric correlation matrix, factor extraction by unweighted least squares and PROMIN oblique rotation were used. For the RASCH analysis, the Joint Maximun Likelihood estimation (JMLE) method was used; the fit of the items and persons were estimated by means of outfit - Unweighted Mean Square fit statistic (UMS) and infit -Weighted Mean Square Fit Statistic (WMS), as well as the reliability and separation of items and persons. RESULTS A total of 1200 nurses and midwives made up the final validation sample (n = 1200), with a mean professional experience of 21.22 ± 9.26 years. The CFA presented a good fit to the data (KMO = 0.935 [95% CI: 0.921-0.945]), changing the factorial assignment in 6 items, while 5 items received factorial scores in more than one factor. The fit values for the 4-factor solution were RMSEA = 0.026 [95% CI: 0.026-0.027] and GFI = 0.991 [95% CI: 0.986-0.991]. In the RASCH analysis most items presented infit-WMS and outfit-UMS values with a good fit. CONCLUSIONS The Spanish version of the BARRIERS scale has adequate construct validity although there are changes in the assignment of items to the dimensions compared to the original model. The RASCH analysis indicates adequate fit for both persons and items.
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Affiliation(s)
- Héctor González-de la Torre
- Departamento de Enfermería, Universidad de Las Palmas de Gran Canaria, Canary Islands, Spain; Unidad de apoyo a la investigación, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Servicio Canario de la Salud, Canary Islands, Spain
| | - David Díaz-Pérez
- Unidad de Apoyo a la Dirección, Servicio Canario de la Salud, Canary Islands, Spain; Coordinación Autonómica de Investigación en Cuidados de Enfermería, Servicio Canario de la Salud, Canary Islands, Spain; Unidad de Investigación, Complejo Hospitalario Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain
| | - Claudio Alberto Rodríguez-Suárez
- Departamento de Enfermería, Universidad de Las Palmas de Gran Canaria, Canary Islands, Spain; Unidad de apoyo a la investigación, Complejo Hospitalario Universitario Insular Materno-Infantil de Gran Canaria, Servicio Canario de la Salud, Canary Islands, Spain.
| | | | - José Verdú-Soriano
- Departamento de Enfermería Comunitaria, Medicina Preventiva, Salud Pública e Historia de la Ciencia, Facultad de Ciencias de la Salud, Universidad de Alicante (UA), Alicante, Spain
| | - M Ángeles Cidoncha-Moreno
- Instituto de Investigación Sanitaria Bioaraba, Subdirección de Enfermería, Dirección General de Osakidetza, Vitoria-Gasteiz, Álava, Spain; Academia de las Ciencias de la Enfermería de Bizkaia, Bilbao, Spain
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Younas A. Research utilization: Identifying barriers and facilitators. Nurs Manag (Harrow) 2022; 53:41-45. [PMID: 35383676 DOI: 10.1097/01.numa.0000771764.66437.c7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Ahtisham Younas
- Ahtisham Younas is a doctoral student at the Memorial University of Newfoundland School of Nursing in Newfoundland, Canada
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Almalki MS, Kimpton A, Jones LK, Da Costa C. Nurses’ Perceived Facilitators of Research Utilisation in a Multicultural Setting in Saudi Arabia: Observational Study. NURSING REPORTS 2022; 12:164-174. [PMID: 35324563 PMCID: PMC8951267 DOI: 10.3390/nursrep12010017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 02/11/2022] [Accepted: 02/28/2022] [Indexed: 11/16/2022] Open
Abstract
Facilitators of research utilisation are important in the implementation of evidence-based practice. Numerous facilitators for nursing practice have been identified, but knowledge of the impact of demographic characteristics on these enablers of research utilisation is limited. The study’s aim was to determine nurses’ perceptions of the facilitators of research utilisation and assess differences in the facilitator of research utilisation score based on nurses’ demographic characteristics. A total of 2650 registered nurses from five hospitals in Riyadh, Saudi Arabia, were recruited for participation. A facilitator scale and self-designed demographic survey were used for data collection. The number of completed questionnaires was 1824 (69%). The results showed that many of the participants were female, aged between 20 to 40 years, and were expatriates mainly from the Philippines. Most respondents were clinical nurses with 6 to 10 years of experience. Many of the nurses had a bachelor’s degree and a qualification from the Asian region. The mean total facilitator score was 26.1, with strong facilitators of research, including advanced education, providing colleague support, more clinically focused research and employing nurses with research skills. Recommendations for the facilitation of research utilisation include a strengthening of the research curriculum in nursing education programs as well as through continuing professional education.
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Affiliation(s)
| | - Amanda Kimpton
- School of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, P.O. Box 71, Bundoora, VIC 3083, Australia; (A.K.); (C.D.C.)
| | - Linda Katherine Jones
- School of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, P.O. Box 71, Bundoora, VIC 3083, Australia; (A.K.); (C.D.C.)
- Correspondence: ; Tel.: +61-411-209-169
| | - Cliff Da Costa
- School of Health and Biomedical Sciences, Royal Melbourne Institute of Technology University, P.O. Box 71, Bundoora, VIC 3083, Australia; (A.K.); (C.D.C.)
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Ozga D, Krupa S, Mędrzycka-Dąbrowska W, Penar-Zadarko B. Adaptation and validation of the Barriers to Research Utilization (BARRIERS scale) questionnaire among Polish nurses and midwives: Cross-sectional study. Appl Nurs Res 2022; 63:151547. [PMID: 35034703 DOI: 10.1016/j.apnr.2021.151547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Revised: 09/21/2021] [Accepted: 11/15/2021] [Indexed: 12/01/2022]
Abstract
AIM The study was designed to assess a Polish version of the Barriers to Research Utilization (BRU) scale for reliability and validity, in a group of nurses and midwives. BACKGROUND The implementation of Evidence-Based in practice is a key element of care and the use of research requirements the research awareness of nurses. METHODS In 2018, cross-sectional validation was carried out among nurses and midwives qualified for the project. RESULTS The Cronbach alpha internal consistency index and mean correlations between items for each of the five subscales comprised in the BRU Instrument were satisfactory. The regression weights show that the items fit well with the subscales and there are no deviations from it. CONCLUSIONS We should the right tools to assess research awareness and be able to identify barriers. Knowing them will allow us to implement preventative measures and allow us to plan our activities.
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Affiliation(s)
- Dorota Ozga
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Poland St. Warzywna 1A, 35-310 Rzeszow, Poland.
| | - Sabina Krupa
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Poland St. Warzywna 1A, 35-310 Rzeszow, Poland
| | | | - Beata Penar-Zadarko
- Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Poland St. Warzywna 1A, 35-310 Rzeszow, Poland
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Abstract
PURPOSE To define research utilization (RU) and identify barriers and facilitators to RU in nursing practice. METHODS An international integrative review of 42 studies was conducted related to barriers and facilitators of RU. RESULTS Following a review of the research that met the inclusion criteria, the author identifies common themes related to the implementation of research into clinical practice and the challenges surrounding RU. CONCLUSION Despite consistently perceived barriers to research among nurses from different geographic, cultural, and clinical backgrounds, practice changes are typically out of their hands. Further research is necessary to gauge perception among the nursing associations, regulatory bodies, healthcare organizations, policy makers, and managers responsible for implementing these changes.
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Affiliation(s)
- Ahtisham Younas
- Ahtisham Younas is a doctoral student at the Memorial University of Newfoundland School of Nursing in Newfoundland, Canada
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Knowledge implementation in health care management: a qualitative study. BMC Health Serv Res 2020; 20:188. [PMID: 32143627 PMCID: PMC7060574 DOI: 10.1186/s12913-020-5043-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Accepted: 02/26/2020] [Indexed: 01/02/2023] Open
Abstract
Background The gap between knowledge and practice is a global issue, which increases wasteful spending in healthcare. There are several models and frameworks to address this gap and try to solve the challenge. Promoting Action on Research Implementation in Health Services (PARIHS) framework highlights the interaction of three main elements: evidence, context and facilitation, to implement research into practice, successfully. This framework can use as a tool to evaluate the situation and guide the changing. This study conducted to explain the status of knowledge implementation in Iran’s healthcare management system. Methods This qualitative study was done by using a directive content analysis approach through conducting in-depth, structured interviews with 15 health managers based on the PARIHS framework. Guiding questions were based on the three main elements of the framework: evidence, context and facilitation. The content of the interviews entered into the Qualitative Data Analysis software (MAXQDA version 10) and, then, analyzed. Results The most common source of evidence used by managers for decision-making was local information and previous experience. Evaluation more emphasized compared to other sub-elements of context, i.e. culture and leadership. In terms of facilitation, performing tasks by others was the dominant opinion. Conclusion Our results showed that managers in the healthcare system of Iran use their own and other manager’s experience and the local information for decision-making and have no ideas about facilitation.
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Kalavani K, Mohebbifar R, Rafiei S. Evidence based practice among healthcare providers: a cross-sectional study. Int J Health Care Qual Assur 2019; 32:867-878. [PMID: 31195935 DOI: 10.1108/ijhcqa-08-2017-0162] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE Nowadays health systems in most of the countries are trying to build their healthcare provision system based on scientific knowledge based evidence. Evidence-based practice (EBP) is a crucial factor for quality improvement focusing on compliance with clinical standards. The purpose of this paper is to assess evidence-based knowledge and skills among healthcare providers in Qazvin hospitals in 2016. DESIGN/METHODOLOGY/APPROACH This was a descriptive study conducted among 300 health professionals working in hospitals affiliated by Qazvin University of Medical Sciences in 2016. A self-administered questionnaire was used to gather data on health providers' attitude, knowledge and skill regarding EBP. Descriptive statistics and multiple linear regressions were used to analyze data using SPSS 16 software. FINDINGS A total of 254 participants (84.6 percent) completed the questionnaire in which their attitude, knowledge and skill toward EBP were assessed at a low level. Study results indicated that among different occupational groups, physicians and those with greater awareness toward EBP terminology had a more positive attitude compared with others. Furthermore, a higher level of knowledge and skill toward EBP was associated with being a physician and having a positive attitude toward the issue. PRACTICAL IMPLICATIONS Given the importance of EBP and due to insufficient knowledge of healthcare providers about the issue, it is necessary to hold appropriate educational courses to empower health workforce in implementing EBP principles. ORIGINALITY/VALUE The authors applied a self-administered questionnaire to assess health workforce knowledge and skills toward EBP. The results obtaining from the analysis not only highlights weaknesses related to service providers' knowledge and capabilities to implement EBP but also reveals facilities required for realization of the subject in hospital settings.
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Affiliation(s)
- Khalil Kalavani
- Student Research Committee, School of Health, Qazvin University of Medical Sciences , Qazvin, The Islamic Republic of Iran
| | - Rafat Mohebbifar
- School of Health, Qazvin University of Medical Sciences , Qazvin, The Islamic Republic of Iran
| | - Sima Rafiei
- School of Health, Qazvin University of Medical Sciences , Qazvin, The Islamic Republic of Iran
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Demirgöz Bal M, Canbulat Sahiner N. Nurses’ Barriers to Research Utilization. ANKARA MEDICAL JOURNAL 2019. [DOI: 10.17098/amj.625324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
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Shayan SJ, Kiwanuka F, Nakaye Z. Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review. Worldviews Evid Based Nurs 2019; 16:12-20. [DOI: 10.1111/wvn.12337] [Citation(s) in RCA: 52] [Impact Index Per Article: 10.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/11/2018] [Indexed: 11/28/2022]
Affiliation(s)
- Shah Jahan Shayan
- Tehran University of Medical SciencesDepartment of Community Health Nursing Tehran Iran
- Kabul University of Medical Sciences Kabul Afganistan
| | - Frank Kiwanuka
- Tehran University of Medical SciencesInternational Campus Tehran Iran
| | - Zainah Nakaye
- School of NursingClarke International University Kampala Uganda
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Abstract
BACKGROUND A substantial growth has been reported in Iran's health research output over the last recent decades, throughout the times of economic, social, and political instability. This study reviewed the existing literature to provide a better understanding of the evolution of Iran's health research system over this period. METHODS A narrative review of studies addressing health research system (HRS) in Iran was performed. The search strategy and categorization of the retrieved data was informed by the HRS framework of the World Health Organization (WHO). This framework proposes four functions for HRS: (i) stewardship; (ii) financing; (iii) creating and sustaining resources; and (iv) producing and using research. Searches in MEDLINE through PubMed (using MeSH terms) complemented with semantic searches through PubMed and Google Scholar were conducted. RESULTS After removing the duplicates, 805 articles were retrieved, of which 601 were irrelevant, and 204 were reviewed. CONCLUSIONS Iran has made substantial progress in different components of its HRS over the last few decades, such as starting a discourse surrounding health research ethics, priority-setting, and placing monitoring mechanisms while increasing the capacity for conducting and publishing research. However, there is still room for improvements, or even a need for fundamental changes, in several components, such as regarding increasing the research budget and improving the funding allocation mechanisms; improving the education curriculum; and promoting the use of evidence. The findings emphasized that improvement of HRS functions requires addressing context-specific problems. This review provides essential lessons to share with other low- and middle-income countries and international organizations, eg, the WHO.
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Affiliation(s)
- Parisa Mansoori
- Centre for Global Health Research, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK
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Attitudes, knowledge and behaviors related to evidence-based practice in health professionals involved in pain management. INT J EVID-BASED HEA 2018; 16:107-118. [PMID: 29432397 DOI: 10.1097/xeb.0000000000000131] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Healthcare professionals involved in pain management come from different disciplines, which may have different perspectives and training about evidence-based practice (EBP). A common concern for health professionals is pain management. Understanding how different professions involved in pain management view EBP forms the ideal context to study professional differences in EPP, and how this might influence pain management. PURPOSE The purpose of this study was to compare different professions with respect to knowledge, attitudes and self-reported behavior toward EBP. STUDY DESIGN Cross-sectional study. METHODS Physicians, nurses, occupational therapists, physical therapists and psychologists who were involved in pain management (n = 675) completed an online survey on a single occasion. The survey included demographic questions and the EBP-knowledge, attitude, behavior questionnaire (EBP-KABQ). This is a 27-item questionnaire that has been validated for use with different health professionals, and measures four constructs related to EBP (knowledge, attitude, behavior and outcome/decision). Differences between professionals were identified using a one-way between groups analysis of variance, with post-hoc testing (statistical significance was set at P value less than 0.05; clinical significance set at a mean difference of 10%). RESULTS The score on three of the four subscales of the KABQ were statistically different across professions. In general, knowledge scores were high for all professions (83-87%). Nurses demonstrated statistically higher levels of EBP knowledge (87%) when compared with other groups (F = 4.79, P = 0.001), but the differences were not deemed clinically relevant. Behavior was the lowest subscale and the most variable across professions (37-56%). Physicians had statistically significant (F = 25.69; P = 0.001), and clinically relevant, higher behavior subscale scores (56%) when compared with other professional groups. Physicians (73%) also had higher outcome/decision subscale scores (F = 6.50; P = 0.001), but this was only marginally different from other professions (65-73%). The attitude subscale scores were low and were not different across professions (range 57-59%; F = 1.65, P = 0.16; NS). CONCLUSION The current study indicates that physicians and allied health professionals have similar EBP attitudes and knowledge. All professional groups seem to have suboptimal implementation of EBP. The nature of medical decision-making, its evidentiary pool, or longer experience with EBP may contribute to greater implementation amongst physicians.
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Sadeghnezhad M, Heshmati Nabavi F, Najafi F, Kareshki H, Esmaily H. Mutual benefits in academic-service partnership: An integrative review. NURSE EDUCATION TODAY 2018; 68:78-85. [PMID: 29894914 DOI: 10.1016/j.nedt.2018.05.019] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/10/2017] [Revised: 04/14/2018] [Accepted: 05/22/2018] [Indexed: 06/08/2023]
Abstract
BACKGROUND Academic and service institutions involve with many challenges. Partnership programs are a golden opportunity to achieve mutual benefits to overcome these challenges. Identifying mutual benefits is the cornerstone of forming a successful partnership and guarantee to its continuity. There are definitions and instances of mutual benefits in the literature related to partnership programs, but there is no coherent evidence and clear picture of these benefits. OBJECTIVE This study is conducted to identify mutual benefits in academic-service partnership by analyzing the definitions and instances of it in the literature. DESIGN An integrative review of key papers regarding mutual benefits in academic-service partnership was undertaken. This review was guided by the framework described by Whittemore and Knafl. DATA SOURCES Search of the following databases was conducted: MEDLINE, ERIC, Google Scholar, Emerald Insight and Science Direct. The search terms were mutual benefits, mutual gains, mutual interest, mutual expectations, mutual goals, mutual demand, partnership, collaboration, academic-service partnership and academic service collaboration. REVIEW METHODS Cooper's five-stage integrative review method was used. Quality evaluation of articles was conducted. Data were abstracted from included articles. The analysis was conducted based on the qualitative content analysis of the literature suggested by Zhang and Wildemuth. RESULTS 28 articles were included in this review. Mutual benefits are described in four categories include: synergy in training and empowerment of human resources, education improvement, access to shared resources, facilitate production and application of beneficial knowledge into practice. CONCLUSION Mutual benefits in the academic-service partnership include a range of goals, interests, expectations, and needs of partner organizations that is achievable and measurable through joint planning and collaboration. We suggest academic and service policymakers to consider these benefits in the planning and evaluating partnership programs.
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Affiliation(s)
- Maliheh Sadeghnezhad
- School of Nursing and midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
| | - Fatemeh Heshmati Nabavi
- Evidence Based Care Research Center, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
| | - Fereshteh Najafi
- Community Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
| | - Hossein Kareshki
- Department of Education, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Iran.
| | - Habibollah Esmaily
- Social Determinates of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
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Azmoude E, Aradmehr M, Dehghani F. Midwives' Attitude and Barriers of Evidence Based Practice in Maternity Care. Malays J Med Sci 2018; 25:120-128. [PMID: 30899193 PMCID: PMC6422555 DOI: 10.21315/mjms2018.25.3.12] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 05/03/2018] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Midwives have a crucial role in providing optimal care for pregnant women. One of the most important policies for quality improvement in maternity care is implementation of evidence-based practice. However, the application of evidence-based practice within the maternity health care setting faces many challenges. The purpose of this study was to describe Iranian midwives' attitude and perceived barriers of evidence based practice in maternity care. METHODS In this descriptive, cross-sectional study, a census sample of 76 midwives from two public hospitals and urban health centers in Torbat Heydariyeh, a city east of Iran were surveyed. Data collection tools were two reliable and valid questionnaires that measure midwives' attitudes and barriers of implementation of evidence-based practice. Data were analysed using SPSS version 16. RESULTS The mean age and years of experience were 29.30 ± 4.86 and 5.22 ± 4.21 years, respectively. The mean score of attitude was 40.85 ± 4.84 (range = 30-60). This study also found time constraints (2.70 ± 0.92), inadequate facilities (2.64 ± 0.72), non-compilation of literature in one place (2.59 ± 0.92), lack of cooperation of physicians (2.48 ± 1.06) and the feeling of inadequate authority (2.45 ± 0.88) as the top five barriers to implementing EBP. CONCLUSION Survey participants demonstrated a positive attitude toward EBP. Organisational comprehensive strategies such as time efficiency, adequate material and human resources, familiarity with organisations such as the Cochrane Collaboration and managerial support for increasing professional legitimate authority are recommended to promote the use of Evidence-Based Practice in Iran.
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Affiliation(s)
- Elham Azmoude
- Department of Midwifery, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Maryam Aradmehr
- Department of Midwifery, School of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
| | - Faezeh Dehghani
- Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
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Duncombe DC. A multi-institutional study of the perceived barriers and facilitators to implementing evidence-based practice. J Clin Nurs 2018; 27:1216-1226. [DOI: 10.1111/jocn.14168] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2017] [Indexed: 11/27/2022]
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Ferreira MBG, Haas VJ, Dantas RAS, Felix MMDS, Galvão CM. Cultural adaptation and validation of an instrument on barriers for the use of research results. Rev Lat Am Enfermagem 2017; 25:e2852. [PMID: 28301032 PMCID: PMC5363328 DOI: 10.1590/1518-8345.1652.2852] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2016] [Accepted: 11/15/2016] [Indexed: 11/22/2022] Open
Abstract
Objective to culturally adapt The Barriers to Research Utilization Scale and to analyze the metric validity and reliability properties of its Brazilian Portuguese version. Method methodological research conducted by means of the cultural adaptation process (translation and back-translation), face and content validity, construct validity (dimensionality and known groups) and reliability analysis (internal consistency and test-retest). The sample consisted of 335 nurses, of whom 43 participated in the retest phase. Results the validity of the adapted version of the instrument was confirmed. The scale investigates the barriers for the use of the research results in clinical practice. Confirmatory factorial analysis demonstrated that the Brazilian Portuguese version of the instrument is adequately adjusted to the dimensional structure the scale authors originally proposed. Statistically significant differences were observed among the nurses holding a Master's or Doctoral degree, with characteristics favorable to Evidence-Based Practice, and working at an institution with an organizational cultural that targets this approach. The reliability showed a strong correlation (r ranging between 0.77 and 0.84, p<0.001) and the internal consistency was adequate (Cronbach's alpha ranging between 0.77 and 0.82). Conclusion the Brazilian Portuguese version of The Barriers Scale was valid and reliable in the group studied.
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Affiliation(s)
| | - Vanderlei José Haas
- PhD, Visiting Professor, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil
| | - Rosana Aparecida Spadoti Dantas
- PhD, Associate Professor, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | - Márcia Marques Dos Santos Felix
- Doctoral student, Universidade Federal do Triângulo Mineiro, Uberaba, MG, Brazil. Scholarship holder from Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil
| | - Cristina Maria Galvão
- PhD, Full Professor, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
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Gerçek E, Okursoy A, Dal NA. Awareness and attitudes of Turkish nursing students towards research and development in nursing. NURSE EDUCATION TODAY 2016; 46:50-56. [PMID: 27597404 DOI: 10.1016/j.nedt.2016.08.015] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2016] [Revised: 07/20/2016] [Accepted: 08/09/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND The research course in nursing is included in almost all nursing curricula in national and international scales. PURPOSE To compare awareness and attitudes of Turkish nursing students towards research and development in nursing. METHODS This study had descriptive and cross-sectional research design. The research sampling is consisted of 390 senior students studying during the 2013-2014 academic year in six schools of health in six different geographical regions in Turkey. The Personal Identification Form and Nursing Students' Attitudes to and Awareness of Research and Development within Nursing Scale were utilized in data collection. RESULTS It was determined that there is difference between awareness and attitude scores of nursing students from six different schools towards research and development in nursing according to their schools and background. CONCLUSION It can be suggested that initiatives to increase awareness of students at nursing schools towards research course must be planned.
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Affiliation(s)
- Emine Gerçek
- Adnan Menderes University Söke School of Health, Nursing Department, Söke, Aydın 09200, Turkey.
| | - Algın Okursoy
- Adnan Menderes University Faculty of Management, Department of International Logistics and Transportations, Söke, Aydın 09200, Turkey.
| | - Nursel Alp Dal
- Tunceli University School of Health, Nursing Department, Tunceli 62000, Turkey.
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Al-Momani MM, Al-Barmawi MA, Al-Hadid L, Aljabery A. Developing a tool that explores factors influencing the adoption of evidence-based principles in nursing practice in Jordan. Appl Nurs Res 2016; 32:122-127. [PMID: 27969014 DOI: 10.1016/j.apnr.2016.07.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Revised: 06/24/2016] [Accepted: 07/05/2016] [Indexed: 10/21/2022]
Abstract
AIM To measure the psychometric properties, reliability and validity of a tool that explores factors influencing the adoption of principles of evidence-based in nursing practice in Jordan. BACKGROUND The use of principles of evidenced-based practice in nursing practice has been widely endorsed in many countries around the world; these principles have not yet been implemented in Jordan. Factors influencing the adoption of evidence-based practice in Jordanian nursing context were not identified to date. METHODS A descriptive, cross-sectional research design approached experienced nurses from different specialties across Jordan (3 military, 3 governmental and 5 private hospitals). RESULTS The psychometric properties indicated a valid and reliable tool. It consisted of three factors: personal characteristics; source of professional knowledge; and organizational environment. CONCLUSIONS Findings provided evidence on the impact of the identified factors on nurses' adoption of evidence-based practice. Although tests in this report showed the validity of this new tool, it still requires further testing to ensure its stability over time.
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Affiliation(s)
- Muwafaq M Al-Momani
- Princess Aisha Bint Al-Hussein Collage of Nursing and Health Sciences, Al-Hussein Bin Talal University, Ma'an, Jordan, 71111.
| | - Marwa A Al-Barmawi
- Department of Adult Nursing, Faculty of Nursing, Alzaytoonah University, Amman, Jordan, 11733.
| | - Lourance Al-Hadid
- Al-Hussein Bin Talal University, Princess Aisha Bint Al-Hussein Collage of Nursing and Health Sciences, Ma'an, Jordan, 71111.
| | - Ahmed Aljabery
- Al Ghad International Colleges for Applied Medical Science, Nursing Department, Tabouk Campus-Male, Tabouk, Saudi Arabia, 71491.
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Kc S, Subramaniam PR, Paudel S. Barriers and Facilitators of Utilizing Research Among Nurses in Nepal. J Contin Educ Nurs 2016; 47:171-9. [PMID: 27031032 DOI: 10.3928/00220124-20160322-07] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2015] [Accepted: 12/03/2015] [Indexed: 11/20/2022]
Abstract
BACKGROUND This study determined the perceived barriers to and facilitators of Nepalese nurses in utilizing research in the workplace. Evidence-based nursing practice provides the synergy for high-quality patient care, but it does not seem to be the case in underdeveloped countries, such as Nepal. METHOD A descriptive, cross-sectional study involving 97 nurses from Nepal was conducted. Data were collected using the BARRIERS Scale and a facilitator questionnaire. RESULTS The top three barriers to research utilization in Nepalese nurses are (a) research reports and articles are not readily available (80.5%), (b) inadequate facilities for implementation (75.3%), and (c) research reports and articles are not published fast enough (71.6%). The top three facilitators perceived to encourage Nepalese nurses to utilize or participate in research are (a) initiation of nursing research projects (27.4%), (b) educational update on research methods (16.7%), and (c) provision of funding for research (15.5%). CONCLUSION Findings from this study mirror the barriers to research utilization experienced by nurses in other countries. Macro- and micro-level support are needed to foster a culture of evidence-based practice among Nepalese nurses to empower them in making informed decisions based on research in providing quality patient care.
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Karimi Moonaghi H, Emami Zeydi A, Mirhaghi A. Patient education among nurses: bringing evidence into clinical applicability in Iran. INVESTIGACION Y EDUCACION EN ENFERMERIA 2016; 34:137-151. [PMID: 28569983 DOI: 10.17533/udea.iee.v34n1a16] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Accepted: 12/04/2015] [Indexed: 06/07/2023]
Abstract
OBJECTIVE The aim of this study was to present a comprehensive review of the literatures describing barriers and facilitators of patient education (PE) perceived by Iranian nurses in order to explain clinical applicability of patient education. METHODS Review of the literature was undertaken using the international databases including PubMed/Medline, Scopus, ScienceDirect, as well as Google Scholar. Also, Persian electronic databases such as Magiran, SID and IranMedex were searched. Electronic databases were searched up from conception to September 2014 using search terms: "patient education", " patients education", "patient teaching", "patient training", "nurse", " nurses", " nursing", " and "Iran". Only studies were included that were related to barriers and facilitators of PE among Iranian nurses. RESULTS Twenty-seven studies were included. The main influential barriers were categorized into three major areas: 1) Nurse-related factors: nursing shortage 2) Administration-related factors: unsupportive organizational culture, and 3) Patient-related factors: low compliance. The most perceived facilitators were recognized as "increasing, selecting and training special nurses for providing PE" and "providing PE courses for nurses and appropriate facilities for PE". CONCLUSION Iranian nurses encounter barriers in PE, and the most frequently encountered barriers were related to administration factors. These findings have implications for administrators and managers in health settings. In order to promote PE among nurses, administrators should create a supportive environment and use effective strategies to smooth the progress of PE by nurses in their practice in order to ensure optimal outcomes for patients.
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Affiliation(s)
| | | | - Amir Mirhaghi
- Mashhad University of Medical Sciences, Mashhad, Iran,
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Farokhzadian J, Khajouei R, Ahmadian L. Evaluating factors associated with implementing evidence-based practice in nursing. J Eval Clin Pract 2015; 21:1107-13. [PMID: 26563564 DOI: 10.1111/jep.12480] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/14/2015] [Indexed: 11/30/2022]
Abstract
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.
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Affiliation(s)
- Jamileh Farokhzadian
- Department of Community Health Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Reza Khajouei
- Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.,Department of Health Information Management and Technology, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran
| | - Leila Ahmadian
- Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
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Sarabia-Cobo C, Sarabia-Cobo A, Pérez V, Hermosilla C, Nuñez M, de Lorena P. Barriers in implementing research among registered nurses working in the care of the elderly: a multicenter study in Spain. Appl Nurs Res 2015; 28:352-5. [DOI: 10.1016/j.apnr.2015.03.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2014] [Revised: 03/03/2015] [Accepted: 03/05/2015] [Indexed: 11/28/2022]
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Williams B, Brown T, Costello S. A cross-cultural investigation into the dimensional structure and stability of the Barriers to Research and Utilization Scale (BARRIERS Scale). BMC Res Notes 2015; 8:601. [PMID: 26498925 PMCID: PMC4619557 DOI: 10.1186/s13104-015-1579-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Accepted: 10/14/2015] [Indexed: 11/16/2022] Open
Abstract
Background It is important that scales exhibit strong measurement properties including those related to the investigation of issues that impact evidence-based practice. The validity of the Barriers to Research Utilization Scale (BARRIERS Scale) has recently been questioned in a systematic review. This study investigated the dimensional structure and stability of the 28 item BARRIERS Scale when completed by three groups of participants from three different cross-cultural environments. Method Data from the BARRIERS Scale completed by 696 occupational therapists from Australia (n = 137), Taiwan (n = 413), and the United Kingdom (n = 144) were analysed using principal components analysis, followed by Procrustes Transformation. Poorly fitting items were identified by low communalities, cross-loading, and theoretically inconsistent primary loadings, and were systematically removed until good fit was achieved. The cross-cultural stability of the component structure of the BARRIERS Scale was examined. Results A four component, 19 item version of the BARRIERS Scale emerged that demonstrated an improved dimensional fit and stability across the three participant groups. The resulting four components were consistent with the BARRIERS Scale as originally conceptualised. Conclusion Findings from the study suggest that the four component, 19 item version of the BARRIERS Scale is a robust and valid measure for identifying barriers to research utilization for occupational therapists in paediatric health care settings across Australia, United Kingdom, and Taiwan. The four component 19 item version of the BARRIERS Scale exhibited good dimensional structure, internal consistency, and stability.
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Affiliation(s)
- Brett Williams
- Department of Community Emergency Health and Paramedic Practice, Monash University-Peninsula Campus, McMahons Road, PO Box 527, Frankston, VIC, 3199, Australia.
| | - Ted Brown
- Department of Occupational Therapy, Monash University, Victoria, Australia.
| | - Shane Costello
- Faculty of Education, Monash University, Victoria, Australia.
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Sanjari M, Baradaran HR, Aalaa M, Mehrdad N. Barriers and facilitators of nursing research utilization in Iran: A systematic review. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2015; 20:529-39. [PMID: 26457088 PMCID: PMC4598897 DOI: 10.4103/1735-9066.164501] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
BACKGROUND According to professionalization in nursing profession, the nursing researches expanded dramatically and rapidly in a very short period. Research results showed improvement in quality of provided care by using research findings. But there is still a gap between nursing research and practice, which led scientists to explore the barriers and facilitators of research utilization that could affect the application of research results. The aim of this review was to appraise and synthesize evidences of studies about the facilitators and barriers to research utilization in Iranian nurses. MATERIAL AND METHODS A systematic review of quantitative and qualitative studies about the barriers and facilitators of nursing research utilization in Iran was undertaken. RESULTS The results showed that items such as "The nurse is isolated from knowledgeable colleagues with whom to discuss the research," "There is insufficient time on the job to implement new ideas," "The nurse does not have time to read research," "The nurse does not feel she/he has enough authority to change patient care procedures," "The facilities are inadequate for implementation," "Physicians will not cooperate with implementation," and "The relevant literature is not compiled in one place" were rated as the main barriers. CONCLUSIONS The results of 10 studies about research utilization in Iran showed that the barriers and facilitators remained constant through time and across different locations. The rank orders of barriers and facilitators were the same approximately. The nurse managers and administrators could utilize the findings of this review to allocate human resources and other sources and promote nursing research utilization in clinical field.
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Affiliation(s)
- Mahnaz Sanjari
- School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | | | - Maryam Aalaa
- Elderly Health Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Neda Mehrdad
- Knowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, Iran
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Kyalo Mutisya A, KagureKarani A, Kigondu C. Research Utilization among Nurses at a Teaching Hospital in Kenya. J Caring Sci 2015; 4:95-104. [PMID: 26161364 DOI: 10.15171/jcs.2015.010] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2015] [Accepted: 04/05/2015] [Indexed: 11/09/2022] Open
Abstract
INTRODUCTION In the era of evidence based practice (EBP), health care delivery should be grounded on new or validated knowledge and evidence from research. The aim of the study was to assess research utilization by nurses and the influencing factors at Kenyatta National Hospital (KNH), the largest teaching hospital in Kenya. METHODS The study employed a descriptive design that utilized both quantitative and qualitative methods of data collection. It incorporated the Barriers to Research Utilization Scale. It was conducted in six specialized care areas at KNH. Data was collected using questionnaires, Focus Group Discussion and in-depth interviews. Data was analyzed using SPSS version 13 and qualitative data analyzed using themes. RESULTS The study found that 20.6% of the nurses were participating in research related to their work and 53.6% of these were implementing research findings to practice. Over 2/3 (70.5%) of the respondents were basing their evidence for practice on the knowledge gained during their nursing school. The three greatest barriers to research utilization were that research reports are not readily available (68.7%), unclear implications for practice (66.5%) and inadequate facilities for implementation (66.4%). CONCLUSION It is recommended that sensitization trainings on nursing research/ utilization of findings in nursing practice be established to create awareness, motivate and enhance nurses' abilities and also facilities should be provided to enable implementation.
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Affiliation(s)
- Albanus Kyalo Mutisya
- Depertment of Nursing, Faculty of Nursing, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
| | - Anna KagureKarani
- Depertment of Nursing, Faculty of Nursing Sciences, College of Health Sciences, University of Nairobi, Nairobi, Kenya
| | - Christine Kigondu
- Faculty of Medicine, College of Health Sciences, University of Nairobi, Nairobi, Kenya
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Barriers to implementation of evidence based practice in zahedan teaching hospitals, iran, 2014. Nurs Res Pract 2015; 2015:357140. [PMID: 25866675 PMCID: PMC4381851 DOI: 10.1155/2015/357140] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2014] [Revised: 02/27/2015] [Accepted: 03/09/2015] [Indexed: 11/17/2022] Open
Abstract
This study aimed to determine the barriers to implementation of EBP among nurses. This cross-sectional study was conducted in Zahedan City, South East of Iran, in 2014. The questionnaire of barriers to implementation of EBP consists of 27 statements which was distributed among 280 nurses. More than half of the participants agreed that 56% and 57% of barriers to implementation of evidence based practice are related to organizational and individual aspects, respectively. Participants identified barriers at organizational level included the lack of human resources (78.3%), lack of internet access at work (72.2%), and heavy workload (70.0%). Barrier at individual level included lack of time to read literature (83.7%), lack of ability to work with computer (68.8%), and insufficient proficiency in English language (62.0%). Age, educational level, job experience, and employment status were associated with organizational barriers to implementation of EBP. At the individual level only education was associated with barriers to implementation of EBP. Barriers to implementation of EBP occur at both individual and organizational levels. The indicator of quality in nursing practice is EBP. Hence, familiarity with EBP is recommended for Iranian nurses. In addition, knowledge of barriers will help health care system and policy makers to provide a culture of EBP.
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Farokhzadian J, Dehghan Nayeri N, Borhani F. Assessment of Clinical Risk Management System in Hospitals: An Approach for Quality Improvement. Glob J Health Sci 2015; 7:294-303. [PMID: 26156927 PMCID: PMC4803839 DOI: 10.5539/gjhs.v7n5p294] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2014] [Revised: 03/01/2015] [Accepted: 01/08/2015] [Indexed: 11/17/2022] Open
Abstract
Background: Clinical risks have created major problems in healthcare system such as serious adverse effects on patient safety and enhancing the financial burden for the healthcare. Thus, clinical risk management (CRM) system has been introduced for improving the quality and safety of services to health care. The aim of this study was to assess the status of CRM in the hospitals. Methods: A cross-sectional study was conducted on 200 nursing staff from three teaching hospitals affiliated with the Kerman University of Medical Sciences in southeast of Iran. Data were collected from the participants using questionnaire and observational checklist in quality improvement offices and selected wards. The data were analyzed using SPSS version 20. Results: Almost, 57% of persons participated in at least one of training sessions on CRM. The status of CRM system was rated from weak to moderate (2.93±0.72- 3.18±0.66). Among the six domains of CRM system, the highest mean belonged to domain the monitoring of analysis, evaluation and risk control (3.18±0.72); the lowest mean belonged to domain the staff’s knowledge, recognition and understanding of CRM (2.93±0.66). There were no integrated electronic systems for recording and analyzing clinical risks and incidents in the hospitals. Conclusion: Attempts have been made to establish CRM through improvement quality approach such as clinical governance and accreditation, but not enough, however, health care should move toward quality improvement and safe practice through the effective integration of CRM in organizational process.
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Farokhzadian J, Nayeri ND, Borhani F, Zare MR. Nurse leaders' Attitudes, Self-Efficacy and training Needs for Implementing Evidence-Based Practice: Is It Time for a Change toward Safe Care? ACTA ACUST UNITED AC 2015; 7:662-671. [PMID: 26877975 PMCID: PMC4751982 DOI: 10.9734/bjmmr/2015/16487] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Introduction Evidence-based practice (EBP) has been recognized as the gold standard for safe and high quality care. Nurse leaders have a strategic position in terms of initiating changes in clinical settings for successfully implementing EBP. Therefore, the factors that influence implementing EBP must be measured. Aims To examine nurse leaders' attitudes, self-efficacy, and training needs for implementing evidence-based practice. Place and Duration of Study Four teaching hospitals affiliated to Kerman University of Medical Sciences in the southeast of Iran from January to April 2014. Methods A cross-sectional study was conducted on 70 nurse leaders from four teaching hospitals. After using a modified forward/backward translation procedure to create a Persian version of “perceptions of nurses of evidence-based practice questionnaire”, data were collected from the participants and analyzed using SPSS (version 20), descriptive statistics, Student's t-test, analysis of variance (ANOVA), and Pearson's correlation. Results Most (82.86%) of the participants had not attended any specific training course on the implementation of EBP and 80% had not been involved in any research activities. Nurse leaders' attitudes toward EBP were unfavorable (mean=2.55±0.88), their levels of self-efficacy in EBP skills were weak (mean=2.64±1.31), and their demand for training in all of the EBP areas was moderate (3.89±.97). Conclusion Current practice of nurse leaders is not evidence-based, which is worrisome and can result in serious deficiencies in the quality and safety of nursing care. Nurse leaders must attempt to equip themselves with the attitudes and skills required to change in practice using EBP.
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Affiliation(s)
- Jamileh Farokhzadian
- Department of Community Health Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran
| | - Nahid Dehghan Nayeri
- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
| | - Fariba Borhani
- Department of Nursing Ethics, Medical Ethics and Law Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
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Heydari A, Emami Zeydi A. Barriers to and Facilitators of Research Utilization among Iranian Nurses: a Literature Review. J Caring Sci 2015; 3:265-75. [PMID: 25717456 DOI: 10.5681/jcs.2014.029] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2014] [Accepted: 10/25/2014] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION Research utilization (RU), is an important strategy to promote the quality of patient care. The aim of this study was to present a comprehensive literature review describing barriers and facilitators of RU among Iranian nurses. METHODS Literature review was undertaken using the international databases including Pub Med/Medline, Scopus, Science Direct, and Google Scholar. Also, Persian electronic databases such as Magiran, SID and Iran Medex were searched up to May 2014. The search was limited to articles in the English and Persian languages that evaluate the barriers or facilitators of RU among Iranian nurses. RESULTS A total of 11 articles were in the final dataset. The most important barriers to RU among Iranian nurses were related to the organization factors such as inadequate facilities; insufficient time on the job, lack of authority, physician cooperation, and administrative support. The most frequent facilitators of RU were education in enhancing nurses knowledge and skills in research evaluation, support from knowledgeable nursing colleagues and nursing faculty in the clinical setting, access to an expert committee for clinical appraisal, improving skills in English language and searching for articles, sufficient economic resources to carry out research, and having access to more facilities such as internet. CONCLUSION Iranian nurses encounter with the same difficulties as to other countries regarding RU; while setting related barriers were the predominant obstacles to RU among them. Therefore, health managers are expected to plan appropriate strategies to smooth the progress of RU by nurses in their practice.
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Affiliation(s)
- Abbas Heydari
- Evidence- Based Caring Research Center, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Amir Emami Zeydi
- Student Research Committee, Department of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
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H. Al Ghabeesh S. Barriers and Suggested Facilitators to the Implementation of Best Practice: An Integrative Review. ACTA ACUST UNITED AC 2015. [DOI: 10.4236/ojn.2015.51009] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Heydari A, Mazlom SR, Ranjbar H, Scurlock-Evans L. A Study of Iranian Nurses’ and Midwives’ Knowledge, Attitudes, and Implementation of Evidence-Based Practice: The Time for Change Has Arrived. Worldviews Evid Based Nurs 2014; 11:325-31. [DOI: 10.1111/wvn.12052] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/23/2013] [Indexed: 10/24/2022]
Affiliation(s)
- Abbas Heydari
- Associate Professor, Department of Medical Surgical Nursing; School of Nursing and Midwifery; Mashhad University of Medical Sciences; Mashhad Iran
| | - Seyed Reza Mazlom
- Faculty member of Medical Surgical Department; Nursing and Midwifery Faculty; Mashhaad University of Medical Sciences; Mashhad Iran
| | - Hossein Ranjbar
- Assistant Professor, School of Nursing and Midwifery; Torbat Heydariyeh University of Medical Sciences; Torbat Heydariyeh Iran
| | - Laura Scurlock-Evans
- Psychology assistant, Psychological Sciences; University of Worcester, Henwick Grove; Worcester UK
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Ertuğ N, Önal H. Undergraduate Nursing Students’ Research Activities and Utilization: A Turkish Sample. AQUICHAN 2014. [DOI: 10.5294/aqui.2014.14.2.11] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objetivo: analizar el estado de la investigación en salud en Colombia, Ecuador y en Latinoamérica; sus implicaciones, la importancia de esta para tratar de impactar en políticas y estrategias de salud que mejoren el nivel de vida de las poblaciones y los asentamientos urbanos. Método: se realizó una revisión de la literatura en las bases de datos latinoamericanas Scielo, Redalyc, Bireme y Pubmed en los últimos 8 años. Resultados: se evidencia la trascendencia de las universidades como instituciones, que tienen la obligación de influir en lo social, lo humano y lo cultural, y transformen en entornos ligados a programas sociales y de gobierno en pro de una comunidad. Igualmente, se hace un análisis de las políticas de investigación, de organismos rectores y sus implicaciones en las instituciones formadoras de recurso humano a nivel superior. Conclusiones: es necesario fortalecer la reflexión crítica en los espacios académicos comprometidos con la transformación de las condiciones colectivas de la comunidad en los procesos de salud, enfermedad, promoción, prevención y atención, que tocan los hilos de la conciencia, afirmando que el individuo y la colectividad son responsables de “cuidar su salud”, mediante el abordaje transdisciplinario, teniendo en cuenta la normatividad ética que rige las investigaciones; fortaleciéndola mediante la consolidación de redes, divulgando los hallazgos.
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Wang LP, Jiang XL, Wang L, Wang GR, Bai YJ. Barriers to and facilitators of research utilization: a survey of registered nurses in China. PLoS One 2013; 8:e81908. [PMID: 24312380 PMCID: PMC3843703 DOI: 10.1371/journal.pone.0081908] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2011] [Accepted: 10/28/2013] [Indexed: 02/05/2023] Open
Abstract
AIMS This survey aims to describe the perception of barriers to and facilitators of research utilization by registered nurses in Sichuan province, China, and to explore the factors influencing the perceptions of the barriers to and facilitators of research utilization. METHODS A cross sectional survey design and a double cluster sampling method were adopted. A total of 590 registered nurses from 3 tertiary level hospitals in Sichuan province, China, were recruited in a period from September 2006 to January 2007. A modified BARRUERS Scale and a Facilitators Scale were used. Data were analyzed with descriptive statistics, rank transformation test, and multiple linear regression. RESULTS Barriers related to the setting subscale were more influential than barriers related to other subscales. The lack of authority was ranked as the top greatest barrier (15.7%), followed by the lack of time (13.4%) and language barrier (15.0%). Additional barriers identified were the reluctance of patients to research utilization, the lack of funding, and the lack of legal protection. The top three greatest facilitators were enhancing managerial support (36.9%), advancing education to increase knowledge base (21.1%), and increasing time for reviewing and implementing (17.5%), while cooperation of patients to research utilization, establishing a panel to evaluate researches, and funding were listed as additional facilitators. Hospital, educational background, research experience, and knowledge on evidence-based nursing were the factors influencing perceptions of the barriers and facilitators. CONCLUSIONS Nurses in China are facing a number of significant barriers in research utilization. Enhancing managerial support might be the most promising facilitator, given Chinese traditional culture and existing health care system. Hospital, educational background, research experience and knowledge on evidence-based nursing should be taken into account to promote research utilization. The BARRIERS Scale should consider funding and involvement of patients in research utilization.
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Affiliation(s)
- Li-Ping Wang
- West China School of Nursing, West China School of Medicine/West China Hospital, Sichuan University, Wu Hou District, Chengdu, Sichuan Province, P. R. China
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Varaei S, Salsali M, Cheraghi MA. Implementation of evidence-based nursing practice for diabetic patients: an Iranian experience. Int J Nurs Pract 2013; 19 Suppl 3:73-80. [PMID: 24090300 DOI: 10.1111/ijn.12170] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Evidence-based nursing is recognized as an indicator of quality in nursing practice, a basis for accountability and the gold standard of professional nursing care. The aim of this study was to explore nurses' experiences and perceptions about evidence-based nursing practice in giving care to patients with diabetic foot ulcers. A qualitative research design was adopted, and content analysis was used to analyse data. Semistructured interviews were held with 19 bachelor-degree nurses working in a teaching hospital in an urban area of Iran. During data analysis, two main themes developed: 'structural backgrounds of the organization' and 'empowerment'. Accordingly, it was concluded that successful implementation of evidence-based nursing requires the reconfiguration of the administrative structure in the hospital. In addition, it requires the support of nurse leaders to facilitate the implementation of evidence-based nursing in the practice.
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Affiliation(s)
- Shokoh Varaei
- Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
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Chien WT, Bai Q, Wong WK, Wang H, Lu X. Nurses' perceived barriers to and facilitators of research utilization in mainland china: a cross-sectional survey. Open Nurs J 2013; 7:96-106. [PMID: 23919099 PMCID: PMC3731799 DOI: 10.2174/1874434601307010096] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2013] [Revised: 06/24/2013] [Accepted: 06/25/2013] [Indexed: 11/29/2022] Open
Abstract
Despite the drive towards evidence-based practice, the extent to which research evidence is being implemented
in nursing practice is unclear, particularly in developing countries. This study was to assess the levels of perceived
barriers to and facilitators of research utilization in practice among Chinese nurses and inter-relationships between these
barriers and facilitators and their socio-demographic characteristics. A cross-sectional, descriptive survey was conducted
in 2011 with 743 registered nurses randomly selected from four general hospitals in China. They completed the Barriers to
Research Utilization and Facilitators of Research Utilization scales. Correlation tests were used to test the relationships
between the nurses’ perceived barriers and facilitators, their demographic characteristics and research training and
involvement. The Chinese nurses’ level of perceived barriers was moderate on average and lower than that in previous
research. Among the 10 top-ranked items, six were from the subscale ‘Organizational Characteristics’. Their perceived
barriers were correlated positively with age and post-registration experience and negatively with research training
undertaken. Junior diplomatic nurses reported a significantly higher degree of barriers than those senior ones with postgraduate
education. Higher and more diverse barriers to research utilization in practice are perceived by Chinese nurses
than those in Western countries and they are associated with a few socio-demographic factors. Future research on these
barriers/facilitators and their relationships with occupational and socio-cultural factors in Chinese and other Asian nurses
is recommended.
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Affiliation(s)
- Wai-Tong Chien
- School of Nursing, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hong Kong
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Factors influencing evidence-based practice by Iranian general practitioners. Int J Health Care Qual Assur 2013; 26:360-74. [DOI: 10.1108/09526861311319582] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Chang HC, Jones MK, Russell C. Exploring Attitudes and Barriers Toward the Use of Evidence-Based Nursing among Nurse Managers in Taiwanese Residential Aged Care Facilities. J Gerontol Nurs 2013; 39:36-42. [DOI: 10.3928/00989134-20130110-02] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2011] [Accepted: 05/30/2012] [Indexed: 11/20/2022]
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Ubbink DT, Guyatt GH, Vermeulen H. Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping review. BMJ Open 2013. [PMID: 23355664 DOI: 10.1136/bmjopen‐2012‐001881] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVES Evidence-based practice (EBP) may help improve healthcare quality. However, not all healthcare professionals and managers use EBP in their daily practice. We systematically reviewed the literature to summarise self-reported appreciation of EBP and organisational infrastructure solutions proposed to promote EBP. DESIGN Systematic review. Two investigators independently performed the systematic reviewing process. INFORMATION SOURCES MEDLINE, EMBASE and Cochrane Library were searched for publications between 2000 and 2011. ELIGIBILITY CRITERIA FOR INCLUDED STUDIES Reviews and surveys of EBP attitude, knowledge, awareness, skills, barriers and facilitators among managers, doctors and nurses in clinical settings. RESULTS We found 31 surveys of fairly good quality. General attitude towards EBP was welcoming. Respondents perceived several barriers, but also many facilitators for EBP implementation. Solutions were proposed at various organisational levels, including (inter)national associations and hospital management promoting EBP, pregraduate and postgraduate education, as well as individual support by EBP mentors on the wards to move EBP from the classroom to the bedside. CONCLUSIONS More than 20 years after its introduction, the EBP paradigm has been embraced by healthcare professionals as an important means to improve quality of patient care, but its implementation is still deficient. Policy exerted at microlevel , middlelevel and macrolevel, and supported by professional, educational and managerial role models, may further facilitate EBP.
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Affiliation(s)
- Dirk T Ubbink
- Department of Quality Assurance & Process Innovation, Academic Medical Center, Amsterdam, The Netherlands
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Ubbink DT, Guyatt GH, Vermeulen H. Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping review. BMJ Open 2013; 3:bmjopen-2012-001881. [PMID: 23355664 PMCID: PMC3563143 DOI: 10.1136/bmjopen-2012-001881] [Citation(s) in RCA: 86] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVES Evidence-based practice (EBP) may help improve healthcare quality. However, not all healthcare professionals and managers use EBP in their daily practice. We systematically reviewed the literature to summarise self-reported appreciation of EBP and organisational infrastructure solutions proposed to promote EBP. DESIGN Systematic review. Two investigators independently performed the systematic reviewing process. INFORMATION SOURCES MEDLINE, EMBASE and Cochrane Library were searched for publications between 2000 and 2011. ELIGIBILITY CRITERIA FOR INCLUDED STUDIES Reviews and surveys of EBP attitude, knowledge, awareness, skills, barriers and facilitators among managers, doctors and nurses in clinical settings. RESULTS We found 31 surveys of fairly good quality. General attitude towards EBP was welcoming. Respondents perceived several barriers, but also many facilitators for EBP implementation. Solutions were proposed at various organisational levels, including (inter)national associations and hospital management promoting EBP, pregraduate and postgraduate education, as well as individual support by EBP mentors on the wards to move EBP from the classroom to the bedside. CONCLUSIONS More than 20 years after its introduction, the EBP paradigm has been embraced by healthcare professionals as an important means to improve quality of patient care, but its implementation is still deficient. Policy exerted at microlevel , middlelevel and macrolevel, and supported by professional, educational and managerial role models, may further facilitate EBP.
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Affiliation(s)
- Dirk T Ubbink
- Department of Quality Assurance & Process Innovation, Academic Medical Center, Amsterdam, The Netherlands
- Department of Surgery, Academic Medical Center, Amsterdam, The Netherlands
| | - Gordon H Guyatt
- Department of Clinical Epidemiology & Biostatistics, McMaster University, Hamilton, Canada
| | - Hester Vermeulen
- Department of Quality Assurance & Process Innovation, Academic Medical Center, Amsterdam, The Netherlands
- Amsterdam School of Health Professions, University of Amsterdam, Amsterdam, The Netherlands
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Barriers of research utilization from the perspective of nurses in Eastern Turkey. Nurs Outlook 2012; 60:44-50. [DOI: 10.1016/j.outlook.2011.07.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2010] [Revised: 04/08/2011] [Accepted: 07/15/2011] [Indexed: 11/17/2022]
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Pearce S, Rogers-Clark C. The uptake of research evidence: a systematic review of nurses' experiences of using research evidence in their practice. JBI LIBRARY OF SYSTEMATIC REVIEWS 2011; 9:1-12. [PMID: 27820187 DOI: 10.11124/01938924-201109641-00016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Affiliation(s)
- Susanne Pearce
- 1. Australian Centre for Rural and Remote Evidence Based Practice, Phone: +61(07) 4699 8312 Fax: +61(07) 4699 8940 E-mail: 2. Australian Centre for Rural and Remote Evidence Based Practice a JBI Collaborating Centre, Phone: +61(07) 4631 2005 Fax: +61(07) 4699 8940 E-mail:
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Filippini A, Sessa A, Giuseppe GD, Angelillo IF. Evidence-Based Practice Among Nurses in Italy. Eval Health Prof 2010; 34:371-82. [DOI: 10.1177/0163278710387924] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
A cross-sectional survey was conducted among a random sample of 449 nurses in Italy, using a self-administered questionnaire to assess knowledge, attitudes, and behaviors regarding evidence-based practice (EBP). A significantly higher level of knowledge was observed among nurses who (a) did not work in medical and surgical wards; (b) believed that the evaluation of the efficacy of the health interventions is needed in their activity; (c) believed that the clinical experience must be combined with the evidence; (d) attended a course about EBP in the last year; and (e) received information from courses and scientific journals. The perceived importance of the application of guidelines and protocols was significantly higher among nurses who (a) worked in medical wards; (b) agreed that the guidelines are useful in identifying and selecting interventions; (c) believed that the evaluation of the efficacy of the health interventions is needed in their activity; (d) believed that the clinical experience must be combined with the evidence; (e) attended a course about EBP in the last year; and (f) received information from courses and scientific journals. Nurses were more likely to have modified their practice in the last year if they attended a course about EBP in the last year and if they often/always read scientific journals and guidelines. While these data were cross-sectional and the response rate was only 49%, the results suggest that continuing education programs are needed for improving nurses’ knowledge and practice of EBP among nurses in Italy.
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Affiliation(s)
- Alberico Filippini
- Department of Public, Clinical and Preventive Medicine, Second University of Naples, Naples, Italy
| | - Alessandra Sessa
- Department of Public, Clinical and Preventive Medicine, Second University of Naples, Naples, Italy
| | - Gabriella Di Giuseppe
- Department of Public, Clinical and Preventive Medicine, Second University of Naples, Naples, Italy
| | - Italo F. Angelillo
- Department of Public, Clinical and Preventive Medicine, Second University of Naples, Naples, Italy
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Abstract
Evidence-based practice (EBP) incorporates use of the best scientific knowledge, expert opinion, clinician experience, and patient preferences to facilitate the best patient outcomes in healthcare. Recent studies have suggested that nurses lack the skills and expertise to facilitate EBP in a meaningful way. This replication study (n = 225) investigated the EBPs of gastroenterology nurses in the United States. Findings generally support the previous studies that suggest nurses do not yet possess the skills or resources to implement EBP. Recommendations for addressing this deficit in the specialty of gastroenterology nursing are discussed.
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Farsi Z, Dehghan-Nayeri N, Negarandeh R, Broomand S. Nursing profession in Iran: an overview of opportunities and challenges. Jpn J Nurs Sci 2010; 7:9-18. [PMID: 20618672 DOI: 10.1111/j.1742-7924.2010.00137.x] [Citation(s) in RCA: 112] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIM Iran's health-care system has witnessed profound changes in the last decades. Despite its progress, the system has currently faced many challenges in one of the important subsystems, nursing. The present review article aimed to present an overview of the opportunities and challenges of the Iranian nursing system, based on recent literature. METHODS A broad search of the English and Persian-language literature was carried out, incorporating both electronic and manual components from 1999 to 2009. The results of the investigations among the searched literature are summarized. RESULTS The major challenges are nursing shortages, job dissatisfaction, poor social position of nurses, the gap between theory and practice, lack of community-based nursing care, lack of an appropriate student recruiting system, and shortages in the nursing educational curriculums. CONCLUSION The authors believe that media, political and public support play a pivotal role in improving the image of nursing in society, increasing motivation among Iranian nurses, and promoting the sociocultural climate and the welfare of nurses, which will result in higher levels of quality of care as well as greater patient satisfaction.
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Affiliation(s)
- Zahra Farsi
- Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Nosrat St., Tohid Sq., Tehran, Iran
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Uysal A, Temel AB, Ardahan M, Ozkahraman S. Barriers to research utilisation among nurses in Turkey. J Clin Nurs 2010; 19:3443-52. [DOI: 10.1111/j.1365-2702.2010.03318.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Kajermo KN, Boström AM, Thompson DS, Hutchinson AM, Estabrooks CA, Wallin L. The BARRIERS scale -- the barriers to research utilization scale: A systematic review. Implement Sci 2010; 5:32. [PMID: 20420696 PMCID: PMC2883534 DOI: 10.1186/1748-5908-5-32] [Citation(s) in RCA: 158] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2009] [Accepted: 04/26/2010] [Indexed: 11/15/2022] Open
Abstract
Background A commonly recommended strategy for increasing research use in clinical practice is to identify barriers to change and then tailor interventions to overcome the identified barriers. In nursing, the BARRIERS scale has been used extensively to identify barriers to research utilization. Aim and objectives The aim of this systematic review was to examine the state of knowledge resulting from use of the BARRIERS scale and to make recommendations about future use of the scale. The following objectives were addressed: To examine how the scale has been modified, to examine its psychometric properties, to determine the main barriers (and whether they varied over time and geographic locations), and to identify associations between nurses' reported barriers and reported research use. Methods Medline (1991 to September 2009) and CINHAL (1991 to September 2009) were searched for published research, and ProQuest® digital dissertations were searched for unpublished dissertations using the BARRIERS scale. Inclusion criteria were: studies using the BARRIERS scale in its entirety and where the sample was nurses. Two authors independently assessed the study quality and extracted the data. Descriptive and inferential statistics were used. Results Sixty-three studies were included, with most using a cross-sectional design. Not one study used the scale for tailoring interventions to overcome identified barriers. The main barriers reported were related to the setting, and the presentation of research findings. Overall, identified barriers were consistent over time and across geographic locations, despite varying sample size, response rate, study setting, and assessment of study quality. Few studies reported associations between reported research use and perceptions of barriers to research utilization. Conclusions The BARRIERS scale is a nonspecific tool for identifying general barriers to research utilization. The scale is reliable as reflected in assessments of internal consistency. The validity of the scale, however, is doubtful. There is no evidence that it is a useful tool for planning implementation interventions. We recommend that no further descriptive studies using the BARRIERS scale be undertaken. Barriers need to be measured specific to the particular context of implementation and the intended evidence to be implemented.
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Affiliation(s)
- Kerstin Nilsson Kajermo
- Knowledge Utilization Studies Program (KUSP), Faculty of Nursing, University of Alberta, 5-104 Clinical Science Building, Edmonton, Alberta T6G 2G3, Canada.
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Chang HC, Russell C, Jones MK. Implementing Evidence-Based Practice in Taiwanese Nursing Homes: Attitudes and Perceived Barriers and Facilitators. J Gerontol Nurs 2010; 36:41-8. [DOI: 10.3928/00989134-20091204-04] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2009] [Accepted: 09/29/2009] [Indexed: 11/20/2022]
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Temel AB, Uysal A, Ardahan M, Ozkahraman S. Barriers to Research Utilization Scale: psychometric properties of the Turkish version. J Adv Nurs 2009; 66:456-64. [PMID: 19796118 DOI: 10.1111/j.1365-2648.2009.05162.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
AIM This paper is report of a study designed to assess the psychometric properties of the Turkish version of the Barriers to Research Utilization Scale. BACKGROUND The original Barriers to Research Utilization Scale was developed by Funk et al. in the United States of America. Many researchers in various countries have used this scale to identify barriers to research utilization. METHODS A methodological study was carried out at four hospitals. The sample consisted of 300 nurses. Data were collected in 2005 using a socio-demographic form (12 questions) and the Turkish version of the Barriers to Research Utilization Scale. A Likert-type scale composed of four sub-factors and 29 items was used. Means and standard deviations were calculated for interval level data. A P value of <0.05 was considered statistically significant. FINDINGS Language equivalence and content validity were assessed by eight experts. Confirmatory factor analysis revealed that the Turkish version was made up of four subscales. Internal consistency reliability coefficient was 0.92 for the total scale and ranged from 0.73 to 0.80 for the subscales. Total-item correlation coefficients ranged from 0.37 to 0.60. CONCLUSION The Turkish version of the scale is similar in structure to the original English language scale.
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Affiliation(s)
- Ayla Bayik Temel
- Department of Public Health, School of Nursing, Ege University, Bornova-Izmir, Turkey
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Salsali M, Mehrdad N. Iranian nurses' constraint for research utilization. BMC Nurs 2009; 8:9. [PMID: 19747399 PMCID: PMC2758881 DOI: 10.1186/1472-6955-8-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2009] [Accepted: 09/13/2009] [Indexed: 11/30/2022] Open
Abstract
Background This paper identifies the views of Iranian clinical nurses regarding the utilization of nursing research in practice. There is a need to understand what restricts Iranian clinical nurses to use research findings. The aim of this study was to identify practicing nurses' view of aspects which they perceived constrain them from research utilization that summarizes and uses research findings to address a nursing practice problem. Methods Data were collected during 6 months by means of face-to face interviews follow by one focus group. Analysis was undertaken using a qualitative content analysis. Results Findings disclosed some key themes perceived by nurses to restrict them to use research findings: level of support require to be research active, to be research minded, the extent of nurses knowledge and skills about research and research utilization, level of educational preparation relating to using research, administration and executive challenges in clinical setting, and theory-practice gap. Conclusion This study identifies constraints that require to be overcome for clinical nurses to actively get involved in research utilization. In this study nurses were generally interested to use research findings. However they felt restricted because of lack of time, lack of peer and manager support and limited knowledge and skills of the research process. This study also confirms that research utilization and the change to research nursing practice are complex issues which require both organizational and educational efforts.
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Affiliation(s)
- Mahvash Salsali
- Nursing Faculty, Tehran university of Medical Sciences, Tehran, Iran.
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