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Poiroux L, Bruyneel A, Larcin L, Fossat G, Kamel T, Labro G, Goursaud S, Rouze A, Heming N, Hermann B. Barriers to research findings utilization amongst critical care nurses and allied health professionals: An international survey. Intensive Crit Care Nurs 2024; 81:103610. [PMID: 38171952 DOI: 10.1016/j.iccn.2023.103610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Revised: 11/16/2023] [Accepted: 12/15/2023] [Indexed: 01/05/2024]
Abstract
OBJECTIVES To determine the perceived barriers to the implementation of research findings in clinical practice among critical care nurses and allied health professionals. METHODS A cross-sectional study was conducted using an online questionnaire sent to critical care nurses and allied health professionals in French-speaking countries. The primary objective was the identification and grading of perceived barriers to implementation of research findings into clinical practice, using a previously validated tool (French version of the BARRIERS scale). The scale is divided into 4 dimensions, each containing 6 to 7 questions to be answered using a 4-point Likert scale (1: no barrier, 4: great barrier). Descriptive statistics were performed and weighted score per dimensions were compared. Univariate and multivariate linear regressions were performed to identify factors associated with the total score by dimension. RESULTS A total of 994 nurses and allied health professionals (85.1 % of ICU nurses) from 5 countries (71.8 % from France) responded to the survey. Main reported barriers to research findings utilization were "Statistical analyses are not understandable" (54.5 %), "Research articles are not readily available" (54.3 %), and "Implications for practice are not made clear" (54.2 %). Weighted scores differed between dimensions, with the "communication" and "organization" dimensions being the greatest barriers (median [IQR]: 2.3 [1.8-2.7] and 2.0 [1.6-2.4], while the "adopter" and "innovation" dimensions having lower scores (1.5 [1.2-1.8] and 1.5 [1.0-1.8] (all pairwise comparisons p-value < 0.0001, except for the adopter vs. innovation comparison, p > 0.05). CONCLUSIONS Accessibility and understanding of research results seem to be the main barriers to research utilization in practice by respondents. A large number of the reported barriers could be overcome through education and organizational change. IMPLICATIONS FOR PRACTICE Promoting a research culture among nurses and allied health professionals is an issue that needs investment. This should include training in critical reading of scientific articles and statistics.
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Affiliation(s)
- Laurent Poiroux
- Medical intensive care unit, University Hospital of Angers, France; Nursing Department Health Faculty of the University of Angers - Inserm UMR 1085 - Equipe d'épidémiologie en santé au travail et ergonomie (ESTER), France
| | - Arnaud Bruyneel
- Health Economics, Hospital Management and Nursing Research Dept, School of Public Health, Université Libre de Bruxelles, Belgium.
| | - Lionel Larcin
- Research Centre for Epidemiology, Biostatistics and Clinical Research, School of Public Health, Université Libre de Bruxelles, Belgium
| | - Guillaume Fossat
- Medical Intensive Care Unit, Regional Hospital Centre, Orléans, France; UR 20201, Equipe de Recherché Paramédicale sur le Handicap Neuromoteur (ERPHAN), université Versailles Saint-Quentin en Yvelines, France
| | - Toufik Kamel
- Medical Intensive Care Unit, Regional Hospital Centre, Orléans, France
| | - Guylaine Labro
- Medical Intensive Care Unit, Groupement Hospitalier Régional Mulhouse Et Sud Alsace, Hôpital Emile Muller, Mulhouse, France
| | | | - Anahita Rouze
- University Lille, Inserm U1285, CHU Lille, Medical Intensive Care Unit, CNRS, UMR 8576 - UGSF - Unité de Glycobiologie Structurale et Fonctionnelle, F-59000 Lille, France
| | - Nicholas Heming
- Department of Intensive Care, Hôpital Raymond Poincaré, APHP University Versailles Saint Quentin-University Paris Saclay, 92380 Garches, France; Laboratory of Infection & Inflammation-U1173, School of Medicine Simone Veil, University Versailles Saint Quentin-University Paris Saclay, INSERM, 92380 Garches, France; FHU SEPSIS (Saclay and Paris Seine Nord Endeavour to PerSonalize Interventions for Sepsis), 92380 Garches, France
| | - Bertrand Hermann
- Medical Intensive Care Unit, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Université Paris Cité (APHP.Centre-Université Paris Cité), Paris, France; INSERM UMR 1266, Institut de Psychiatrie et Neurosciences de Paris (IPNP), Université Paris Cité, Paris, France
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Souza LCD, Campos JF, Machado DM, Ribeiro GDSR, Barboza Lemos RDCP, Machado SDC, Silva MMD, Coutinho VRD, Silva RCD. Peripheral Intravenous Catheter Insertion: Professionals' Performance and Implications for Patient Safety: A Cross-Sectional Study. JOURNAL OF INFUSION NURSING 2024; 47:42-48. [PMID: 38211614 DOI: 10.1097/nan.0000000000000531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2024]
Abstract
This study evaluated peripheral intravenous catheter insertion by licensed practical nurses in a simulated scenario. This cross-sectional and descriptive study was performed in a general hospital's simulation center located in Brazil, from January to October 2020. The authors developed a tool from the leading guidelines to measure peripheral intravenous catheter insertion performance in 60 licensed practical nurses. Data were analyzed using descriptive statistics, with proportions for categorical variables and analytical statistics to denote significance, using SPSS version 22.0. Ethical aspects were respected. Despite the sample comprising professionals who declared an average experience with peripheral intravenous catheter insertion of 6.4 years, at least 50% failed in some tool element. This low score on peripheral intravenous catheter insertion performance is because automation is possible without efforts to improve it. Adding years of practice does not generate better performance. The licensed practical nurses' performance was lower than expected, considering their reported experience, which poses a risk to patient safety. The training of these professionals needs to be discussed in countries where the practice is legal. Skills training should include simulation to approximate clinical practice; nurses must exercise their role in supervising the team.
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Affiliation(s)
- Lucimar Casimiro de Souza
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
| | - Juliana Faria Campos
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
| | - Debora Mazioli Machado
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
| | - Gabriella da Silva Rangel Ribeiro
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
| | - Romanda da Costa Pereira Barboza Lemos
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
| | - Sabrina da Costa Machado
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
| | - Marcelle Miranda da Silva
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
| | - Veronica Rita Dias Coutinho
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
| | - Rafael Celestino da Silva
- Hospital Samaritano Botafogo, Rio de Janeiro, Brazil (Souza); Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil (Campos, Machado, Silva, Silva, Lemos); Clinical Simulation Center, Pró Cardíaco Hospital, Rio de Janeiro, Brazil (Machado); Intensive Care Nursing, State University of Rio de Janeiro, Rio de Janeiro, Brazil (Ribeiro); Nursing School of Coimbra, Coimbra, Portugal (Coutinho)
- Lucimar Casimiro de Souza, MSN, received a master's degree in nursing from the Anna Nery School of Nursing at the Federal University of Rio de Janeiro and is a senior quality analyst at Hospital Samaritano Botafogo in Rio de Janeiro
- Juliana Faria Campos, PhD, Sabrina da Costa Machado, PhD, Marcelle Miranda da Silva, PhD, and Rafael Celestino da Silva, PhD, have their PhDs in nursing and are associate professors at the Anna Nery School of Nursing, Federal University of Rio de Janeiro
- Debora Mazioli Machado, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and head of the education department of the Clinical Simulation Center at the Pró Cardíaco Hospital
- Gabriella da Silva Rangel Ribeiro, PhD(c), is a PhD candidate in nursing at the Anna Nery School of Nursing, Federal University of Rio de Janeiro, and a specialist in intensive care nursing from the State University of Rio de Janeiro
- Romanda da Costa Pereira Barboza Lemos, PhD(c), is a PhD candidate in nursing at the Anna Nery Nursing School, Universidade Federal do Rio de Janeiro
- Veronica Rita Dias Coutinho, PhD, has a PhD in nursing science and is an assistant professor and coordinator of the office for quality and assessment of the Nursing School of Coimbra, Portugal
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