Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice in Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia

Abstract

Background: Historically, nurses have relied on expert' opinions in clinical decision-making. However, these ways of practicing may not only be outdated but unsafe. Experienced-based knowledge may be associated with biased thinking that lead to errors. Objective: Assessment of nurses' perceptions, level of use and barriers on Evidence Based Practice. Method: Two hundred ten nurses were assessed through self-administer questionnaires for quantitative and fifteen nurses were also involved in in-depth interview for qualitative. The quantitative data was analysis in SPSS version 21. The qualitative was analyzed through open code. Results: 90% and 73.8% have good perception and positive attitude respectively. Of the total 210 121(57.6%) of nurses were integrate EBP in their clinical practice. Only 19 (15.7%) use EBP in their clinical practice always. Knowledgeable (AOR 3.2 95%CI 1.5-7.0); skill, (AOR 2.4, 95%CI 1.1-5.4); free time (AOR 7.9, 95%CI 3.5-17.6); supportive nursing managers (AOR 5, 95%CI 1.7-14.5) have significant association with implementation of EBP. But, year of experience and perception have no association. Conclusion: Both individual and organizational factors are the predominant factors that hinder implementation of EBP. So, hospital managements and nursing leaders can easily overcome some of these barriers through arranging EBP training.

Awareness, attitudes and knowledge of evidence-based medicine: A cross-sectional baseline survey among academic healthcare practitioners in Namibia

“…These findings agree with earlier studies (Hadgu et al, 2015;Okwundu, 2010;Nwagwu, 2008) that found inadequate EBM knowledge and training in health workers. Our study also reveled that almost all (97%) academics were interest in EBM training consistent with other authors (McInerney & Suleman, 2010;Okwundu, 2010;Hadgu et al, 2015). While we cannot give authentic reasons for these results, EBM training courses could be limited in Namibia.…”

“…The majority (89%) had favorable views of EBM, consistent with academics study by McInerney & Suleman (2010). The presence of positive attitudes towards EBM was also consistent with the findings of other authors in in Africa (Boer, 2012;Ntaganira, 2012;Hadgu et al, 2015). In this study, the majority (66%) reported EBM promotion in their institution, which supports a previous finding in South African University (McInerney & Suleman, 2010).…”

“…This figure is close to 80% rate in academics in South Africa (McInerney & Suleman, 2010), 80% health workers in Rwanda and Uganda (Boer, 2012), and 74% nurses in Ethiopia (Hadgu et al, 2015). Conversely, 74% and 76% of them had low level of EBM knowledge and lacked EBM training, respectively.…”

Relevance and Barriers to Evidence-Based Practice in Zambian Defense Force Medical Services: A Qualitative Analysis of Roundtable Group Discussion by Military Health Personnel

“…EBP stipulates the use of current best evidence with clinical experiences and patient preferences to make sound decisions regarding patient care [3]. During the past two decades, the principle of EBP has been used outside the field of medicine, including nursing [4][5][6][7][8], mental health [9], population health [2], higher education [10] and policy development [11].…”

“…These barriers can be broadly classified as organizational, individual and peer level barriers [20]. In Africa, few such studies have explored the barriers of EBP in public health system and higher education sector [6,7,10,14,[22][23][24][25][26][27][28][29], but none in the military healthcare system. Thus far, evidence is lacking on the relevance and barriers to EBP in military healthcare in Africa.…”