Context as a Facilitator of the Implementation of Evidence-based Nursing: A Meta-synthesis

Abstract

Nurses have numerous difficulties in implementing science due to obstacles related to the work context. The aim is to explore the work-context-related facilitators of the application of evidence in clinical practice by nursing professionals. Qualitative meta-synthesis of primary studies on nurses’ experiences of work-context-related facilitators, as defined by the Promoting Action on Research Implementation in Health Services model. Using the Qualitative Appraisal and Review Instrument of the Joanna Briggs Institute. Of the total 57 primary research articles included, an explanatory model of the facilitating factors related to the work context was generated on the basis of four general categories: institutional support (leadership), multidisciplinary support (teamwork and communication), culture of improving quality of care (nursing professionals’ attitudes towards change) and use of research (valuing research). Action can be taken on the facilitating factors of the evidence-based practice application in nursing clinical environments, providing resources and motivation from the organization.

Evidence‐based practice nurses' competency: Spanish national survey and establishment of a scale of the EBP‐COQ‐Prof©

“…These items were related to the use of EBP at work, meaning, in the context where the care was provided. The context is a determining factor in the different models found for the implementation of knowledge (Clavijo‐Chamorro et al., 2020; Nilsen, 2015). And it has already been documented that a conducive environment for EBP favours its application by health professionals (Melnyk, 2014; Skela‐Savič et al., 2016).…”

Systematic education has a positive impact on nurses' evidence-based practice: Intervention study results

“…Factors that facilitate EBP include education, leadership, time, and a culture that encourages improvements in the quality of care. (Berthelsen and Holge-Hazelton, 2021;Clavijo-Chamorro et al, 2020).…”

Leadership as a Facilitator of Evidence Implementation by Nurse Managers: A Metasynthesis

“…The purpose of this metasynthesis, which is similar to that of its context-related predecessor (Clavijo-Chamorro et al, 2020), is exactly as Squires et al (2012) described, i.e., to find characteristics, relationships, groupings, and dimensions of the facilitating subelements of leadership within the PARiHS framework in primary studies in order to reshape and improve the model, make it more effective in the current context, and compare our results with those of other studies on conceptualizations of leadership among nurse managers.…”

“…This study aims to compare the results of primary studies on the facilitation factors for evidence-based nursing practice implementation in order to unravel the links between the subelements of the PARiHS model that relate to leadership and its facilitation, enabling nurse managers to put this model into practice more effectively and efficiently. In line with a previous qualitative metasynthesis, but with the difference, that metasynthesis studied the vision of clinical nurses on the influence of the working context on the application of evidence (Clavijo-Chamorro et al, 2020), this article aims to explore the factors facilitating leadership from the perspective of nurse managers.…”