Has the BARRIERS Scale changed nursing practice? An integrative review

Carlson, Cathy; Plonczynski, Donna J.

doi:10.1111/j.1365-2648.2008.04705.x

Cited by 106 publications

(117 citation statements)

References 47 publications

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“…Lack of time was found to be an important barrier to the implementation of EBP. Time has also previously been shown to be a barrier to the use of EBP among healthcare professionals (Carlson and Plonczynski 2008;Heiwe et al 2011). Insufficient time may constitute a major source of work-related stress if heavy demands are placed on the medical social worker without providing additional time and resources.…”

Section: Discussionmentioning

confidence: 99%

Research Use and Evidence-Based Practice Among Swedish Medical Social Workers: A Qualitative Study

et al. 2018

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The aim of this study was to explore medical social workers' perceptions of evidencebased practice (EBP), including factors relevant for the successful implementation of evidence into medical social work practice. Eight focus group interviews were conducted that included 27 medical social workers. Data were analyzed using qualitative content analysis, which resulted in two categories: "knowledge in practice" and "challenges in relation to the implementation of EBP" and four subcategories: "practice based on research evidence or experience", "obtaining new evidence of practice", "research and the social work context", and "barriers and facilitating factors". Participants tended to perceive EBP as theoretical and positivistic while perceiving their own knowledge as eclectic and experience-based. Although they perceived the relevance of research findings to their clinical practice, they expressed a need for support to translate research into policy and practice. They also reported that studies about their specific work were scarce. The medical social workers' suggestion for the facilitation of knowledge exchange needs further investigation.

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Section: Discussionmentioning

confidence: 99%

Research Use and Evidence-Based Practice Among Swedish Medical Social Workers: A Qualitative Study

et al. 2018

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“…Evidence-based practice is considered foundational to quality care and has been shown to reduce costs and variability in care (Carlson & Plonczynski, 2008). been identified as a necessary first step in to overcoming common barriers (Carlson & Plonczynski, 2008;Frasure, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…Thus research efforts should now be directed towards finding ways to overcome barriers (Carlson & Plonczynski, 2008;Frasure, 2008).…”

Section: Assessing Organizational Culturementioning

confidence: 99%

Evidence-Based Practice in Nursing

Linde

2015

Preprint

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<p>Evidenced-based practice (EBP) as defined by the Institute of Medicine(IOM) is the integration of "best research with clinical expertise and patient values for optimum care"(IOM, 2003, p.45-46). Evidence-based practice (EBP) is considered a standard for safe and quality care (Carlson & Plonczynski, 2008). Healthcare leaders recognize EBP as an integral part of achieving quality outcomes and attaining high reliability. The Institute of Medicine (IOM) has established a goal that 90% of healthcare decisions in the United States be evidenced based by the year 2020 (IOM, 2009). Despite the fact that EBP has been promoted for many years, inconsistencies in implementation and adoption have been noted. Barriers to the implementation of EBP need to be understood. Assessing organizational culture has been identified as a necessary first step in to overcoming common barriers (Carlson & Plonczynski, 2008; Frasure, 2008). The purpose of this study was to assess the practice, attitudes and knowledge of EBP in registered nurses using the Evidence-Based Practice Questionnaire (EBPQ). The study used a descriptive design with convenience sampling. All staff registered nurses (RNs), Clinical Managers (CMs) and Assistant Clinical Managers (ACMs) on inpatient units within a large medical center in the Northeast were invited to participate in this survey. Study results are similar to those found in literature previously cited: a positive attitude towards EBP with a lower perception of knowledge or practice (Melnyk et al., 2004) and belief that more knowledge is needed (Alspach, 2006; Melnyk et al., 2004; Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012). This assessment indicates a degree of environmental readiness and provides relative estimation of educational needs.</p>

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“…Researchers over many years have depended on Funk et al (1991) BARRIERS scale to identify nurses' untoward perceptions or barriers to research utilization (Carlson and Plonczynski, 2008). The scale categorizes the barriers into four main areas including; Nurse (adopter), Setting (organization), Research (innovation) and Presentation (Communication).…”

Section: Literature Reviewmentioning

confidence: 99%

Barriers to Research Utilization among Registered Nurses at Hamad Medical Corporation

Nashwan¹,

Abujaber²,

Mansour³

2016

International Journal of Research in Nursing

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This study aimed to determine the barriers to research utilization from HMC registered nurses' perspectives. This quantitative descriptive study used a newly developed 25-item questionnaire. The questions were categorized into three domains: Nurse-related, System-related and Research-related Barriers. The questionnaire was distributed electronically via e-mail service to all registered nurses in Hamad Medical Corporation (HMC) (N = 5000). About 901 responses were collected (response rate = 18%). Of the total responses, 430 met the inclusion criteria. Results showed that System-related barriers domain scored the least average among the three domains. Followed by research and nurse-related barriers domains respectively. Lack of access to research experts (51%), lack of physicians' support to change practice (52%), lack of protected time for research (55%) and lack of other disciplines' support to change practice (57%) were reported as top system-related barriers. The difficulty of utilizing research findings in clinical practice was reported as a research-related barrier (57%). Moreover, results showed a significant relationship (P-value 0.005) between access to research experts and the support from other disciplines with the hospital where the nurses work within HMC. Otherwise, no significant relationship between the identified barriers and demographic characteristics was determined. The findings provided baseline information for an organizational research utilization program, necessary measures such as; protected time, accessibility to research mentors or experts and evidence-based practice units are highly recommended by the frontline nurses through a review of the successful research governance models within HMC.

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Has the BARRIERS Scale changed nursing practice? An integrative review

Abstract: It appears that there would be minimal benefit from further descriptive research using the BARRIERS Scale. Research is needed to investigate whether relationships exist between perceptions of barriers to nurses' use of research and the use evidence-based practice.

Cited by 106 publications

References 47 publications

Research Use and Evidence-Based Practice Among Swedish Medical Social Workers: A Qualitative Study

Research Use and Evidence-Based Practice Among Swedish Medical Social Workers: A Qualitative Study

Evidence-Based Practice in Nursing

Barriers to Research Utilization among Registered Nurses at Hamad Medical Corporation

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