Managerial attitudes and perceived barriers regarding evidence-based practice: An international survey

Barends, Eric; Villanueva, Josh; Rousseau, Denise M.; Briner, Rob B.; Jepsen, Denise M.; Houghton, Edward L.; Have, Steven ten

doi:10.1371/journal.pone.0184594

Cited by 70 publications

(76 citation statements)

References 57 publications

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“…This lies in the fact that generating research evidence is time‐consuming and use of provided evidence needs some time to be appreciated. Practitioner time constraints also tend to limit the use of EBP because of perceived barriers in their work settings (Barends et al., ). Similarly, in this review, lack of time to read research findings, conduct research, and implement new ideas into practice was reported as one of the most common barriers to EBP across studies.…”

Section: Discussionmentioning

confidence: 99%

Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review

Shayan

Kiwanuka

Nakaye

2019

Worldviews Ev Based Nurs

102

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Background Evidence‐based practice (EBP) is both a goal and an approach that requires a combination of clinical experience with the most credible recent research evidence when making decisions in healthcare practice. The approach has been widely embraced; however, an evidence‐to‐practice gap still exists. Aim To assess barriers to EBP among nurses in low‐ and middle‐income countries. Methods This review conforms to the PRISMA statement. Databases PubMed, Scopus, EMBASE, and Web of Science/Knowledge were searched using a combination of keywords that included “barriers,” “evidence‐based practice,” and “nurses.” The references of the selected articles were also hand‐searched to obtain additional relevant articles. Studies published in peer‐reviewed journals in English between 2000 and 2018 were included in the review. Results Sixteen articles were included in the analysis, with a total number of 8,409 participants. Both qualitative and quantitative studies were included in the review. Three main themes emerged from eight categories found. The three main themes were institutional‐related barriers, interdisciplinary barriers, and nurse‐related barriers. The theme of institutional‐related barriers emerged from four categories, which included scant resources, limited access to information, inadequate staffing, and lack of institutional support. The theme of interdisciplinary barriers emerged from subcategories that included lack of communication between academic and clinical practice environments, inconsistency between education and practice in the nursing discipline, lack of teamwork, and the public's negative image about the nursing profession. Finally, the theme of nurse‐related barriers emerged from categories including perceived limitations in the scope of nurses’ practice, time, knowledge of EBP, and individual‐related barriers. Linking Evidence to Action These findings may guide the design of future interventions aimed at fostering EBP. Implementing EBP in practice should be systematic and requires institutional will and interdisciplinary and individual commitment. It should be a collective goal and a win‐win situation for nurses, clinicians, and healthcare organizations.

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Section: Discussionmentioning

confidence: 99%

Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review

Shayan

Kiwanuka

Nakaye

2019

Worldviews Ev Based Nurs

102

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“…In Barend's study, most respondents base their decisions on personal experience (94%), knowledge acquired through formal education (71%), intuition (67%), advice from colleagues (64%), or insights provided by experts (63%). The minority of those managers interviewed replied that they base their decisions on findings from scientific research (33%) ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

Health care managers’ perspectives on the sources of evidence in evidence-based hospital management: A qualitative study in Iran

Janati¹,

Hasanpoor²,

Hajebrahimi³

et al. 2017

Ethiop J Health Sci

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BACKGROUND: Evidence-based management (EBMgt) has been developed as a management framework for improving the quality of management decisions. To use that, we need to identify the source of evidence in decision-making. Therefore, the purpose of this study was to identify the sources of evidence in managing hospitals. METHODS: Qualitative methods were used to explore the sources of evidence and to identify hospital managers' attitudes towards evidence-based management. A series of semi-structured interviews (n=48), with a purposive sample of 48 participants, were conducted in 2016. Also, four focus group discussions (FGDs) were conducted with health managers and specialists in the field of management. A questionnaire was used for collection of demographic characteristics and managers' perspectives. RESULTS: Six main themes emerged from the interviews including: scientific and research evidence, facts and information of hospital, political-social development plans, managers' professional expertise and ethical-moral evidence. Also, the results showed that the majority of participants believed to use the evidence-based hospital management (95.83%). CONCLUSIONS: Our study suggested that a full evidence-based hospital manager someone who is using all the sources of evidence for making hospital decisions. Using hexagon of evidence sources, managers can identify the best available evidence for hospital decisions and to make the best decision in the process of evidencebased decision making.

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“…These included internally developed data, best practice, stakeholders'/clients' expectations, instances of external practice, expert opinions, quantitative research, and qualitative research ( 16 , 22 ). Moreover, Barends et al listed four main evidence types which include following items: the best available scientific research, organizational data, professional experience and judgment, and stakeholders' values and concerns ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

An Evidence-Based Framework for Evidence-Based Management in Healthcare Organizations: A Delphi Study

Janati¹,

Hasanpoor²,

Hajebrahimi³

et al. 2018

Ethiop J Health Sci

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BackgroundEvidence-based management (EBMgt) is a growing literature concept in management sciences which claims that management decision-making must be based on the best available evidence. The aim of this paper is to present and provide an evidence-based framework for EBMgt to improve decision-making in healthcare organizations.MethodsA two-round Delphi survey was used to collect the factors affecting EBMgt. Purposive and snowball sampling methods were used in both rounds. In round 1, we conducted a systematic review and a series of semi-structured interviews (n=45). In round 2, a specific questionnaire with four main parts was designed. The experts (n=21) were asked to rate on a 9-point Likert scale the importance of each factor. The data was collected through Google Forms (n=11) and paper forms (n=10).ResultsParticipants were mostly men (73%). Overall, 126 factors were selected in round 1. Factors were classified into 4 categories: facilitators, barriers, the sources of evidence and EBMgt process that consisted of 48, 46, 22 and 10 factors, respectively. In round 2, based on median scores, many factors (n=114) were found to be very important. Only, 12 factors have a median score of less than 3 and were excluded from the study. Finally, 114 factors were confirmed.ConclusionsConfirmed factors played significant roles in affecting the practice of EBMgt among healthcare managers. We tried to facilitate interaction between these factors in the framework. Depending on the type of problem, using six steps of EBMgt process, managers will select the best evidence among six sources of evidence.

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Managerial attitudes and perceived barriers regarding evidence-based practice: An international survey

Cited by 70 publications

References 57 publications

Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review

Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review

Health care managers’ perspectives on the sources of evidence in evidence-based hospital management: A qualitative study in Iran

An Evidence-Based Framework for Evidence-Based Management in Healthcare Organizations: A Delphi Study

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