Obstacles in employing evidence-based practice by nurses in their clinical settings: a descriptive study

Abstract

Objective The challenge of employing evidence-based practice (EBP) is multifarious and varied. Nursing interventions supported by research evidence have been exposed to progress positive patient outcomes, while its implementation is faced with various obstacles. This study aimed to identify obstacles in employing EBP by nurses in their clinical settings. Methods This descriptive design study was conducted at Benha University Hospital with a convenient sample of 154 nurses. Two tools were utilized: (I) sociodemographic data sheet, which included sociodemographic characteristics of the participants, and (II) interview scale, which contained two parts: (1) obstacles scale, which contained obstacles that impede nurses from the utilization of EBP, and (2) questions to rank the three greatest obstacles in employing EBP by nurses. Results The greatest EBP obstacle ranked by nurses was the organizational limitations (90.9%), followed by research quality (86.9%) and research accessibility (51.0%), while individual characteristics (35.9%) were ranked as the least obstacle. There was a significant statistical correlation between organizational limitations, research quality as well accessibility-related obstacles and nurses’ age, level of education, as well their years of work experience (P<0.05). Conclusions Findings of this study showed series of obstacles in employing EBP by nurses in their clinical settings, stressing the call for expansion of nurses’ capabilities related to EBP utilization in patients’ care.

Nurses’ Knowledge, Perception, and Attitude towards Evidence-Based Practice at King Abdullah Medical City-Saudi Arabia

“…Theses in line with Bashar [26] who reported that nurses who were more knowledgeable regarding EBP, had a greater positive attitude towards EBP and a stronger tendency to apply EBP. This result is in contrast with Karki et al [27] who reported that although this sample of Nepalese nurses and students had positive attitudes towards EBP, their knowledge and skills were limited, and there are many barriers to implementing EBP in Nepal.…”

“…Furthermore, EBP is a keystone for health care quality [26]. As nurses play a vital role in the delivery of health care and results of revised studies show nurses do not generally integrate research evidence in their daily practice [27]. The current study was conducted to assess the knowledge, perception and altitude regarding EBP among nurses working at King Abdullah Medical City, Makkah, Saudi Arabia.…”

Healthcare professional perspectives on barriers and enablers to falls prevention education: A qualitative study

“…While there have been studies of health professional experiences with patient falls in hospital [ 23 , 24 ], and health professional views of patient education [ 25 , 26 ], there has not yet been a study exploring health professional views about hospital patient falls education. A greater understanding of health professional views can help to facilitate implementation of evidence-based practice [ 27 , 28 ]. Identifying health professional views is necessary to facilitate a process where their needs are met and therefore lead to them being more willing to engage with implementing evidence-based approaches [ 29 , 30 ].…”

A cross-sectional survey exploring the attitude, knowledge, and use of anesthesia teams toward evidence-based practice in Riyadh Saudi Arabia

“…Practitioners have reported encountering several obstacles with the use of EBP in clinical practice ( 23 ). Many studies have found that insufficient knowledge about EBP, lack of time due to workload, level of academic qualifications and level of work experience were the main barriers to the use of EBP during clinical practice ( 24 – 28 ).…”