Organizational Processes Supporting Evidence-Based Practice

What are the factors of organisational culture in health care settings that act as barriers to the implementation of evidence-based practice? A scoping review

“…If health care professionals do not feel that EBP is valued by their colleagues and managers, they are less likely to try to implement new ideas whereas a staff member whose colleagues use, implement and discuss EBP on a regular basis is more likely to be motivated to seek out and use information in order to feel that they can contribute to the workplace (Bonner & Sando, 2008;Bostrom et al, 2008;Gerrish et al, 2008;Osterling & Austin, 2008). A collaborative workplace where open exchange of ideas is encouraged is more conducive to EBP use and implementation than a hierarchical workplace culture since it provides more open channels for information to flow between individual staff members and workplace groups (Green & Ruff, 2005;Plath, 2013;Rycroft-Malone, 2004;Scott & Pollock, 2008).…”

“…As a barrier to EBP, workload is a problem as patient-based tasks (medication dispensing, assessments, goal setting, responding to patient needs, discharge planning, debriefing with family members, etc.) need to come first and foremost (Brown et al, 2009;Chau et al, 2008;Kenny et al, 2010;Leonard et al, 2012;Plath, 2013;Profetto-McGrath et al, 2007;Turner, 2009). This leaves health care staff with little or no protected time in their typical working day to sit down, find, evaluate and integrate EBP findings (Gray et al, 2013).…”

Connecting Research to Action: Perspectives on Research Utilisation

“…However this appears to be shifting, and EBP discourse too is now pointing towards the crucial roles played by organisations not just individuals (Gray, et al, 2013a(Gray, et al, , 2013bGray and Schubert,, 2011Mullen et al, 2008;Plath, 2012Plath, , 2013aPlath, , 2013bProctor and Rosen, 2008). In turn, it is their shared focus on organisations that provides the axis around which the KPU and EBP discourses are beginning to converge.…”

“…Across both discourses, many studies now mention the importance of a 'culture of expectation' within the practice community that values and drives research use (Gray et al, 2012(Gray et al, , 2013a(Gray et al, , 2013bHemsley-Brown and Sharp, 2004;Plath, 2012Plath, , 2013aPlath, , 2013b. As Cooper and Levin (2010) note: 'Organisational and systemic approaches are needed across institutions, especially in terms of increasing collaboration and networks among relevant parties ' (p. 356).…”

“…For genuine and sustained change to occur, an organisational culture that values and resources the production, transfer, translation, and use of research in practice is crucial (Gray et al, 2012(Gray et al, , 2013a(Gray et al, , 2013bCooper and Levin, 2010;Gabbay et al, 2003;Greenhalgh et al, 2003Greenhalgh et al, , 2004Plath, 2012Plath, , 2013aPlath, , 2013b.…”