The spectrum of barriers to and facilitators of research utilization in Iranian nursing

Mehrdad, Neda; Salsali, Mahvash; Kazemnejad, Anoushirvan

doi:10.1111/j.1365-2702.2007.02040.x

Cited by 79 publications

(135 citation statements)

References 40 publications

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“…The lack of adequate resources and physical facilities for EBP are universal and our finding is consistent with previous research [7,8,17,21,24,26]. In a qualitative study in Latin American hospitals, professional informants reported scarce physical facilities as their main hurdle to change perinatal care practice [21].…”

Section: Organizational/system-based Barriers To Ebpsupporting

confidence: 82%

“…They stated lack of free time and hectic workload, consistent with other authors from Africa [6,7,10,29] and elsewhere [4,5,8,17,18]. These hurdles can deter staff from attending a journal club, searching for articles, reading or integrating research evidence into practice.…”

Section: Organizational/system-based Barriers To Ebpsupporting

confidence: 48%

“…EBP stipulates the use of current best evidence with clinical experiences and patient preferences to make sound decisions regarding patient care [3]. During the past two decades, the principle of EBP has been used outside the field of medicine, including nursing [4][5][6][7][8], mental health [9], population health [2], higher education [10] and policy development [11].…”

Section: Introductionmentioning

confidence: 99%

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Relevance and Barriers to Evidence-Based Practice in Zambian Defense Force Medical Services: A Qualitative Analysis of Roundtable Group Discussion by Military Health Personnel

2017

ARC Journal of Nursing and Healthcare

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Section: Organizational/system-based Barriers To Ebpsupporting

confidence: 82%

Section: Organizational/system-based Barriers To Ebpsupporting

confidence: 48%

Section: Introductionmentioning

confidence: 99%

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Relevance and Barriers to Evidence-Based Practice in Zambian Defense Force Medical Services: A Qualitative Analysis of Roundtable Group Discussion by Military Health Personnel

2017

ARC Journal of Nursing and Healthcare

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“…42 Nursing shortage is a serious issue in many Asian countries such as Iran; and nurses are practicing under an overwhelming workload. 43,44 This issue results in less nurses being available for patients, and the resulting time restriction dissuade the nurses from providing the education for their patients. 45 In addition to the unbalanced nursepatient ratio due to nurse shortage and large number of hospitalized patients, nurses are expected to do nonprofessional tasks such as coordinating, transporting patients and performing ancillary services which leading to increased workload.…”

Section: Discussionmentioning

confidence: 99%

Patient education among nurses: bringing evidence into clinical applicability in Iran

2016

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Objective. The aim of this study was to present a comprehensive review of the literatures describing barriers and facilitators of patient education (PE) perceived by Iranian nurses in order to explain clinical applicability of patient education. Methods. Review of the literature was undertaken using the international databases including PubMed/Medline, Scopus, ScienceDirect, as well as Google Scholar. Also, Persian electronic databases such as Magiran, SID and IranMedex were searched. Electronic databases were searched up from conception to September 2014 using search terms: "patient education", " patients education", "patient teaching", "patient training", "nurse", " nurses", " nursing", " and "Iran". Only studies were included that were related to barriers and facilitators of PE among Iranian nurses. Results. Twenty-seven studies were included. The main influential barriers were categorized into three major areas: 1) Nurserelated factors: nursing shortage 2) Administrationrelated factors: unsupportive organizational culture, and 3) Patient-related factors: low compliance. The most perceived facilitators were recognized as "increasing, selecting and training special nurses for providing PE" and "providing PE courses for nurses and appropriate facilities for PE". Conclusion. Iranian nurses encounter barriers in PE, and the most frequently encountered barriers were related to administration factors. These findings have implications for administrators and managers in health settings. In order to promote PE among nurses, administrators should create a supportive environment and use effective strategies to smooth the progress of PE by nurses in their practice in order to ensure optimal outcomes for patients. "educación del paciente", "educación de pacientes", "enseñanza del paciente", "entrenamiento del paciente", "enfermera", "enfermeras", e "Irán". Solo se analizaron los estudios relacionados con las barreras y facilitadores de EP entre enfermeras iraníes.Resultados. Se incluyeron 27 estudios. Las principales barreras se clasificaron en tres grandes áreas: 1) Factores relacionados con la enfermería: escasez de este recurso humano, 2) Factores relacionados con la administración: inapropiada cultura organizacional y 3) Factores relacionados el paciente: bajo cumplimiento. Los facilitadores más percibidos se reconocieron como "el aumento, la selección y formación especial de las enfermeras para proporcionar EP" y "disponibilidad de cursos de EP para las enfermeras y la disponibilidad de instalaciones adecuadas para brindar el EP". Conclusión. Las enfermeras iraníes encuentran barreras en la EP, siendo las más frecuentes las relacionadas con factores de la gestión de los recursos. Estos resultados tienen implicaciones para los administradores y directivos de las instituciones de salud, pues para promover que las enfermeras en su práctica brinden la EP, se debe crear un ambiente de apoyo y utilizar estrategias eficaces con el fin de garantizar resultados óptimos en los pacientes.Palabras clave: educación del paciente c...

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“…Nursing is the largest healthcare profession in Iran responsible for the care of patients (16). Road traffic accidents are considered to be the second cause of mortality in Iran (first cause being coronary heart disease).…”

Section: Background In Iranmentioning

confidence: 99%

The Meaning of Emergency Care in the Iranian Nursing Profession

Mahmoudi¹,

Mohmmadi²,

Ebadi³

2017

Crit Care Nurs J

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Background: An emergency department (ED) has multiple patients with a wide variety of conditions that receive care simultaneously. Objectives: This study aimed at exploring the meaning of emergency care at a hospital emergency department. Methods: A qualitative research design with content analysis method and purposeful sampling was used to identify the meaning of care. In-depth interviews were conducted with 17 Iranian emergency department nurses from 2 military hospital emergency departments in Tehran, during year 2015. Results: Three main categories emerged from the data. These categories included (1) accuracy, (2) speed, and (3) comprehensive action and caring attention. These 3 main categories represented the contextual meaning of emergency nursing care. Conclusions: It was determined that the meaning of care in the studied context was different from other contexts, thus nurse managers must pay more attention to this diversity.

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The spectrum of barriers to and facilitators of research utilization in Iranian nursing

Abstract: Key factors that need attention in implementing research results into practice are suggested. Clearly, identification of barriers and facilitators is useful potentially to overcome barriers and enforce facilitators and this could ultimately improve nursing practice.

Cited by 79 publications

References 40 publications

Relevance and Barriers to Evidence-Based Practice in Zambian Defense Force Medical Services: A Qualitative Analysis of Roundtable Group Discussion by Military Health Personnel

Relevance and Barriers to Evidence-Based Practice in Zambian Defense Force Medical Services: A Qualitative Analysis of Roundtable Group Discussion by Military Health Personnel

Patient education among nurses: bringing evidence into clinical applicability in Iran

The Meaning of Emergency Care in the Iranian Nursing Profession

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