When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China

Abstract

BackgroundResearch into evidence-based practice has been extensively explored in nursing and there is strong recognition that the organizational context influences implementation. A range of barriers has been identified; however, the research has predominantly taken place in Western cultures, and there is little information about factors that influence evidence-based practice in China. The purpose of this study was to explore barriers and facilitators to evidence-based practice in Hunan province, a less developed region in China.MethodsA descriptive qualitative methodology was employed. Semi-structured interviews were conducted with staff nurses, head nurses and directors (n = 13). Interviews were translated into English and verified for accuracy by two bilingual researchers. Both Chinese and English data were simultaneously analyzed for themes related to factors related to the evidence to be implemented (Innovation), nurses’ attitudes and beliefs (Potential Adopters), and the organizational setting (Practice Environment).ResultsBarriers included lack of available evidence in Chinese, nurses’ lack of understanding of what evidence-based practice means, and fear that patients will be angry about receiving care that is perceived as non-traditional. Nurses believed evidence-based practice was to be used when clinical problems arose, and not as a routine way to practice. Facilitators included leadership support and the pervasiveness of web based social network services such as Baidu (百度) for easy access to information.ConclusionWhile several parallels to previous research were found, our study adds to the knowledge base about factors related to evidence-based practice in different contextual settings. Findings are important for international comparisons to develop strategies for nurses to provide evidence-based care.Electronic supplementary materialThe online version of this article (10.1186/s12912-018-0295-x) contains supplementary material, which is available to authorized users.

Translation, cultural adaptation, validation, and reliability study of the Quick‐EBP‐VIK instrument: Chinese version

“…Many factors associated with personal and organizational characteristics are considered as barriers of EBP implementation, such as lack of essential knowledge and skills; negative attitudes, beliefs, and values; lack of support from colleagues and nursing leadership; and limited availability of resources and education opportunities for EBP . The similar influencing factors of EBP were found in a previous qualitative study in the context of Chinese culture from the perspective of Chinese staff nurses, head nurses, and head of the nursing department . The literature documented the nurse‐related facilitators include an understanding that EBP can improve patient care and a belief that EBP can increase nursing credibility.…”

Barriers and Facilitators Implementation of Evidence-Based Nursing practice in Hospitals: A Literature Review

“…In research conducted (Pittman et al, 2019). Suggesting young nurses is more difficult in the application of new tactics, and discussed in other demographic discussions such as age and year-old obtained from the results of Dalheim et al, 2012. Other factors were revealed by (Majid et al, 2011;Dalheim et al, 2012;Weng, Kuo, Yang, Liao, et al, 2013;Khammarnia et al, 2015;Gifford et al, 2018) had difficulty find and interpret scientific journals both because of language differences, lack of understanding of statistics and use of scientific terms in research. In commonplace, this is the weakness of supporting individual nurses who are not related to technical skills in nursing.…”

“…This constraint can be directly correlated if revealed to the previous variable with the level of education of nurses by looking at the national curriculum of nursing in various countries. Other findings by (Gifford et al, 2018) that nurses feel scared in implementing EBP because patients will be angry with actions that are considered nontraditional and become exercise material. The lack of communicating and building a relationship and trust between nurses and patients.…”

“…Michael J. Germany., 2008;Dogherty et al, 2013;Nguyen and Wilson, 2016;Gifford et al, 2018;Sharplin et al, 2019). In the research conducted (Dogherty et al, 2013) barriers to the implementation of EBP in conflict organizational relations, coordination and politics, and teamwork, while (Patelarou et al, 2016) on group decision making and according to (Nguyen and Wilson, 2016) Sharplin et al, 2019) on nursing care.…”

Evaluation of Facilitators and Barriers to Implementing Evidence-Based Practice in the Health Services: A Systematic Review

“…E vidence-based practice (EBP) is an ambition for health service administrators. EBP has been the combination of best study evidence with clinical expertise and patient uses in the decision-making method for patient administration [1][2][3][4]. EBP is an essential function in upholding the national health system; it supports efficient interventions and therefore presents the ground for evidence-based administration of supplies and workforce.…”