Barriers and facilitators of nursing research utilization in Iran: A systematic review

Abstract

Background:According to professionalization in nursing profession, the nursing researches expanded dramatically and rapidly in a very short period. Research results showed improvement in quality of provided care by using research findings. But there is still a gap between nursing research and practice, which led scientists to explore the barriers and facilitators of research utilization that could affect the application of research results. The aim of this review was to appraise and synthesize evidences of studies about the facilitators and barriers to research utilization in Iranian nurses.Material and Methods:A systematic review of quantitative and qualitative studies about the barriers and facilitators of nursing research utilization in Iran was undertaken.Results:The results showed that items such as “The nurse is isolated from knowledgeable colleagues with whom to discuss the research,” “There is insufficient time on the job to implement new ideas,” “The nurse does not have time to read research,” “The nurse does not feel she/he has enough authority to change patient care procedures,” “The facilities are inadequate for implementation,” “Physicians will not cooperate with implementation,” and “The relevant literature is not compiled in one place” were rated as the main barriers.Conclusions:The results of 10 studies about research utilization in Iran showed that the barriers and facilitators remained constant through time and across different locations. The rank orders of barriers and facilitators were the same approximately. The nurse managers and administrators could utilize the findings of this review to allocate human resources and other sources and promote nursing research utilization in clinical field.

The Relationship between Nurses’ Moral Sensitivity and Patients’ Satisfaction with the Care Received in the Medical Wards

“…24 It seems that structural defects in support of nurses causes clinical nurses develop a routine work-based approach in practice and refrain from having their own independent intervention. 25 A study by Adib-Hajbaghery et al, in Iran showed that the ethical decisions making by a nurse is also based on routine tasks and physicians' orders. 15 Lack of sufficient self-confidence in decision-making is an important barrier to patient independence which causes patients' dissatisfaction.…”

An Integrative Review of Engaging Clinical Nurses in Nursing Research

“…The nursing literature is robust in reporting the challenges for engaging clinical staff in nursing research. Several articles (Chien, Bai, Wong, Wang, & Lu, 2013;Dunning, 2013;Hagan & Walden, 2015;Sanjari, Baradaran, Aalaa, & Mehrdad, 2015;Silka, Stombaugh, Horton, & Daniels, 2012) highlight barriers, which include lack of time, insufficient knowledge or authority, and the perceived absence of organizational leadership support. While time and resources are known to be limited in all levels and roles of nursing, the literature also has shown some differences regarding the facilitators related to nursing research.…”

Evolution of Iran’s health research system over the past 50 years: a narrative review

“…A survey of 304 nurses working in teaching hospitals in 2003 reported the following: 80.6% had not been involved with the conduct of any research since qualifying as a nurse; 70% of those who had undertaken some research had done it as part of a course; about 30% had never used research in their practice; 44.3% read research once every 2 or 3 months or more frequently; and the main information sources that the majority relied on for practice were nursing textbooks and/or asking the nurse supervisors [ 140 ]. The barriers to research utilization in nursing practice in Iran had been identified as follows: (i) insufficient time to read papers; (ii) inadequate facilities and time to implement research; (iii) limited authority of nurses to change practice and limited cooperation of medical doctors in this regard; (iv) inaccessibility of scientist by whom the nurses could discuss relevant topics; and (v) inadequacy of relevant research [ 140 - 142 ].…”