Barriers to research utilisation: the clinical setting and nurses themselves

Nurse perception of Bispectral Index monitoring as an adjunct to sedation scale assessment in the critically ill paediatric patient

“…When BIS scores were inconsistent with the patient's clinical presentation, nurses typically rejected them as invalid measurements and occasionally discontinued BIS monitoring prematurely, as indicated by comments such as ''BIS removed from all patients by weekend staff because it does not work'' and ''nurse says BIS is unreliable and plans to remove it.'' These behaviours are consistent with observations that nurses ascribe more authority to personal clinical experience than to research evidence (Sitzia, 2002) and may reject evidence-based protocols that that conflict with clinical practices based on their own experiential knowledge (Estabrooks et al, 2005). Thomas et al (2010) reported comparable resistance to implementation of new paediatric sedation practice guidelines by PICU staff, noting that practitioners who acknowledge the value of standardised practice improvements may nevertheless refuse to implement them in specific cases where they are perceived as a poor fit with the care needs of individual patients.…”

Interventions to Improve or Maintain Lower-Limb Function Among Ambulatory Adolescents with Cerebral Palsy: A Cross-Sectional Survey of Current Practice in the UK

“…Other barriers to implementation of evidence-based practice that have been reported by health professionals include the influence of the opinions of leaders that may go against research evidence, obsolete knowledge of practitioners, the belief that health professionals lack authority to change clinical practice, policies that promote unproven interventions, lack of incentives to participate in effective educational activities, and patient demands for care that is ineffective (Haines et al, 2004;Sitzia et al, 2002). The finding that the frequency at which interventions were used did not differ according to years of experience suggests that recently graduated physiotherapists are influenced by more experienced physiotherapists in terms of their choice of intervention, physiotherapy education has not largely changed over time, or experienced physiotherapists change their practice based on ongoing education.…”

An attempt to improve nurses’ interest in and use of research in clinical practice by means of network support to ‘facilitator nurses’

“…However, there is a great amount of literature reporting that this new research-based knowledge seldom reaches nurses in clinical work [4,5] . Different reasons of individual and organisational nature have been reported, such as lack of time, lack of interest or knowledge among the nursing personnel, lack of authority and organisational support [6][7][8] hindering workplace culture [9,10] , and leadership attitudes [5,11] .…”