Current understandings of the research-practice gap in nursing: A mixed-methods study

Leach, Matthew; Tucker, Basil P.

doi:10.1016/j.colegn.2017.04.008

Cited by 38 publications

(39 citation statements)

References 20 publications

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“…Lack of time is not only a major barrier to EBP uptake reported by osteopaths [29], but also by nurses [50, 51], physiotherapists [44, 52, 53], chiropractors [31, 32, 54, 55] and other clinicians [56, 57]. However, some academics have argued that time is merely an excuse for not changing practice, and that clinicians playing the ‘lack of time card’ simply do not value EBP [58]. The same academics argue that these clinicians instead need some buy-in [58].…”

Section: Discussionmentioning

confidence: 99%

“…However, some academics have argued that time is merely an excuse for not changing practice, and that clinicians playing the ‘lack of time card’ simply do not value EBP [58]. The same academics argue that these clinicians instead need some buy-in [58]. Indeed, studies of practicing chiropractors in the US, Canada, Australia and the UK indicate that lack of incentive is a notable barrier to EBP uptake [31, 32, 54, 55].…”

Section: Discussionmentioning

confidence: 99%

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An investigation of Australian osteopaths’ attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey

Leach

Sundberg

Fryer

et al. 2019

BMC Health Serv Res

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Background Osteopaths are an integral member of the health care team, playing a pivotal role in the provision of care for patients with musculoskeletal disorders. Osteopaths, like other health care providers, are under increasing pressure to deliver evidence-based health care and to improve patient outcomes. However, the extent to which osteopaths engage in evidence-based practice (EBP), particularly in Australia, is not well understood. This study therefore set out to investigate the attitudes, skills and use of EBP, and perceived barriers and enablers of EBP uptake, among osteopaths practicing in Australia. Methods National cross-sectional survey of Australian registered osteopaths. Eligible participants were invited by email and other digital media recruitment strategies to complete the online Evidence-Based Practice Attitude and Utilisation Survey (EBASE). Results A total of 332 osteopaths completed the survey. The demographic characteristics of respondents were generally consistent with the characteristics of the Australian osteopathy workforce. The respondents were mostly favourable of EBP, with the majority agreeing or strongly agreeing that EBP assists in making decisions about patient care (86.7%) and improves the quality of patient care (75.6%). While most respondents (88.3%) had some training in EBP, most reported a moderate level of perceived skill in EBP. The majority of respondents engaged infrequently (0–5 times) in EBP activities within the last month, and most indicated that a very small or small proportion of their clinical practice was based on clinical research evidence. Leading barriers to the uptake of EBP were lack of time and lack of clinical evidence in osteopathy. Key enablers of EBP uptake were access to the internet and online databases at work, and access to full-text articles and EBP education materials. Conclusions Osteopaths participating in the survey were largely supportive of evidence-based practice, yet engaged infrequently in EBP activities. An important next step in this research is to identify suitable strategies that effectively improve EBP uptake in osteopathy, and perchance, improve patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An investigation of Australian osteopaths’ attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey

Leach

Sundberg

Fryer

et al. 2019

BMC Health Serv Res

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“…The need improved for evidence translation and evidence generation requires a change in paradigm to ensure that the evidence cycle contributes to “evidence‐generating” practice . Technological advances and innovations in wound management have increased the demand for randomised controlled trials (RCTs) .…”

Section: Introductionmentioning

confidence: 99%

“…3,4 However, findings from the latest available studies indicate that more Australians who suffer with chronic wounds do not receive evidence-based wound care, and there are considerable knowledge-practice gaps in this field, which need to be addressed as a matter of priority. 5,6 The need improved for evidence translation [7][8][9] and evidence generation 6 requires a change in paradigm to ensure that the evidence cycle contributes to "evidence-generating" practice. 10 Technological advances and innovations in wound management have increased the demand for randomised controlled trials (RCTs).…”

Section: Introductionmentioning

confidence: 99%

Randomised controlled trials as part of clinical care: A seven‐step routinisation framework proposal

Team

Weller

2018

International Wound Journal

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Evidence translation in wound care relies on the need for evidence generation. Clinical practice may generate evidence only if evidence‐generating research projects, such as randomised controlled trials (RCTs), became routinised in clinical settings. The aim of this study was to identify optimal trial‐related practices to routinise trial‐related activities in Melbourne‐located wound clinics as reported by clinicians and researchers. We conducted a secondary analysis of the available data on how to routinise RCTs in clinical care, with a focus on enablers and suggestions provided by the participants during face‐to‐face and telephone interviews. Data were obtained from a qualitative observational study nested within a randomised, double‐blinded, placebo‐controlled trial on clinical effectiveness of aspirin as an adjunct to compression therapy in healing chronic venous leg ulcers (ASPiVLU). We developed a seven‐step Routinisation of Trials in Clinical Care Framework. These steps include: (1) pre‐trial clinical site assessment, (2) optimising pre‐recruitment arrangements, (3) developing and updating trial‐related skills, (4) embedding RCT recruitment as part of routine clinical care, (5) promoting teamwork and trial‐related collaboration, (6) addressing trial‐related financial issues, and (7) communicating trial results to clinicians.

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“…Nursing research is undertaken in a wide range of practice fields including clinical care, health systems, leadership and education (American Association of Colleges of Nursing [AACN], 2006, Swedish Society of Nursing [SSN], 2016) and all nurses are now expected to demonstrate that their practice is based upon empirical evidence (Beck, 2009). Although establishing what works may be crucial in developing appropriate policy and practice within healthcare and education (Gorard & Cook, 2007, Leach & Tucker, 2018, the quality of research in these disciplines has often been described as poor; failing to provide a sufficiently robust foundation on which to make informed decisions (Feuer, Towne, & Shavelson, 2002;Luttrell, 2010;Smith, 2014;Smith et al, 2008;Van Cleave, 2012). educational research should be educative or have a direct relevance to, and impact on, educational policy and practice (Hammersley, 2003).…”

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confidence: 99%

Purpose, Quality, and Value in Critical Realist Research within Nurse Education

Coleman

2019

Nurs. Med. J. Nursing

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Background: There have been a wide range of practice fields in nursing research including education; however, the quality of research in these disciplines has often failed to provide a sufficiently robust foundation. Purpose: This paper explores the purpose of educational research, how quality can be assured in such research and how the value of a research study in nurse education can be determined; focusing predominantly on arguments associated with the use of qualitative, and to a lesser extent, mixed methods research. Methods: A Critical Realist review drawing upon relevant literature from the fields of nursing, education, and healthcare was undertaken to examine issues of purpose, quality, and value in such research.Results: A wide range of criteria were identified to evaluate the purpose, quality, and value of Critical Realist research using qualitative and mixed methods research within nurse education.Conclusion: The holistic, theoretically-eclectic, pragmatic, and solution-focused nature of nursing as a discipline means that Critical Realist research in nursing, and more specifically, nurse education should explicitly reflect these principles.

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Current understandings of the research-practice gap in nursing: A mixed-methods study

Cited by 38 publications

References 20 publications

An investigation of Australian osteopaths’ attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey

An investigation of Australian osteopaths’ attitudes, skills and utilisation of evidence-based practice: a national cross-sectional survey

Randomised controlled trials as part of clinical care: A seven‐step routinisation framework proposal

Purpose, Quality, and Value in Critical Realist Research within Nurse Education

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