Evidence based practice readiness: A concept analysis

Schaefer, Jessica D.; Welton, John

doi:10.1111/jonm.12599

Cited by 44 publications

(52 citation statements)

References 23 publications

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“…Indeed, achievement of the concept of EBP in nursing practice is complex, requiring acknowledging various core components including organizational readiness, nursing, training, equipping, and the leadership will to support EBP. In fact, Schaefer and Welton () argued that realization of EBP requires organizational readiness. This can be reflected in the form of embracing the need for EBP, providing resources, and providing a conducive environment for EBP to thrive.…”

Section: Discussionmentioning

confidence: 99%

Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review

Shayan

Kiwanuka

Nakaye

2019

Worldviews Ev Based Nurs

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Background Evidence‐based practice (EBP) is both a goal and an approach that requires a combination of clinical experience with the most credible recent research evidence when making decisions in healthcare practice. The approach has been widely embraced; however, an evidence‐to‐practice gap still exists. Aim To assess barriers to EBP among nurses in low‐ and middle‐income countries. Methods This review conforms to the PRISMA statement. Databases PubMed, Scopus, EMBASE, and Web of Science/Knowledge were searched using a combination of keywords that included “barriers,” “evidence‐based practice,” and “nurses.” The references of the selected articles were also hand‐searched to obtain additional relevant articles. Studies published in peer‐reviewed journals in English between 2000 and 2018 were included in the review. Results Sixteen articles were included in the analysis, with a total number of 8,409 participants. Both qualitative and quantitative studies were included in the review. Three main themes emerged from eight categories found. The three main themes were institutional‐related barriers, interdisciplinary barriers, and nurse‐related barriers. The theme of institutional‐related barriers emerged from four categories, which included scant resources, limited access to information, inadequate staffing, and lack of institutional support. The theme of interdisciplinary barriers emerged from subcategories that included lack of communication between academic and clinical practice environments, inconsistency between education and practice in the nursing discipline, lack of teamwork, and the public's negative image about the nursing profession. Finally, the theme of nurse‐related barriers emerged from categories including perceived limitations in the scope of nurses’ practice, time, knowledge of EBP, and individual‐related barriers. Linking Evidence to Action These findings may guide the design of future interventions aimed at fostering EBP. Implementing EBP in practice should be systematic and requires institutional will and interdisciplinary and individual commitment. It should be a collective goal and a win‐win situation for nurses, clinicians, and healthcare organizations.

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Section: Discussionmentioning

confidence: 99%

Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review

Shayan

Kiwanuka

Nakaye

2019

Worldviews Ev Based Nurs

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“…It can be explained by the fact that the top priorities of nurse managers are quality and security, EBP is not listed as priority and they have little time and budgets to implement EBP into practice (Melnyk et al, ). Hence, the implementation of EBP requires much more than the nurses’ belief and attitudes, but rather the personal and organisational readiness, such as the knowledge and skills of EBP, adequate resources and time or financial investment (Schaefer & Welton, ).…”

Section: Discussionmentioning

confidence: 99%

“…Despite this widespread endorsement for EBP, it has not become the criterion of clinical practice in many institutions (Melnyk et al, ). Researchers suggested that the prerequisites to achieving EBP include attitude towards EBP, understanding and confidence of the EBP process, equipping and leadership support (McSherry, Artley, & Holloran, ; Schaefer & Welton, ). However, the gap between evidence and practice points to the existence of various difficulties in achieving EBP among nurses.…”

Section: Introductionmentioning

confidence: 99%

Value, knowledge and implementation on evidence‐based practice among nurse managers in china: A regional cross‐sectional survey

Chen

Zhou

et al. 2020

J Nurs Manag

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Aim To describe the value, knowledge and implementation of evidenced‐based practice (EBP) among Chinese nurse managers and explore its influencing factors. Background Although much of literature have reported the importance of nurse managers in pushing EBP progress and encouraged them to engage in EBP activities, the extent to which nurse managers engage in EBP is unclear. Methods A cross‐sectional web‐based survey was applied to 1,166 nurse managers recruited from 54 hospitals in Guangdong Province, China. Descriptive statistics, t‐tests or one‐way ANOVAs, Spearman's correlation and multiple regression analysis were used to analyse the data. Results The average scores of the Quick‐EBP‐VIK were with the mean of 2.62 (±0.56). Result showed that educational background, professional title, whether they have received EBP education or training, and EBP organisational culture and readiness are the factors influencing managers’ total Quick‐EBP‐VIK score, with 43.5% of the variance explained by these factors. Conclusions Nurse managers had positive attitudes towards EBP, but they lacked the EBP knowledge and rarely implemented EBP. Furthermore, supportive organisational environment, effective education and training can help to enhance EBP knowledge and skills of managers. Implications of nursing management The competence of nurse managers for EBP implementation should be taken seriously. Personal and organisational strategies which can strengthen managers’ EBP knowledge and skills need to be developed and conducted.

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“…The study was conducted with authority figures and stakeholders in the field of fall prevention, across three municipalities in Norway. These respondents were chosen because they were important stakeholders and decision-makers in their respective municipalities; consequently, their perspectives have implications for the delivery of physiotherapeutic services in community-based fall prevention interventions [113]. This suggests that similar perspectives may prevail in other physiotherapeutic settings (at least those that consist of stakeholders and decision-makers who play a role in the Norwegian physiotherapeutic services); however, there may be differences in the extent to which the themes that emerged in the present study are emphasized.…”

Section: Discussionmentioning

confidence: 99%

Bridging the gap between research-based knowledge and clinical practice: a qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme

et al. 2019

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BackgroundFalls and fall-related injuries exacerbate the health problems of older adults, and they are a public health concern. Despite an abundance of research, the implementation of evidence-based fall prevention programs has been slow and limited, additionally and these programs have not reduced the incidence of falling. Therefore, the primary objective of the present study was to examine patients and physiotherapists’ views on the factors that influence the implementation of the community- and evidence-based Otago Exercise Programme for fall prevention.MethodsWe conducted eight in-depth interviews with physiotherapists and patients, and a focus group interview with 12 physiotherapists and authority figures who represented local hospitals and municipalities. The resultant qualitative data were subjected to thematic analysis.ResultsThe analysis yielded two main themes: the researcher’s role and position in the implementation process and the tension between research-based knowledge and clinical practice. The participants believed that research-based knowledge can address the challenges of clinical practice. Further, the patients reported that the fall prevention program made them feel safe and enhanced their ability to cope with daily life. The physiotherapists also observed that research findings do not readily translate into clinical practice. Further, they contended that research-based knowledge is not universal and that it cannot be generalized across different contexts; instead, it must be adapted and translated into a user-friendly language. The findings suggest that the application of research-based knowledge does equate to filling up empty jars and that research-based knowledge does not flow from the expert to the non-expert as water through a tube. Indeed, physiotherapists and patients are not tabula rasa. Additionally, the participants believed that researchers and stakeholders must think critically about who has the power and voice to create a common understanding.ConclusionsOur findings delineate the means by which the gap between research and practice regarding the Otago fall prevention program can bridged. The program can guide clinical work and provide important information that can be used to improve the quality of other fall prevention programs. However, the research-based knowledge that it confers must be adapted for use in clinical contexts.

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Evidence based practice readiness: A concept analysis

Abstract: Nurse managers are in the position to address all elements of evidence based practice readiness. Creating an environment that fosters evidence based practice can improve patient outcomes, decreased health care cost, increase nurses' job satisfaction and decrease nursing turnover.

Cited by 44 publications

References 23 publications

Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review

Barriers Associated With Evidence‐Based Practice Among Nurses in Low‐ and Middle‐Income Countries: A Systematic Review

Value, knowledge and implementation on evidence‐based practice among nurse managers in china: A regional cross‐sectional survey

Bridging the gap between research-based knowledge and clinical practice: a qualitative examination of patients and physiotherapists’ views on the Otago exercise Programme

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