Exploring readiness for implementing best practices: A mixed methods study

Abstract

Rationale Evidence‐based practice (EBP) can improve health care in underprivileged countries. Bolivia's EBP movement is nascent and the factors contributing to better implementation in nursing are unknown. Aim To explore Bolivian nurses' readiness to engage in EBP while highlighting the facilitators and barriers for pursuing EBP. Method The study used a sequential explanatory mixed methods study. First, general trends were disclosed via a survey of 170 nurses in La Paz, Bolivia, holding at least a baccalaureate regarding their perceived beliefs about EBP. The survey identified facilitators and barriers for implementing EBP in acute and ambulatory settings. Second, qualitative data was gathered via a focus group of nine nurses with the purpose of enhancing the survey results. Results The survey results showed that nurses believe that engaging in EBP can improve their clinical practice. However, the nurses' research behaviors were found to be infrequent. Lack of support from the nurses' clinics and hospitals and from non‐nursing professionals were identified as barriers for engaging in EBP. The qualitative results revealed underlying limitations to nurses' clinical practice, including “feeling undervalued”. Conclusions There is a dearth of EBP knowledge among Bolivian nurses stemming from a lack of preparation in EBP environments, including EBP training opportunities. This situation affects nurses' professional dimensions of relational work, power, and collaboration. Collaborative research among educators, professional nursing societies, and local and international organizations could provide initiatives for implementing EBP, based on local health profiles.

Usefulness of working with a person‐centred intervention in a group: Perspectives from facilitators and persons with mental illness

“…The Readiness for implementing evidence-based practice is an essential factor in implementing evidence into clinical practice and is understood as positive belief and behaviour towards new evidence. 33 The facilitators in this study already had experiences with the GSD method as an individual intervention and volunteered to participate in the study. This indicates that the facilitators demonstrated readiness ahead of the initial implementation of the GSD method delivered as a group intervention.…”

Analisis Kesiapan Perawat dalam Impelementasi Evidence-Based Practice (EBP) di RSUD Sawerigading Kota Palopo

“…Website: journals.itspku.ac.id terbaik (Swito & Sidin, 2020). Penelitian lain menunjukkan, faktor penghambat dibagi menjadi dua kelompok yaitu faktor yang berasal dari individu perawat dan faktor yang berasal dari organisasi tempat perawat bekerja (Garcia et al, 2020). Selain itu, hasil penelitian ini juga menujukkan bahwa pendidikan terkait EBP masih sangat kurang hanya 97.6%.…”

A Qualitative Force Field Analysis of Facilitators and Barriers to Evidence-Based Practice in Healthcare Using an Implementation Framework

“…Barriers to EBP implementation often reflect the absence of one or more of the factors that facilitate routine implementation in clinical settings. For example, lack of knowledge or competencies in EBP (Augustino et al, 2020;Bernhardsson et al, 2017;Clarke et al, 2021;Garcia et al, 2021;Li et al, 2018;Ogden et al, 2016;Warren et al, 2016;Yoo et al, 2019), absence of leadership support (Augustino et al, 2020;Bergmark et al, 2018;Ecker et al, 2021;Garcia et al, 2021;Li et al, 2018;Quinn et al, 2019;Shuman et al, 2020), and lack of time/resources for EBP (Bernhardsson et al, 2017;Clarke et al, 2021;Flodgren et al, 2012;Garcia et al, 2021;Li et al, 2018;McNett et al, 2021b;Quinn et al, 2019) are barriers to EBP implementation. In addition, individual factors such as resistance to change (Bauer et al, 2015;Brown et al, 2014;Clarke et al, 2021;Ecker et al, 2021;Eisman et al, 2020;Flodgren et al, 2012;Quinn et al, 2019;Theys et al, 2020;Tucker & Gallagher-Ford, 2019) and poor collaboration (Bauer et al, 2015;Bergmark et al, 2018;Bernhardsson et al, 2017;Brown et al, 2014;Clarke et al, 2021;Garcia et al, 2021;Ogden...…”

“…In addition, individual factors such as resistance to change (Bauer et al, 2015;Brown et al, 2014;Clarke et al, 2021;Ecker et al, 2021;Eisman et al, 2020;Flodgren et al, 2012;Quinn et al, 2019;Theys et al, 2020;Tucker & Gallagher-Ford, 2019) and poor collaboration (Bauer et al, 2015;Bergmark et al, 2018;Bernhardsson et al, 2017;Brown et al, 2014;Clarke et al, 2021;Garcia et al, 2021;Ogden et al, 2016;Theys et al, 2020) hinder implementation efforts. Additional organizational factors have been identified as barriers for EBP implementation such as lack of standardized processes (Augustino et al, 2020;Garcia et al, 2021;Li et al, 2018;Newhouse et al, 2013), lack of financial support (Augustino et al, 2020;Flodgren et al, 2012;Garcia et al, 2021;Quinn et al, 2019), complex environments (Bauer et al, 2015;Brown et al, 2014;Ogden et al, 2016;Theys et al, 2020), absence of EBP mentors (Flodgren et al, 2012;Ogden et al, 2016), and persistent practice variation (Bernhardsson et al, 2017;Garcia et al, 2021;Li et al, 2018;Ogden et al, 2016).…”

“…A multitude of research within IS and other fields has identified common, persistent facilitators and barriers for implementation of EBP across sites and settings (Albers et al, 2021;Augustino et al, 2020;Bach-Mortensen et al, 2018;Clarke et al, 2021;Garcia et al, 2021;Li et al, 2018). While individuals or organizations may be knowledgeable about EBP and its importance, they may not have knowledge about the science of implementation, the requisite skills to implement, or be in an environment with a robust implementation culture.…”