Nurse Practitioners’ Implementation of Evidence‐Based Practice Into Routine Care: A Scoping Review

Abstract

Background: Implementation of evidence-based practice (EBP) is essential for ensuring highquality health care at minimum cost. Although all nurses have a responsibility to implement EBP at an individual patient level, nurse practitioners (NPs) as clinical leaders have additional responsibilities in leading and collaborating with transdisciplinary teams to implement EBP across patient groups and embed practice change into routine care.Aim: To explore the factors affecting the implementation of EBP into routine care by NPs. Specifically, to examine NP beliefs, levels of EBP implementation, and barriers and enablers to EBP implementation into routine care.Methods: A scoping review was conducted using the Arksey and O'Malley (International

Factors affecting the critical appraisal of research articles in Evidence‐Based practices by advanced practice nurses: A descriptive qualitative study

“…Since the process of applying research evidence is usually decided by a multidisciplinary team or departments, this result would be reasonable. Additionally, physicians are one of the proponents for EBP, and a previous study reported that nurse practitioners recognized a collaboration with doctors for EBP implementation (Clarke et al, 2021 ). There are few CNSs in Japan and only one or a few CNSs are often assigned per facility; the lack of human resources for EBP in the organization might affect CNSs' activity of critical appraisal.…”

“…Since the process of applying research evidence is usually decided by a multidisciplinary team or departments, this result would be reasonable. Additionally, physicians are one of the proponents for EBP, and a previous study reported that nurse practitioners recognized a collaboration with doctors for EBP implementation(Clarke et al, 2021).…”

Evidence-Based Dietetic Practice: EFAD Discussion Paper on Challenges for Implementation, Education, Research, and Lifelong Learning

“…In curricula and lifelong learning programmes, the use of EBDP to solve practical problems should be promoted. In a professional context, the implementation of EBDP can be facilitated by supportive collaborative relationships [70]. Interaction and collaboration could be encouraged between early-career and experienced dietitians, between researchers and practitioners, and by interprofessional teamwork, leading to more confidence in EBP and the achievement of outcomes on a higher level.…”

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...…”

“…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.…”