Sara Aljanabi
Ministry of Health, Saudi ArabiaTitle: Barriers of implementing evidence-based practice in nursing profession: A literature review
Abstract
Background: Evidence-based practice is important in improving the
overall quality of patient care, enhance nursing practice and increase the
confidence in decision-making. Evidence-based practice is a technique
used in solving clinical issues regarding patient care by integrating welldesigned evidence with patient preferences, patient assessments, and
health professionals.
Aim: This review aims to explore barriers that confront
nursing in the implementation of evidence-based practice. Consequently,
by determining some of the barriers to the implementation of EBP among
nurses, health care systems can form solutions that allow the health
centers to avoid such issues and execute the approach among health care
providers.
Methods: peer review was undertaken following a literature
search in the databases involved CINAHL, MEDLINE and EBSCO Web of
Science databases. Included studies were English language and peer
reviewed studies that aimed to explore the organizational and individual
barriers within the healthcare setting. Results: A total of 12 studies were
included. Six studies were quantitative, five studies were qualitative, and
one study used mixed methods. Four organizational barriers to
implementing Evidence-based practice among nurses were found by
reviewing the literature which is ("lack of support and supervision ,"lack
of training" and "education", "limited resources” and “time restriction”).
While, four main themes were considering as an individual barrier to
implementing Evidence-based practice among nurses: ("lack of nurses'
knowledge", "skills and awareness regarding use the Evidence-based
practice", "lack of professional characteristic", "nurses' attitude and
experience in using" and " language barrier in using or implementing
Evidence-based practice").
Conclusions and implications for future practice: Nursing administrators and educators have the main role to facilitate evidence-based practice implementation among nurses, therefore; the findings of this review can help to overcome the identified barriers. Training and education are important to enhance the knowledge and skills of nurses to use evidence-based practice. Time management, providing the required resources and adequate supervision can facilitate the implementation of evidence-based practice which positively influences the quality of care. For further research, it is very fruitful to investigate the common barriers of EBP in one specific culture such as the middle eastern culture. Furthermore, future research may focus on barriers of implementing EBP related to the patients and their families.
Conclusions and implications for future practice: Nursing administrators and educators have the main role to facilitate evidence-based practice implementation among nurses, therefore; the findings of this review can help to overcome the identified barriers. Training and education are important to enhance the knowledge and skills of nurses to use evidence-based practice. Time management, providing the required resources and adequate supervision can facilitate the implementation of evidence-based practice which positively influences the quality of care. For further research, it is very fruitful to investigate the common barriers of EBP in one specific culture such as the middle eastern culture. Furthermore, future research may focus on barriers of implementing EBP related to the patients and their families.
Biography
Sara Aljanabi, RN, MSN is Director of school health nurses, quality coordinator in PHC Eastern health cluster, Eastern province, Saudi Arabia. Sara Aljanabi a nurse for over 11 years and is currently a director of school health nurses at EHC and quality coordinator at Alkhobar health network in SA. I received my undergraduate nursing degree from College of Health Sciences and Imam Abdulrahman bin Faisal University. Master's Degree in king Abdul Aziz University, Lean Six-Sigma master black Belt from Anexas Europe. Pass three levels of MANJAM leadership program in health ministry. For the past 6 years I have been the intensive care unit nurse supervisor in Almshae’er hospitals in Haj season. I have lectured on a multitiude of nursing topics. I am active in a variety of health associations, including Saudi Diabetes and Endocrine Association (SDEA), Saudi society for blood disorders (SSBD), Saudi Osteoporosis Society (SOS), and Al Ata'a society. I published many topics and participated in many research works. I also taught a critical care courses and school nurse courses. I skilled in taking a project and initiative from concept to reality. I have many volunteers work in the Saudi Red Crescent and the King Salman Center for Humanitarian Aid and Relief. Recently, I participated in organizing sports tournaments as a member of the Saudi Boxing Federation and as a national boxing referee.