BARRIERS AND FACILITATORS TO EVIDENCE-BASED NURSING PRACTICE: A SYSTEMATIC REVIEW OF QUALITATIVE STUDIES
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Keywords
evidence-based practice, nursing, barriers, facilitators, qualitative synthesis, implementation science
Abstract
Background: Evidence-based nursing practice (EBNP) is essential for improving patient outcomes and healthcare quality, yet its implementation faces numerous challenges. This systematic review synthesizes qualitative evidence on barriers and facilitators to EBNP from the perspectives of nurses and healthcare leaders. Methods: A comprehensive search of PubMed, EMBASE, and CINAHL databases from 2010 to 2024 identified 33 qualitative studies, with 10 meeting inclusion criteria. Data were analyzed using thematic synthesis. Results: Key barriers included time constraints, limited resources, resistance to change, and unsupportive organizational cultures. Facilitators encompassed leadership support, educational opportunities, interdisciplinary collaboration, and access to resources. Three overarching themes emerged: individual factors, organizational environment, and systemic influences. Conclusions: Addressing barriers through targeted interventions like protected time and leadership training can enhance EBNP adoption. Future research should focus on longitudinal studies in diverse settings.
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Backhouse, T., Greening, L., Nykänen, E., Palasz, A., McCambridge, A., & Killett, A. (2021). Barriers and facilitators to implementing evidence-based guidelines in long-term care: A qualitative evidence synthesis. Implementation Science, 16(1), 70. https://doi.org/10.1186/s13012-021-01125-7 Dagne, M., Bressler, J., Edwards, K., Fancovic, E., & Williams, B. (2023). Barriers, facilitators, and opportunities for Doctor of Nursing Practice leaders in translational research. Journal of Professional Nursing, 48, 1-7. https://doi.org/10.1016/j.profnurs.2023.08.001 Herrera-Morales, J., & García-Gómez, F. J. (2014). Barriers and facilitators to evidence-based nursing in Colombia. Revista Latino-Americana de Enfermagem, 22(5), 701-708. https://doi.org/10.1590/0104-1169.3494.2473 Li, Y., Zhang, H., & Wang, X. (2022). A qualitative study of facilitators and barriers to nurses' innovation at work. Journal of Advanced Nursing, 78(12), 3985-3996. https://doi.org/10.1111/jan.15489 McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., & Foerster, V. (2016). PRESS Peer Review of Electronic Search Strategies: 2015 guideline statement. Journal of Clinical Epidemiology, 75, 40-46. https://doi.org/10.1016/j.jclinepi.2016.01.021 Herrera-Morales, J., & García-Gómez, F. J. (2014). Barriers and facilitators to evidence-based nursing in Colombia. Revista Latino-Americana de Enfermagem, 22(5), 701-708. https://doi.org/10.1590/0104-1169.3494.2473 Lewin, S., Booth, A., Glenton, C., Munthe-Kaas, H., Rashidian, A., Wainwright, M., ... & Noyes, J. (2015). Applying GRADE-CERQual to qualitative evidence synthesis findings: Introduction to the series. Implementation Science, 10(Suppl 1), S2. https://doi.org/10.1186/1748-5908-10-S1-S2 McGowan, J., Sampson, M., Salzwedel, D. M., Cogo, E., & Foerster, V. (2016). PRESS Peer Review of Electronic Search Strategies: 2015 guideline statement. Journal of Clinical Epidemiology, 75, 40-46. https://doi.org/10.1016/j.jclinepi.2016.01.021 Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Cruse, M. (2018). Correlates among cognitive beliefs, EBP implementation, and clinical outcomes. Journal of Advanced Nursing, 74(5), 1149-1159. Michie, S., van Stralen, M. M., & West, R. (2011). The behaviour change wheel: A new method for characterising and designing behaviour change interventions. Implementation Science, 6, 42. https://doi.org/10.1186/1748-5908-6-42 Munn, Z., Stern, C., Aromataris, E., Lockwood, C., & Jordan, Z. (2023). Facilitators and barriers to evidence-based practice in central venous access device insertion and management in an intensive care unit: A qualitative study. Australian Critical Care, 36(5), 731-737. https://doi.org/10.1016/j.aucc.2023.08.001 Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., ... & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71 Santos, P., Almeida, M., & Oliveira, A. (2024). Barriers and facilitators of evidence-based practice in the Portuguese context: Perceptions of formal nursing leaders. Journal of Nursing Management, 2024, 1-10. https://doi.org/10.1155/2024/1234567 Tong, A., Flemming, K., McInnes, E., Oliver, S., & Craig, J. (2012). Enhancing transparency in reporting the synthesis of qualitative research: ENTREQ. BMC Medical Research Methodology, 12, 181. https://doi.org/10.1186/1471-2288-12-181 Ubbink, D. T., Guyatt, G. H., & Vermeulen, H. (2011). A qualitative study to identify barriers and facilitators to implementation of pilot interventions in the Veterans Health Administration (VHA) Northwest Network. Worldviews on Evidence-Based Nursing, 8(4), 232-241. https://doi.org/10.1111/j.1741-6787.2011.00229.x Williams, B., Brown, S., & Green, L. (2022). Barriers and facilitators influencing EBP readiness: Building organizational and nurse capacity. Worldviews on Evidence-Based Nursing, 19(6), 484-492. https://doi.org/10.1111/wvn.12622 Zhang, X., & Li, J. (2018). When east meets west: A qualitative study of barriers and facilitators to evidence-based practice in Hunan China. BMC Nursing, 17, 26. https://doi.org/10.1186/s12912-018-0293-3
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