Perceived Barriers to Use of Evidence Based Practices among Nurses of a Teaching Hospital
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 2
Abstract
Evidence based practice is a new and challenging paradigm throughout the world. Today, it has become increasingly important in nursing as it provides a framework for clinical decision making among nurses. This research study was conducted to assess the perceived barriers to use of evidence based practice in nursing. Methods and Materials: A descriptive cross-sectional research design was used in a proportionate stratified random sample of 280 nurses working in a teaching hospital in Kathmandu using structured self-administered questionnaire consisting of rating scale. A proportionate stratified random sampling technique was used to obtain the desired sample size. Results: The research findings revealed that the greatest barrier to use of evidence based practice among nurses in hospital were lack of continuing education program (93.9%) and lack of motivation among nurses (93.2%). The mean barrier score related to „organization‟, „communication‟, „research‟ and „nurse‟ subscales of barrier scale were 3.26, 2.91, 2.79 and 2.63 respectively. Nurse with higher level of education, research experience and who claim to use evidence based practices in their practice had perceived less barriers to use of Evidence Based Practice (p<.05). Conclusion: Hence, lack of continuing education, motivation, support from organization, time, facilities, awareness, accessibility and availability of new evidences and complexity of research were major barriers perceived by the nurses. Therefore, hospital administration, individual nurse should have strong commitment to overcome these barriers for better implementation of evidence based practices in hospital.
Authors and Affiliations
Kabita Paudel, Isabel Lawot
Keywords
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