Barriers and Suggested Facilitators to the Implementation of Best Practice: An Integrative Review (Review Paper)

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DOI: 10.4236/ojn.2015.51009    3,141 Downloads   4,077 Views   Citations

ABSTRACT

It is well known that the incorporation of research findings into practice leads to less costs of health care, more personal productivity, longer and healthier lives for patients, and also will decrease pain and suffering of patients. Thus, the aim of this integrative review was to identify the barriers and facilitators of research utilization among the world and the best strategies used to overcome the barriers. A literature search was conducted by viewing relevant studies via computerized searching through EBSCO, Medline, Science Direct, Pub Med, Ovid, and Arabic Journals research databases. The number of reviewed studies was 192 and all of them in English, no studies in Arabic. Only 26 of them were selected based on inclusion criteria. Twenty six studies were included, with most using a cross-sectional survey design. The most identified barriers are lack of time, inadequate facilities and resources to implement new ideas, no enough authority to implement new ideas, lack of administrative support and others, while the most identified suggested that facilitators are improving the scientific knowledge of nurses and support from unit managers. The majority of these studies used Barriers scale which is not a standardized tool. However, there is a big gap between real situation and the identified evidences resulted from researches.

Cite this paper

H. Al Ghabeesh, S. (2015) Barriers and Suggested Facilitators to the Implementation of Best Practice: An Integrative Review. Open Journal of Nursing, 5, 77-87. doi: 10.4236/ojn.2015.51009.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Santesso, N. and Tugwell, P. (2006) Knowledge Translation in Developing Countries. The Journal of Continuing Education in the Health Professions, 26, 87-96.
http://dx.doi.org/10.1002/chp.55
[2] Khalaf, I. (2010) Expanding Horizons of Nursing Education and Practice in Jordan through Research Utilization. Unpublished Study, Presented at Faculty of Nursing First Scientific Nursing Conference, Zarqa Private University, Zarqa.
[3] Veeramah, V. (2004) Utilization of Research Findings by Graduate Nurses and Midwives. Journal of Advanced Nursing, 47, 183-191.
http://dx.doi.org/10.1111/j.1365-2648.2004.03077.x
[4] Kuuppelomaki, M. and Tuomi, J. (2005) Finnish Nurses’ Attitudes towards Nursing Research and Related Factors. International Journal of Nursing Studies, 42, 187-196.
http://dx.doi.org/10.1016/j.ijnurstu.2004.06.001
[5] Mehrdad, N., Salsali, M. and Kazemnejad, A. (2008) The Spectrum of Barriers to and Facilitators of Research Utilization in Iranian Nursing. Journal of Clinical Nursing, 17, 2194-2202.
http://dx.doi.org/10.1111/j.1365-2702.2007.02040.x
[6] Ofi, B., Sowunmi, L., Edet, D. and Anarado, N. (2008) Professional Nurses’ Opinion on Research and Research Utilization for Promoting Quality Nursing Care in Selected Teaching Hospitals in Nigeria. International Journal of Nursing Practice, 14, 243-255.
http://dx.doi.org/10.1111/j.1440-172X.2008.00684.x
[7] Kajermo, K.N., Unden, M., Gardulf, A., Eriksson, L.E., Orton, M., Arnetz, B.B. and Nordstrom, G. (2008) Predictors of Nurses’ Perceptions of Barriers to Research Utilization. Journal of Nursing Management, 16, 305-314.
http://dx.doi.org/10.1111/j.1365-2834.2007.00770.x
[8] Oh, E.G. (2008) Research Activities and Perceptions of Barriers to Research Utilization among Critical Care Nurses in Korea. Intensive and Critical Care Nursing, 24, 314-322.
http://dx.doi.org/10.1016/j.iccn.2007.12.001
[9] Kajermo, K.N., Nordstrom, G., Krusebrant, A. and Bjorvell, H. (1998) Barriers to and Facilitators of Research Utilization, as Perceived by a Group of Registered Nurses in Sweden. Journal of Advanced Nursing, 27, 798-807.
http://dx.doi.org/10.1046/j.1365-2648.1998.00614.x
[10] Tsai, S. (2000) Nurses’ Participation and Utilization of Research in the Republic of China. International Journal of Nursing Studies, 37, 435-444.
http://dx.doi.org/10.1016/S0020-7489(00)00023-7
[11] McCleary, L. and Brown, G.T. (2003) Barriers to Pediatric Nurses’ Research Utilization. Journal of Advanced Nursing, 42, 364-372.
http://dx.doi.org/10.1046/j.1365-2648.2003.02628.x
[12] Hutchinson, A.M. and Johnston, F. (2004) Bridging the Divide: A Survey of Nurses’ Opinions Regarding Barriers to and Facilitators of Research Utilization in the Practice Setting. Journal of Clinical Nursing, 13, 304-315.
http://dx.doi.org/10.1046/j.1365-2702.2003.00865.x
[13] Brenner, M. (2005) Children’s Nursing in Ireland Barriers to, and Facilitators of, Research Utilization. Paediatric Nursing, 17, 40-45.
http://dx.doi.org/10.7748/paed2005.05.17.4.40.c990
[14] Squires, J.E., Moralejo, D. and LeFort, S.M. (2007) Exploring the Role of Organizational Policies and Procedures in Promoting Research Utilization in Registered Nurses. Implementation Science, 2, 1-11.
[15] Bostrom, A.M., Kajermo, K.N., Nordstrom, G. and Wallin, L. (2008) Barriers to Research Utilization and Research Use among Registered Nurses Working in the Care of Older People: Does the BARRIERS Scale Discriminate between Research Users and Non-Research Users on Perceptions of Barriers? Implementation Science, 3, 24.
[16] Chau, J.P., Lopez, V. and Thompson, D.R. (2008) A Survey of Hong Kong Nurses’ Perceptions of Barriers to and Facilitators of Research Utilization. Research in Nursing & Health, 31, 640-649.
http://dx.doi.org/10.1002/nur.20289
[17] Rejeh, N., Ahmadi, F., Mohammadi, E., Anoosheh, M. and Kazemnejad, A. (2008) Barriers to, and Facilitators of Post-Operative Pain Management in Iranian Nursing: A Qualitative Research Study. International Nursing Review, 55, 468-475.
http://dx.doi.org/10.1111/j.1466-7657.2008.00659.x
[18] Salsali, M. and Mehrdad, N. (2009) Iranian Nurses’ Constraint for Research Utilization. BMC Nursing, 8, 1-11.
[19] Chien, W., Bai, Q., Wong, W., Wang, H. and Lu, X. (2013) Nurses’ Perceived Barriers to and Facilitators of Research Utilization in Mainland China: A Cross-Sectional Survey. The Open Nursing Journal, 7, 96-106.
http://dx.doi.org/10.2174/1874434601307010096
[20] Wang, L.P., Jiang, X., Wang, L., Wang, G. and Bai, Y. (2013) Barriers to and Facilitators of Research Utilization: A Survey of Registered Nurses in China. PLoS ONE, 8, e81908.
http://dx.doi.org/10.1371/journal.pone.0081908
[21] Tawfik, M.Y., Mohamed, N.I. and Moussa, M.M. (2014) Barriers and Facilitates of Research Utilization as Perceived by Nurses of Suez Canal University Hospital-Ismailia-Egypt. Journal of American Science, 10, 89-96.
[22] Buhaid, N., Lau, R. and O’Connor, M. (2014) A Survey of Nurses’ Perceived Barriers to Research Utilization in Bahrain in Comparison to Other Countries. Middle East Journal of Nursing, 8, 3-9.
http://dx.doi.org/10.5742/MEN.2014.92475
[23] Chinomso, N. and Foluso, O. (2014) Perceived Research Utilization Barriers among Nurses in a Rural Hospital in Nigeria. International Journal of Advancements in Research & Technology, 3, 184-191.
[24] Al-Ghabeesh, S., Abu-Moghli, F. and Suleiman, K. (2014) Predictors of Research Utilization among Jordanian Registered Nurses: A Descriptive Correlational Study. International Journal of Medicine and Medical Sciences, 47, 1530-1538.
[25] Parahoo, K. (2000) Barriers to, and Facilitators of, Research Utilization among Nurses in Northern Ireland. Journal of Advanced Nursing, 31, 89-98.
http://dx.doi.org/10.1046/j.1365-2648.2000.01256.x
[26] Glacken, M. and Chaney, D. (2004) Perceived Barriers and Facilitators to Implementing Research Findings in the Irish Practice Setting. Journal of Clinical Nursing, 13, 731-740.
http://dx.doi.org/10.1111/j.1365-2702.2004.00941.x
[27] Oranta, O., Routasalo, P. and Hupli, M. (2002) Barriers to and Facilitators of Research Utilization among Finnish Registered Nurses. Journal of Clinical Nursing, 11, 205-213.
http://dx.doi.org/10.1046/j.1365-2702.2002.00587.x
[28] Adamsen, L., Larsen, K., Bjerregaard, L. and Madsen, J.K. (2003) Danish Research-Active Clinical Nurses Overcome Barriers in Research Utilization. Scandinavian Journal of Caring Science, 17, 57-65.
http://dx.doi.org/10.1046/j.1471-6712.2003.00124.x
[29] Leasure, A.R., Stirlen, J. and Thompson, C. (2008) Barriers and Facilitators to the Use of Evidence-Based Best Practices. Dimensions of Critical Care Nursing, 27, 74-82.
http://dx.doi.org/10.1097/01.DCC.0000311600.25216.c5
[30] Long, V.E. (2010) Adaptation of a Best Practice Model for Recognition and Treatment of Postpartum Depression in a Private Obstetrics Practice: An Evidence-Based Practice Project. Doctoral Dissertation, the Catholic University of America, Washington DC. ProQuest Digital Dissertations, UMI Number: 3403481.
[31] Fink, R., Thompson, C.J. and Bonnes, D. (2005) Overcoming Barriers and Promoting the Use of Research in Practice. Journal of Nursing Administration, 35, 121-129.
http://dx.doi.org/10.1097/00005110-200503000-00005
[32] Kajermo, K.N., Bostrom, A., Thompson, D.S., Hutchinson, A.M., Estabrooks, C.A. and Wallin, L. (2010) The BAR-RIERS Scale—The Barriers to Research Utilization Scale: A Systematic Review. Implementation Science, 5, 32.
http://dx.doi.org/10.1186/1748-5908-5-32

  
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