©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn Strategies to Overcome Barriers to Evidence-Based Practice: What Nurse Leaders

©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn

Strategies to Overcome Barriers to

Evidence-Based Practice: What Nurse Leaders

Need to Know!

Douglas M. Turner, PhD, MSN, RN, CNE, NE-BC, NEA-BCPatricia Fedorka, PhD, RNC-OB, C-EFM, CNE

DNP Faculty • Chamberlain College of Nursing


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Mandatory Disclosure

I have no financial relationships to discuss and I will not discuss off label use and/or investigational use

in my presentation.


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Presentation Objectives

• By the end of this presentation, the participant will be able to:

– Identify the most common barriers toimplementation of evidence-based nursing practice at the microsystems level

– Describe effective strategies to overcome barriers to the implementation of evidence-based nursing practice at the microsystems level

– Devise a plan that best promotes evidence-based practitioners in a specific facility/organization


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The Process

2. Formulation

of PICOT Question

3. Evidence Review

4. Implementation

of Evidence

5. Evaluation

& Monitoring

1. Problem

Identification


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The Problem: Nursing Care Not Based on Evidence

Safe Effective

Care

Current Best

Practice

Barrier-Free

Setting

Direct-Care

Buy-In

Support of

Leaders


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The PICOT Question

In nurses practicing at themicrosystems level what

are barriers to the adoptionof evidence-based practice

as well as strategies to overcome the identified

barriers?


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Systematic Review Process

Evidence Review

• CINAHL

• Cochrane Reviews

• Joanna Briggs Institute Library

• PubMED

Process

• Evidence Collected

• Meta-synthesis

• Barriers Identified

• Strategies Identified


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The Evidence

Motivation

Knowledge

Time


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The Answers

Encouragement

Support

Time


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The Implications & Recommendations

KSA’s

• Meaningful professional development

• Opportunities to work with skilled evidence-based practitioners

• Sincere encouragement

• Realistic support

• Meaningful recognition

Time

• Realistic support

• Negotiable release from direct-care

• Support to producing measurable outcomes (accountability)


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Where to Go From Here

Assessment

• Barriers

• Perceptions

• General knowledge and skill levels

Planning

• Strategies

• Motivation

• Professional development


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Summary

• By the end of this presentation, the participant will be able to:

– Identify the most common barriers toimplementation of evidence-based nursing practice at the microsystems level

– Describe effective strategies to overcome barriers to the implementation of evidence-based nursing practice at the microsystems level

– Devise a plan that best promotes evidence-based practitioners in a specific facility/organization


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Questions?


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References

Boström, A.-M., et al. (2012). "Commentary on Brown CE, Ecoff L, Kim SC, Wickline MA, Rose B, Klimpel K and Glaser D (2010) Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses. Journal of Clinical Nursing 19, 1944-1951." Journal of Clinical Nursing 21(19/20): 2995-2996.

Breimaier, H. E., et al. (2011). "Nurses' wishes, knowledge, attitudes and perceived barriers on implementing research findings into practice among graduate nurses in Austria." Journal of Clinical Nursing 20(11/12): 1744-1756.

Brown, C. E., et al. (2010). "Multi-institutional study of barriers to research utilisation and evidence-based practice among hospital nurses." Journal of Clinical Nursing 19(13/14): 1944-1951.

Brown, C. E., et al. (2009). "Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center." Journal of Advanced Nursing 65(2): 371-381.

Dalheim, A., et al. (2012). "Factors influencing the development of evidence-based practice among nurses: a self-report survey." BMC Health Services Research 12(1): 367-376.

Egerod, I. and G. M. Hansen (2005). "Evidence-based practice among Danish cardiac nurses: a national survey." Journal of Advanced Nursing 51(5): 465-473.

Gerrish, K., et al. (2007). "Factors influencing the development of evidence-based practice: a research tool." Journal of Advanced Nursing 57(3): 328-338.


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References

Hannes, K., et al. (2007). "Barriers to evidence-based nursing: a focus group study." Journal of Advanced Nursing 60(2): 162-171.

Kim, S. C., et al. (2013). "Regional Evidence-Based Practice Fellowship Program: Impact on Evidence-Based Practice Implementation and Barriers." Clinical Nursing Research 22(1): 51-69.

Koehn, M. L. and K. Lehman (2008). "Nurses’ perceptions of evidence-based nursing practice." Journal of Advanced Nursing 62(2): 209-215.

Mills, J., et al. (2011). "Factors affecting evidence translation for general practice nurses." International Journal of Nursing Practice 17(5): 455-463.

Nai Ming, L., et al. (2010). "The place and barriers of evidence based practice: knowledge and perceptions of medical, nursing and allied health practitioners in malaysia." BMC Research Notes 3: 279-286.

Omer, T. (2012). "Research Utilization in a Multicultural Nursing Setting in Saudi Arabia: Barriers and Facilitators." Journal of Nursing Research (Lippincott Williams & Wilkins) 20(1): 66-73.

Solomons, N. M. and J. A. Spross (2011). "Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: an integrative review." Journal of Nursing Management 19(1): 109-120.


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References

Tagney, J. and C. Haines (2009). "Using evidence-based practice to address gaps in nursing knowledge." British Journal of Nursing 18(8): 484-489.

Vanhook, P. M. (2009). "Overcoming the barriers to EBP." Nursing Management 40(8): 9-11.

Wallis, L. (2012). "Barriers to Implementing Evidence-Based Practice Remain High for U.S. Nurses." American Journal of Nursing 112(12): 15-15.

Wang, S.-C., et al. (2012). "Psychometric testing of the Chinese evidence-based practice scales." Journal of Advanced Nursing 68(11): 2570-2577.

Winch, S., et al. (2005). "Read, Think, Do!: a method for fitting research evidence into practice." Journal of Advanced Nursing 50(1): 20-26.

Yadav, B. L. and G. M. Fealy (2012). "Irish psychiatric nurses' self-reported barriers, facilitators and skills for developing evidence-based practice." Journal of Psychiatric & Mental Health Nursing 19(2): 116-122.

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©2014 Chamberlain College of Nursing, LLC. All rights reserved. 0914ccn Strategies to Overcome Barriers to Evidence-Based Practice: What Nurse Leaders