Evidence-based practice
Open Access
- 1 September 2019
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Medicine
- Vol. 98 (39), e17209
- https://doi.org/10.1097/md.0000000000017209
Abstract
This study is to summarize the status of knowledge, attitudes, implementation, facilitators, and barriers of evidence-based practice (EBP) in community nurses (CNs). EBP has been widely adopted but the knowledge, attitudes, and implementation of EBP among CNs, and the facilitators and barriers they perceived have not been clearly confirmed. A literature search was conducted using combined keywords in 3 English databases and 3 Chinese databases of peer-reviewed publications covering the dates of publication from 1996 to July, 2018. Twenty articles were included. The information of the knowledge, attitudes, implementation, and the perceived facilitators and barriers of EBP in CNs was extracted and summarized. CNs had positive attitudes toward EBP, but insufficient knowledge and unprepared implementation. The most cited facilitators were academic training, management functions, and younger age. Inadequate time and resources were recognized as main barriers hindering the transforming from knowledge and attitudes to implementation. Developed interventions mainly focused on knowledge facilitation rather than the elimination of objective barriers. Findings demonstrate a compelling need for improvement in knowledge and implementation of EBP in CNs, compared with the better attitudes. Except education, knowledge translating into implementation needs more coordination with authorities to magnify the facilitators and overcome the barriers. Further studies need to concentrate on deficient knowledge and implementation of EBP among CNs. Policy makers can use the facilitators and barriers found by this review to modify nursing education, current scientific resources supplement, practice supports for care improving.Keywords
Funding Information
- 2018 Zhejiang Medical and Health Science and Technology Plan Project (2017/66)
- Construction of Community Chronic Disease Self-Management Scheme Integrating Patient-Volunteer and Medical Staff (2018KY146)
This publication has 47 references indexed in Scilit:
- Perception of evidence-based practice and the professional environment of Primary Health Care nurses in the Spanish context: a cross-sectional studyBMC Health Services Research, 2012
- Expediting systematic reviews: methods and implications of rapid reviewsImplementation Science, 2010
- Attitudes Toward Guidelines in Finnish Primary Care Nursing: A Questionnaire SurveyWorldviews on Evidence-Based Nursing, 2009
- Validación de la versión española del cuestionario sobre la práctica basada en la evidencia en enfermeríaRevista Espanola de Salud Publica, 2009
- A scoring system for appraising mixed methods research, and concomitantly appraising qualitative, quantitative and mixed methods primary studies in Mixed Studies ReviewsInternational Journal of Nursing Studies, 2009
- Evidence‐based nursing: clarifying the concepts for nurses in practiceJournal of Clinical Nursing, 2009
- Factors influencing the development of evidence‐based practice: a research toolJournal of Advanced Nursing, 2007
- Evaluation of current care effectiveness: A survey of hypertension guideline implementation in Finnish health centresScandinavian Journal of Primary Health Care, 2007
- Barriers to evidence‐based practice in primary care nursing – why viewing decision‐making as context is helpfulJournal of Advanced Nursing, 2005
- Barriers: The barriers to research utilization scaleApplied Nursing Research, 1991