Healthcare professional views on barriers to implementation of evidence-based practice in prevention of ventilator-associated events: A qualitative descriptive study

2021 ◽  
pp. 103133
Author(s):  
Auxillia Madhuvu ◽  
Ruth Endacott ◽  
Virginia Plummer ◽  
Julia Morphet
Keyword(s):  
Healthcare Professional ◽  
Evidence Based Practice ◽  
Descriptive Study ◽  
Evidence Based ◽  
Qualitative Descriptive ◽  
Barriers To Implementation

scholarly journals Educating change agents: a qualitative descriptive study of graduates of a Master’s program in evidence-based practice

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Grete Oline Hole ◽  
Sissel Johansson Brenna ◽  
Birgitte Graverholt ◽  
Donna Ciliska ◽  
Monica Wammen Nortvedt
Keyword(s):  
Evidence Based Practice ◽  
Change Agents ◽  
Descriptive Study ◽  
Evidence Based ◽  
Master's Program ◽  
Qualitative Descriptive

scholarly journals CHALLENGES FOR PRIMARY HEALTHCARE PROFESSIONALS IN CARING FOR WOMEN WITH POSTPARTUM DEPRESSION

2015 ◽  
Vol 24 (3) ◽  
pp. 706-712 ◽  
Author(s):  
Bianca de Macêdo Meira ◽  
Pauliany Alencar de Souza Pereira ◽  
Maria de Fátima Araújo Silveira ◽  
Dulce Maria Rosa Gualda ◽  
Hudson Pires Oliveira Santos Jr
Keyword(s):  
Postpartum Depression ◽  
Practice Guidelines ◽  
Primary Healthcare ◽  
Postpartum Period ◽  
Field Observation ◽  
Healthcare Professionals ◽  
Descriptive Study ◽  
Structured Interview ◽  
Evidence Based ◽  
Qualitative Descriptive

ABSTRACT The aim of this study was to explore the challenges for primary healthcare professionals in caring for women with postpartum depression, in order to learn which tools are used for the identification of these women, as well as ways of working to restore their health. This qualitative descriptive study was conducted in healthcare units in Campina Grande, Paraíba. Data were collected by field observation and a semi-structured interview, which was administered to 16 healthcare professionals. The results describe healthcare professionals' difficulties in identifying and treating women with postpartum depression, because of the limited focus on physiological developmental aspects of gestation and postpartum. The professionals reported limited knowledge on how to assess emotional changes related to the postpartum period. Primary healthcare professionals need to be educated to identify and treat women with postpartum depression, and practice guidelines and protocols must be established to guide evidence-based practice.

scholarly journals Registered nurses’ experiences of providing respiratory care in relation to hospital- acquired pneumonia at in-patient stroke units: a qualitative descriptive study

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Gunilla Borglin ◽  
Miia Eriksson ◽  
Madeleine Rosén ◽  
Malin Axelsson
Keyword(s):  
Acute Stroke ◽  
Registered Nurses ◽  
Nursing Care ◽  
Descriptive Study ◽  
Respiratory Care ◽  
Evidence Based ◽  
Stroke Units ◽  
Qualitative Descriptive ◽  
Hospital Acquired Pneumonia ◽  
Hospital Acquired

Abstract Objective This study aimed to describe registered nurses’ (RNs) experiences of providing respiratory care in relation to hospital acquired pneumonia (HAP), specifically among patients with acute stroke being cared for at in-patient stroke units. Background One of the most common and serious respiratory complications associated with acute stroke is HAP. Respiratory care is among the fundamentals of patient care, and thus competency in this field is expected as part of nursing training. However, there is a paucity of literature detailing RNs’ experiences with respiratory care in relation to HAP, specifically among patients with acute stroke, in the context of stroke units. As such, there is a need to expand the knowledge base relating to respiratory care focusing on HAP, to assist with evidence-based nursing. Design A qualitative descriptive study. Method Eleven RNs working in four different acute stroke units in Southern Sweden participated in the current study. The data were collected through semi-structured interviews, and the transcribed interviews were analysed using inductive content analysis. Results Three overarching categories were identified: (1), awareness of risk assessments and risk factors for HAP (2) targeting HAP through multiple nursing care actions, and (3) challenges in providing respiratory care to patients in risk of HAP. These reflected the similarities and differences in the experiences that RNs had with providing respiratory care in relation to HAP among in-patients with acute stroke. Conclusions The findings from this study suggest that the RNs experience organisational challenges in providing respiratory care for HAP among patients with acute stroke. Respiratory care plays a vital role in the identification and prevention of HAP, but our findings imply that RNs’ knowledge needs to be improved, the fundamentals of nursing care need to be prioritised, and evidence-based guidelines must be implemented. RNs would also benefit from further education and support, in order to lead point-of-care nursing in multidisciplinary stroke teams.

Barriers to implementation of Evidence-Based Practice (EBP): a survey of Colombian and Spanish physiotherapists

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1256-e1257
Author(s):  
M. Girabent-Farrés ◽  
C. Bagur-Calafat ◽  
P. Serra-Llobet ◽  
M.B. Sánchez-Puccini ◽  
M.A. Domínguez-Sánchez ◽  
...  
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
Barriers To Implementation

scholarly journals Barriers to implementation of evidence-based practice in physiotherapy

2019 ◽  
Vol 7 (1) ◽  
pp. 22
Author(s):  
Priyanika Jesrani ◽  
M. Sarfraz ◽  
Kailash Kumar ◽  
Fauzia Imtiaz ◽  
Rubina Kanwal ◽  
...  
Keyword(s):  
Evidence Based Practice ◽  
Evidence Based ◽  
Barriers To Implementation

scholarly journals Teaching evidence-based practice (EBP) in nursing curricula in six European countries—A descriptive study

2020 ◽  
Vol 94 ◽  
pp. 104561 ◽  
Author(s):  
Brigita Skela-Savič ◽  
Joanna Gotlib ◽  
Mariusz Panczyk ◽  
Athina E. Patelarou ◽  
Urban Bole ◽  
...  
Keyword(s):  
Evidence Based Practice ◽  
Descriptive Study ◽  
European Countries ◽  
Evidence Based ◽  
Nursing Curricula

scholarly journals Improving care in surgery – a qualitative study of managers’ experiences of implementing evidence-based practice in the operating room

2015 ◽  
Vol 4 (4) ◽  
pp. 73 ◽  
Author(s):  
Annette Erichsen Andersson ◽  
Wendy Gifford ◽  
Kerstin Nilsson
Keyword(s):  
Operating Room ◽  
Evidence Based Practice ◽  
Implementation Process ◽  
Organizational Structures ◽  
Evidence Based ◽  
Safety Measures ◽  
Professional Groups ◽  
Leadership Support ◽  
Qualitative Descriptive ◽  
And Control

Background: More knowledge is needed on the preconditions and circumstances for leading implementation of evidence based practice in the operating room (OR). Effective leadership support is critical to enhance the provision of safer care. The aim of this study was to explore managers’ and clinical leaders’ experiences of implementing evidence-based practice to increase patient safety in the operating room.Methods: The study had a qualitative descriptive design. In all, 25 managers were interviewed, with different surgical specialities (orthopedics, general and pediatric surgery) and operating room suites, from eight hospitals and 15 departments.Results: The organizational structures were defined as key obstacles to implementation. Specifically, lack of a common platform for cooperation between managers from different departments, organizational levels and professional groups impeded the alignment of shared goals and directions. In cases where implementation was successful, well-functioning and supportive relationships between the managers from different professions and levels were crucial along with a strong sense of ownership and control over the implementation process. Whilst managers expressed the conviction that safety was an important issue that was supported by top management, the goal was usually to “get through” as many operations as possible. This created conflicts between either prioritizing implementation of safety measures or production goals, which sometimes led to decisions that were counter to evidence-based practice (EBP). While evidence was considered crucial in all implementation efforts, it might be neglected and mistrusted if hierarchical boundaries between professional subgroups were challenged, or if it concerned preventive innovations as opposed to technical innovations.Conclusions: The preconditions for implementing EBP in the OR are suboptimal; thus addressing leadership, organizational and interprofessional barriers are of vital importance.

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