Application of Evidence-Based Nursing Practice and Its Barriers in Padang, West Sumatera Indonesia

Professional nurses, one of the human resources in the health field, have an obligation to carry out the nursing process, especially nursing based on scientific evidence. This study’s aim was to describe the knowledge, attitudes, implementation towards evidence-based practice and its barriers in the Hospital. A quantitative research with descriptive approach was conducted in the Dr. M. Djamil Hospital Padang. A consecutive sampling technique was utilized with 139 respondents being selected and only 90 respondents completely filled in the questionnaires. The instruments used were Evidence-Based Practice Questionnaire (EBPQ) and BARRIERS Scale. Characteristics of respondents were 70.0% diploma education, mean (SD) age was 36.7 (7.95) years and 13.35 (8.37) years working time. The average EBP-related attribute score was higher than the average score of EBP knowledge/understanding, understanding of research terms, confidence and practice towards EBP. There is a need to improve knowledge and understanding of EBP and research and overcome the obstacles of EBP implementation in the practice of nursing service.

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HUBUNGAN PENGETAHUAN TERHADAP KOMPETENSI MAHASIWA PROFESI NERS DALAM PENERAPAN EVIDENCE BASED PRACTICE

Jurnal Ilmiah Kesehatan Keperawatan ◽

10.26753/jikk.v14i1.274 ◽

2018 ◽

Vol 14 (1) ◽

Author(s):

Hasniatisari Harun ◽

Yusshy Kurnia Herliani ◽

Anita Setyawati

Keyword(s):

Nursing Education ◽

Nursing Students ◽

Quantitative Research ◽

Evidence Based Practice ◽

Sampling Technique ◽

Nursing Program ◽

Evidence Based ◽

Professional Nursing ◽

Professional Nurses ◽

High Competence

Professional nurses could be prepared through professional nursing programs. Professional nursing program is part of the nursing education program. One of the competencies required to be professional nurses is implementing evidence-based practice (EBP) to explore the best nursing interventions for patients to get optimal outcome. Nursing students have learned EBP during bachelor degree by analysis case using the EBP method. However, evaluation related students' understanding of the method and its application of EBP to the clinical practice was none. The purpose of this study was to determine the relationship of knowledge with student competency in the implementation of evidence based practice (EBP) to managed patients in the medical surgical nursing stage. This research is quantitative research. The sample in this study was 120 nursing students who were at professional nursing program that were recruited using total sampling technique. The instrument used is the Evidence Based Practice Questionnaire (EBPQ) questionnaire. The results showed that more than half of the respondents had high knowledge (68%), and high competence (49%). This study shows a meaningful relationship between knowledge of student competence in applying EBP (r = .6070, p <0.01). The findings of this study are important for recommendations related to developing teaching materials in nursing education related to for providing the best service for patients.

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PERL of Wisdom: A Tool to Help Bedside Nurses Remember Available Evidence-Based Resources

Creative Nursing ◽

10.1891/1078-4535.15.2.85 ◽

2009 ◽

Vol 15 (2) ◽

pp. 85-89

Author(s):

Claudia Pagani ◽

Jackie Jacalan-Baras

Keyword(s):

Critical Thinking ◽

Clinical Practice ◽

Patient Outcomes ◽

Evidence Based Practice ◽

Scientific Evidence ◽

Nursing Profession ◽

Evidence Based ◽

Electronic Resource ◽

Nursing Skills ◽

Evidence Based Nursing

Despite the increasing importance of evidence-based practice for the nursing profession, some nurses remain unable to use scientific evidence in their clinical practice to support their critical thinking and nursing skills. PERL (Print, Electronic, Resource Persons, and Location) is an acronym that nurses can use to categorize available resources to practice evidence-based nursing, thereby enhancing patient outcomes.

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Persepsi Perawat Tentang Evidence Based Nursing Practice (EBNP) di Rumah Sakit

Jurnal Endurance ◽

10.22216/jen.v4i3.4638 ◽

2019 ◽

Vol 4 (3) ◽

pp. 516

Author(s):

Reni Irmayanti ◽

Hema Malini ◽

Dewi Murni

Keyword(s):

Nursing Practice ◽

Evidence Based Practice ◽

Hospital Setting ◽

Sampling Technique ◽

Phenomenological Approach ◽

Evidence Based ◽

Purposive Sampling ◽

Service Unit ◽

Nurses Perceptions ◽

Evidence Based Nursing

Evidence-Based Practice is a systematic approach to improving the quality of nursing practiceby collecting the best evidence. The application of Evidence Based Nursing Practice (EBNP) in nursing services has focused on the hospital setting. The concept of EBNP is acceptable but difficult to implement, so it is necessary to study how nurses' perceptions of EBNP are. This study aims to explore nurses' perceptions about EBNP at Bukittinggi Hospital. Qualitative research design with a phenomenological approach. Data collection was carried out through in-depth interviews with six participants using purposive sampling technique. Criteria for inclusion in the sample are the head of the room or the team leader in the nursing service unit. Data were analyzed by the Colaizzi method. The results this research found four themes, (1) Lack of nurses 'understanding of EBNP, (2) Obstacles in EBNP implementation (3) Nurses' expectations in implementing EBNP, (4) Benefits in implementing EBNP. The conclusion this research is the lack of nurses 'understanding of EBNP, there are obstacles in implementing EBNP, nurses' expectations in implementing EBNP and the advantages in implementing EBNP Evidence-Based Practice adalah pendekatan sistematis untuk meningkatkan kualitas praktik keperawatan dengan mengumpulkan bukti terbaik. Penerapan Evidence Based Nursing Practice (EBNP) dalam pelayanan keperawatan telah difokuskan pada tatanan rumah sakit. Konsep EBNP dapat diterima namun sulit dalam implementasinya, sehingga perlu dikaji bagaimana persepsi perawat tentang EBNP. Penelitian ini bertujuan untuk mengeksplorasi persepsi perawat tentang EBNP di RSAM Bukittinggi. Desain penelitian kualitatif dengan pendekatan fenomenologi. Pengumpulan data dilakukan melalui wawancara mendalam kepada enam partisipan dengan teknik purposive sampling. Kriteria inklusi sampel adalah kepala ruangan atau ketua tim pada unit pelayanan keperawatan. Data dianalisis dengan metode Colaizzi. Hasil penelitian ditemukan empat tema yaitu (1) Kurangnya pemahaman perawat tentang EBNP, (2) Hambatan dalam penerapan EBNP (3) Harapan perawat dalam penerapan EBNP, (4) Keuntungan dalam menerapkan EBNP. Kesimpulan penelitian ini yaitu kurangnya pemahaman perawat tentang EBNP, terdapat hambatan dalam penerapan EBNP, harapan perawat dalam penerapan EBNP dan keuntungan dalam menerapkan EBNP

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What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

American Journal of Speech-Language Pathology ◽

10.1044/2019_ajslp-19-00171 ◽

2020 ◽

Vol 29 (2) ◽

pp. 688-704

Author(s):

Katrina Fulcher-Rood ◽

Anny Castilla-Earls ◽

Jeff Higginbotham

Keyword(s):

Clinical Practice ◽

Research Evidence ◽

Evidence Based Practice ◽

Evidence Based ◽

Clinical Expertise ◽

Speech Language Pathologists ◽

School Based ◽

Research Findings ◽

Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

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The PICO strategy for the research question construction and evidence search

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692007000300023 ◽

2007 ◽

Vol 15 (3) ◽

pp. 508-511 ◽

Cited By ~ 271

Author(s):

Cristina Mamédio da Costa Santos ◽

Cibele Andrucioli de Mattos Pimenta ◽

Moacyr Roberto Cuce Nobre

Keyword(s):

Decision Making ◽

Clinical Decision Making ◽

Evidence Based Practice ◽

Scientific Evidence ◽

Research Question ◽

Clinical Decision ◽

Evidence Based ◽

Review Of The Literature

Evidence based practice is the use of the best scientific evidence to support the clinical decision making. The identification of the best evidence requires the construction of an appropriate research question and review of the literature. This article describes the use of the PICO strategy for the construction of the research question and bibliographical search.

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The Client-Centred Evidence-Based Practice of Occupational Therapy

Canadian Journal of Occupational Therapy ◽

10.1177/000841749806500303 ◽

1998 ◽

Vol 65 (3) ◽

pp. 136-143 ◽

Cited By ~ 39

Author(s):

Mary Egan ◽

Claire-Jehanne Dubouloz ◽

Claudia Von Zweck ◽

Josée Vallerand

Keyword(s):

Occupational Therapy ◽

Process Model ◽

Evidence Based Practice ◽

Scientific Evidence ◽

Treatment Decision ◽

Population Based ◽

Individual Characteristics ◽

Evidence Based ◽

Health Related ◽

Problem Solving Process

Evidence-based practice has its roots in evidence-based medicine. This term refers to the formulation of treatment decision using the best available research evidence. While the concept has gained increased attention among health care workers in the recent past, practice based on scientific evidence has been recommended for over 300 years. However, all health-related professions continue to report difficulties adopting evidence-based practice. Notably, practitioners are often concerned that results of population-based research may not be relevant for their specific patients. This may be of particular concern for occupational therapists who aim to provide client-centred intervention, taking into consideration individual characteristics of the client, the environment and the occupation. As well, those wishing to practice evidence-based occupational therapy must determine which decisions are made during the course of therapy and what evidence may impact on these decisions. The Occupational Performance Process Model (Fearing, Law & Clark, 1997) outlines the occupational therapy problem solving process and assists therapists to integrate knowledge from both client and therapist. A framework for evidence-based occupational therapy is presented, based on this model.

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GAMBARAN PENGETAHUAN PERAWAT DALAM PENANGANAN NYERI NONFARMAKOLOGI PADA PASIEN PASCA OPERASI DI RUANG BEDAH RSUD KABUPATEN INDRAMAYU TAHUN 2017

JURNAL KESEHATAN INDRA HUSADA ◽

10.36973/jkih.v6i2.141 ◽

2019 ◽

Vol 6 (2) ◽

Author(s):

Riyanto Riyanto ◽

Ridho Kunto Prabowo ◽

Maya Rahayu

Keyword(s):

Public Hospital ◽

Evidence Based Practice ◽

Pain Treatment ◽

Sampling Technique ◽

Electronic Media ◽

Evidence Based ◽

Postoperative Patient ◽

Subject Knowledge ◽

Research Population ◽

Nurse Knowledge

Pengetahuan merupakan hal yang sangat penting bagi seorang perawat. Mengenai hal ini tentang pengetahuan perawat dalam penanganan nyeri nonfarmakologi pada pasien pasca operasi belum sepenuhnya dilaksanakan dengan baik. Sehingga penelitian ini bertujuan mengetahui gambaran pengetahuan perawat dalam penanganan nyeri nonfarmakologi pada pasien pasca operasi. Metode yang digunakan kuantitatif dengan teknik deskriptif, populasi penelitian ini perawat di ruang bedah, dengan teknik total sampling sebanyak 30 perawat. Hasil didapatkan pengetahuan perawat dalam pennaganan nyeri nonfarmakologi pada pasien pasca operasi di ruang bedah RSUD Kabupaten Indramayu sebanyak 27 responden (90.0 %) dengan pengetahuan kurang, tentang massase kulit sebanyak 17 responden (56.7 %) dengan pengetahuan kurang, kompres 23 responden (76.7 %) dengan pengetahuan kurang, hipnotis sebanyak 19 responden (63.3 %) dengan pengetahuan kurang, acupressure sebanyak 16 responden (53.0 %) dengan pengetahuan cukup, relaksasi sebanyak 21 responden (70.0 %) dengan pengetahuan kurang, dan tentang distraksi sebanyak 17 responden (56.7 %) dengan pengetahuan kurang. Pengetahuan perawat dapat ditingkatkan dengan membaca media elektronik, evidence-based practice, dan mengikuti seminar atau workshop. ABSTRACT Knowledge is very important for a nurse. On this subject knowledge of nurse knowledge in the treatment of nonpharmacological pain in postoperative patients has not been fully implemented properly. So this study aims to determine the description of knowledge of nurses in the treatment of nonpharmacological pain in postoperative patients. The method used is quantitative with descriptive technique, this research population is nurse in surgery room, with total sampling technique counted 30 nurses. The result was obtained by nurse knowledge in non-pharmacology pain treatment in postoperative patient in surgical room of regionl public hospital regency of Indramayu with 27 respondents (90.0%) with less knowledge, about skin mass as much as 17 respondents (56.7%) with less knowledge, compress 23 respondents (76.7%) with less knowledge, hypnosis as much as 19 respondents (63.3%) with less knowledge, acupressure as many as 16 respondents (53.0%) with enough knowledge, relaxation as much as 21 respondents (70.0%) with less knowledge, and about distraction as many as 17 respondents (56.7%) with less knowledge. The nurse's knowledge can be improved by reading electronic media, evidence-based practice, and attending seminars or workshops.

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Safe and effective praxis without scientific evidence: is it possible?

Revista Brasileira de Fisiologia do Exercício ◽

10.33233/rbfe.v19i3.4211 ◽

2020 ◽

Vol 19 (3) ◽

pp. 178

Author(s):

Jefferson Petto ◽

Igor Macedo De Oliveira ◽

Alice Miranda De Oliveira ◽

Marvyn De Santana Do Sacramento

Keyword(s):

Decision Making ◽

Health Professionals ◽

Scientific Literature ◽

Evidence Based Practice ◽

Scientific Evidence ◽

Science And Technology ◽

Evidence Based ◽

Scientific Thought ◽

Daily Lives

The earliest accounts of scientific thought date back to thousands of years BC, where problems in the daily lives of our predecessors led to the search for effective and replicable forms of resolution. Nowadays, in the advent of science and technology, health professionals' decision making has been organized based on the analysis of the diverse evidence available in the scientific literature. This process has been identified Evidence Based Practice (EBP)...

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Evidence-Based Practice Patterns Among Speech-Language Pathologists and Audiologists in Saudi Arabia

Communication Disorders Quarterly ◽

10.1177/1525740119843681 ◽

2019 ◽

Vol 41 (4) ◽

pp. 242-249 ◽

Cited By ~ 1

Author(s):

Abdulsalam Alhaidary

Keyword(s):

Saudi Arabia ◽

Clinical Decision Making ◽

Practice Patterns ◽

Evidence Based Practice ◽

Clinical Decision ◽

Limited Resources ◽

Evidence Based ◽

Speech Language Pathologists ◽

Insufficient Time ◽

Ebp Implementation

The goal of this study was to explore the evidence-based practice (EBP) pattern among speech-language pathologists (SLPs) and audiologists in Saudi Arabia. A total of 48 clinicians working in Saudi Arabia completed a questionnaire that investigated patterns, attitudes, skills, and time and resources at the workplace related to EBP. The results showed that SLPs and audiologists held favorable attitudes toward EBP, and the use of research studies to guide clinical decision making was increased among the participants with previous EBP training. Also, the study found that skills and knowledge related to EBP need to be enhanced, but they were not major barriers to EBP implementation. Limited resources appeared to impose some hindrances, whereas insufficient time at the workplace was found to be a major challenge for EBP implementation. Overall, the findings from this study highlight the importance of increasing the continuing education and professional time for EBP activities in the workplace.

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Evidence-Based Practice Application: A Goal for Anaesthetic and Recovery Nurses

British Journal of Anaesthetic and Recovery Nursing ◽

10.1017/s1742645612000113 ◽

2011 ◽

Vol 12 (3-4) ◽

pp. 53-56 ◽

Cited By ~ 1

Author(s):

Joni M. Brady

Keyword(s):

Nursing Education ◽

Formal Education ◽

Evidence Based Practice ◽

Scientific Evidence ◽

Evidence Based ◽

Nursing Process ◽

Skilled Professional ◽

Professional Opinion ◽

Guided Instruction ◽

Subsequent Addition

AbstractHistorically speaking, nursing actions were often based on opinions or habits with very little scientific evidence available to guide practice. The nursing process has been widely employed in basic nursing education programmes for several decades. The subsequent addition of the critical thinking component has enabled the practitioner to apply reasoning and formulate appropriate judgments about his/her patient's needs. Although many nurses lack formal education in research and evidence-based practice (EBP), frontline practitioners occupy a perfect position to stimulate and impact adoption of EBP in practice. Incorporation of EBP education and guided instruction in the EBP process for anaesthetic and recovery nurses can only serve to sustain its primary goal of combining the best available evidence with skilled professional opinion to achieve safe and sound practice at the bedside.

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