An exploration of the factors that impact on clinical practices of Nurses in applying evidence-based practice

While healthcare institutions around the world strive to adopt evidence-based practice (EBP) as the new standard in best practice, the nursing profession still faces multiple barriers and limitations in implementation. The aim of this paper is to present the analysis of EBP from the perspective of nurses working within two major South Australian hospitals, assessing their implementation and beliefs and exploring avenues for further research-based upon their feedback. A descriptive survey using the EBP beliefs (EBP-b) and the EBP implementation (EBP-I) scales were developed by Melnyk and Fineout-Overholt. Nurses scored high in the EBP belief scale reflecting significant positive readiness towards EBP. A positive correlation was observed between EBP beliefs and implementation, yet implementation rates were very low. More research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem. Based on the evidence it appears that more research is needed to explore the reasons why implementation rates are so low amongst practising nurses to understand and address the root of this problem.

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A lack of allocated research time challenges the extent of the implementation of evidence-based practice - A three-year retrospective follow-up cohort study of Master of Science in Nursing graduates

Journal of Nursing Education and Practice ◽

10.5430/jnep.v10n8p19 ◽

2020 ◽

Vol 10 (8) ◽

pp. 19

Author(s):

Connie Berthelsen

Keyword(s):

Response Rate ◽

Evidence Based Practice ◽

Research Utilization ◽

Evidence Based ◽

Nursing Graduates ◽

Nursing Management ◽

Master Of Science ◽

Belief Scale ◽

Ebp Implementation

Objective: To describe and compare the development of Master of Science in Nursing graduates’ research utilization and improvement of knowledge, one to three years after graduation, and to describe their beliefs, abilities and implementation regarding evidence-based practice in the workplace.Methods: Sixty-five Master of Science in Nursing (MSN) graduates, associated with an academic cohort, were invited to participate in a three-year retrospective follow-up study. Forty-five MSN graduates replied, providing a response rate of 69.23%. A questionnaire of four areas, consisting of the customary cohort questionnaire combined with the EBP Belief scale and the EBP Implementation scale, was sent to the participants using SurveyMonkey®.Results: An overall increased development in MSN graduates’ research utilization and knowledge improvement in all parameters was found from one to three years after graduation, along with greater knowledge of, and a stronger belief in the value of, evidence-based practice. However, a strong decrease in allocated time for research was found, leading to a very limited implementation of evidence-based practice by the MSN graduates.Conclusions: The study ends with a question about whether time is still an issue – even for academic nurses, who are educated and employed to implement evidence-based practice. If the barriers to nursing research are not taken seriously by nursing management then the extent of implementation of evidence-based practice and the improvement of quality in patient care and trajectories will continue to be very limited.

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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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Evidence-Based Practice & Practice-Based Evidence Applied to Adult, Medical Speech-Language Pathology

Perspectives on Gerontology ◽

10.1044/gero18.1.14 ◽

2013 ◽

Vol 18 (1) ◽

pp. 14-26 ◽

Cited By ~ 2

Author(s):

Rik Lemoncello ◽

Bryan Ness

Keyword(s):

Evidence Based Practice ◽

Single Case ◽

Quality Data ◽

Evidence Based ◽

Speech Language Pathology ◽

Clinical Practices ◽

High Quality ◽

Randomized Controlled Clinical Trials ◽

Relative Paucity ◽

Language Pathology

In this paper, we review concepts of evidence-based practice (EBP), and provide a discussion of the current limitations of EBP in terms of a relative paucity of efficacy evidence and the limitations of applying findings from randomized controlled clinical trials to individual clinical decisions. We will offer a complementary model of practice-based evidence (PBE) to encourage clinical scientists to design, implement, and evaluate our own clinical practices with high-quality evidence. We will describe two models for conducting PBE: the multiple baseline single-case experimental design and a clinical case study enhanced with generalization and control data probes. Gathering, analyzing, and sharing high-quality data can offer additional support through PBE to support EBP in speech-language pathology. It is our hope that these EBP and PBE strategies will empower clinical scientists to persevere in the quest for best practices.

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Evidence-Based Practice: The Cochrane Collaboration, and Occupational Therapy

Canadian Journal of Occupational Therapy ◽

10.1177/000841749806500304 ◽

1998 ◽

Vol 65 (3) ◽

pp. 144-151 ◽

Cited By ~ 14

Author(s):

Robyn L. Hayes ◽

John J. McGrath

Keyword(s):

Systematic Reviews ◽

Randomised Controlled Trials ◽

Best Practice ◽

Evidence Based Practice ◽

Occupational Therapists ◽

Cochrane Collaboration ◽

Controlled Trials ◽

Evidence Based ◽

Randomised Controlled ◽

The Cochrane Collaboration

This paper describes how occupational therapists can become involved in the Cochrane Collaboration — a well-developed tool for facilitating the involvement of health professionals and lay people in evidence-based practice. The Cochrane Collaboration is a growing international project intended to systematically locate, conduct systematic reviews (including metaanalyses) of, and disseminate information on all available randomised controlled trials of interventions in any area of health. In particular, occupational therapists can use the Cochrane Collaboration to become better informed about best practice and evaluate research in their areas of interest, and learn skills related to conducting randomised controlled trials, systematic reviews, and meta-analyses.

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Tele-ICU Partners Enhance Evidence-Based Practice

AACN Advanced Critical Care ◽

10.4037/nci.0b013e31825dfec5 ◽

2012 ◽

Vol 23 (3) ◽

pp. 312-322 ◽

Cited By ~ 3

Author(s):

Carol Olff ◽

Cynthia Clark-Wadkins

Keyword(s):

Health Care ◽

Length Of Stay ◽

Best Practice ◽

Evidence Based Practice ◽

Care Delivery ◽

Health Care Team ◽

Evidence Based ◽

New Members ◽

Management Protocol ◽

Information Research

Evidence-based practice (EBP) has become more than just a trendy buzzword in health care; EBP validates care delivery methods and grants satisfaction to nurses in knowing the care they provide is based on valid, current information. Research-based enhancements are paramount to the advancement of nursing practice and prompt the implementation of creative methods to improve care. The advent of the tele–intensive care unit (ICU) introduces new members of the health care team to assist with implementation of EBP initiatives. This new partnership results in improved length of stay, mortality rates, and ventilator times for critical care patients. Current literature suggests that a clinician-driven, standardized ventilator management protocol is of significant benefit. Tele-ICU clinicians provide an interactive element to coordinate interdisciplinary team efforts. Enhanced communication, data evaluation, and timely intervention expedite the weaning process and reduce ventilator length of stay. Consistent collaboration between tele-ICU and bedside clinicians successfully improves patient outcomes through standardized adherence to best-practice initiatives.

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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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Systematic Review and its Relationship with Evidence-Based Practice in Health

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692010000400023 ◽

2010 ◽

Vol 18 (4) ◽

pp. 824-831 ◽

Cited By ~ 4

Author(s):

Eugenia Urra Medina ◽

René Mauricio Barría Pailaquilén

Keyword(s):

Systematic Review ◽

Latin America ◽

Systematic Reviews ◽

Evidence Based Practice ◽

Clinical Effectiveness ◽

Health Professions ◽

Health Interventions ◽

Evidence Based ◽

The World

Systematic reviews (SR) have gained relevance in the world and Latin America because of their credibility in the search, compilation, arranging and analysis of the information obtained from research about health interventions, during a period of time. Consequently, evidence-based practice uses SR as a way to capture the best evidence of clinical effectiveness. This article reviews SR methodology, process, and its usefulness in health professions like nursing and medicine.

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