Background EBP is typically undertaken to improve practice. Although there have
been many studies focused on the barriers and facilitators to adopting EBP, these
have not been tied explicitly to CQI frameworks.
Methods CINAHL, Academic Search Premier, Medline, Psych Info, ABI/Inform and
LISTA databases were searched using the keywords: nurses, information literacy,
access to information, sources of knowledge, decision making, research utilization,
information seeking behaviour and nursing practice, evidence-based practice.
Shortells framework was used to organize the barriers and facilitators.
Results Across the articles, the most common barriers were lack of time and lack of
autonomy to change practice which falls within the strategic and cultural dimensions
in Shortells framework.
Conclusions Barriers and facilitators to EBP adoption occur at the individual and
institutional levels. Solutions to the barriers need to be directed to the dimension
where the barrier occurs, while recognizing that multidimensional approaches are
essential to the success of overcoming these barriers.
Implications for nursing management The findings of the present study can help
nurses identify barriers and implement strategies to promote EBP as part of CQI.
Background EBP is typically undertaken to improve practice. Although there havebeen many studies focused on the barriers and facilitators to adopting EBP, thesehave not been tied explicitly to CQI frameworks.Methods CINAHL, Academic Search Premier, Medline, Psych Info, ABI/Inform andLISTA databases were searched using the keywords: nurses, information literacy,access to information, sources of knowledge, decision making, research utilization,information seeking behaviour and nursing practice, evidence-based practice.Shortells framework was used to organize the barriers and facilitators.Results Across the articles, the most common barriers were lack of time and lack ofautonomy to change practice which falls within the strategic and cultural dimensionsin Shortells framework.Conclusions Barriers and facilitators to EBP adoption occur at the individual andinstitutional levels. Solutions to the barriers need to be directed to the dimensionwhere the barrier occurs, while recognizing that multidimensional approaches areessential to the success of overcoming these barriers.Implications for nursing management The findings of the present study can helpnurses identify barriers and implement strategies to promote EBP as part of CQI.
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