Article type
Abstract
"Background: There is a widespread international agreement that healthcare should be based on high-quality evidence, however, bridging the gap from evidence to practice is still problematic. Although barriers to the implementation of evidence-based nursing practice (EBNP) have been identified, most studies have focused on clinical nurses' perceptions of the barriers to EBNP, with a lack of investigation into barriers from the hospitals’ viewpoint.
Objectives: To identify existing barriers to implementing EBNP from the hospitals' viewpoint.
Methods: This is a descriptive study employing a regional cross-sectional survey. A questionnaire survey was conducted on 81 tertiary hospitals and 10 secondary hospitals (including 71 general hospitals and 20 specialized hospitals) in Guangdong Province, China. The survey used an online questionnaire consisting of basic hospital information and an open-ended question. Descriptive statistics were used to analyze basic hospital data. Responses to the open-ended question were analyzed with thematic analysis. The theoretical domains framework (TDF) and the COM-B system of behavior change wheels were used to define and categorize themes of the study.
Results: The sample consisted of 89 valid responses to the open-ended question. Five themes were identified: (1) knowledge (70.8%); (2) environmental context and resources (42.7%); (3) social influences (7.9%); (4) intentions (7.9%); and (5) beliefs about capabilities (1.1%).
Conclusions: Introduced early in 2001, China has embraced evidence-based nursing for more than 20 years. Lack of knowledge, however, is still the top barrier to implementing EBNP in hospitals in China. The findings indicate a need for more EBNP teaching strategies towards further enhancing clinical nurses’ and nursing managers’ EBNP beliefs, knowledge, and skills. "
Objectives: To identify existing barriers to implementing EBNP from the hospitals' viewpoint.
Methods: This is a descriptive study employing a regional cross-sectional survey. A questionnaire survey was conducted on 81 tertiary hospitals and 10 secondary hospitals (including 71 general hospitals and 20 specialized hospitals) in Guangdong Province, China. The survey used an online questionnaire consisting of basic hospital information and an open-ended question. Descriptive statistics were used to analyze basic hospital data. Responses to the open-ended question were analyzed with thematic analysis. The theoretical domains framework (TDF) and the COM-B system of behavior change wheels were used to define and categorize themes of the study.
Results: The sample consisted of 89 valid responses to the open-ended question. Five themes were identified: (1) knowledge (70.8%); (2) environmental context and resources (42.7%); (3) social influences (7.9%); (4) intentions (7.9%); and (5) beliefs about capabilities (1.1%).
Conclusions: Introduced early in 2001, China has embraced evidence-based nursing for more than 20 years. Lack of knowledge, however, is still the top barrier to implementing EBNP in hospitals in China. The findings indicate a need for more EBNP teaching strategies towards further enhancing clinical nurses’ and nursing managers’ EBNP beliefs, knowledge, and skills. "