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Barriers and Facilitators for implementing evidence-based practice among German nurses working in a general hospital

Panagiari, Despina (2008) Barriers and Facilitators for implementing evidence-based practice among German nurses working in a general hospital.

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Abstract:Background: It is evident in nursing literature that there are many factors that impede or facilitate the use of research findings in practice. These factors should be identified if evidence-based practice is to become a reality in clinical practice. This study surveys the perceptions of German nurses with respect to the barriers to using research findings and facilitators in nursing practice. Methods: A questionnaire based on implementing innovations in health care with potential barriers and facilitators was administered to 250 nurses in a general German hospital; 87 nurses returned the questionnaire, giving a response rate of 35%. The four factors that influence the first two stages of Rogers’s five stage model “Diffusion of innovations” were examined. The factors, characteristics of the adopter, characteristics of the organisation, characteristics of the innovation and characteristics of the communication, were measured using an adapted version of the BARRIERS scale. Results: Barriers were present in all four characteristics, but the major facilitators were found to be in the organization and the communication. The results showed that the greatest barriers were insufficient time on the job to read research (84%) or to implement new ideas (64%) and lack of authority for the nurses to change patient care (64%). Both availability of time and staff hires were facilitators at 86% in research findings. Discussion and Conclusions Based on the survey issues related to setting, presentation of research findings and to knowledge, thus we can conclude that nurses of this hospital were not familiar with the term evidence-based practice, even though they had access to computers. This lack of knowledge resulted from limited time, lack of skills and support administration. Therefore, nurses in the health care community need improved conditions in order to provide the appropriate care to patients and the hospital.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:44 medicine
Programme:Health Sciences MSc (66851)
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