Barriers to implementing evidence-based nursing practice from the hospitals' point of view in China: a regional cross-sectional study.

Lai, J; Brettle, AJ; Zhang, Y; Zhou, C; Li, C; Fu, J; Wu, Y

Abstract

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 have been identified, most studies have focused on clinical nurses' perceptions of the barriers to evidence-based nursing practice, with a lack of investigation into barriers from the hospitals' viewpoint. To identify existing barriers to implementing evidence-based nursing practice from the hospitals' viewpoint. A descriptive study employing a regional cross-sectional survey. A convenience sample of 91 hospitals in Guangdong Province, China. The survey used an online questionnaire containing basic hospital information and an open-ended question. Descriptive statistics were used to analyse basic hospital data. Responses to the open-ended question were analysed with thematic analysis. 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 %). Introduced early in 2001, China has embraced evidence-based nursing for more than 20 years. However, lack of knowledge is still the top barrier to implementing evidence-based nursing practice in hospitals in China. The findings indicate a need for more evidence-based nursing practice teaching strategies towards further enhancing clinical nurses' and nursing managers' evidence-based nursing practice beliefs, knowledge, and skills. [Abstract copyright: Copyright © 2022 Elsevier Ltd. All rights reserved.]

Citation

Lai, J., Brettle, A., Zhang, Y., Zhou, C., Li, C., Fu, J., & Wu, Y. (2022). Barriers to implementing evidence-based nursing practice from the hospitals' point of view in China: a regional cross-sectional study. Nurse Education Today, 116, 105436. https://doi.org/10.1016/j.nedt.2022.105436

• Journal Article Type: Article
• Acceptance Date: Jun 7, 2022
• Publication Date: Jun 10, 2022
• Deposit Date: Sep 1, 2022
• Journal: Nurse Education Today
• Print ISSN: 0260-6917
• Publisher: Elsevier
• Volume: 116
• Pages: 105436
• DOI: https://doi.org/10.1016/j.nedt.2022.105436
• Keywords: Implementation, Hospitals, Cross-sectional study, Barriers, Evidence-based nursing practice
• Publisher URL: https://doi.org/10.1016/j.nedt.2022.105436