Discussion This survey among RNs from four first-class hospitals as evaluated by the Minister of Health TCM hospitals for the first time identified existing barriers to RU and their associated characteristics. The reason might be the low nurse-to-patient ratio in China [ 23 ]. Additionally, despite their undergraduate education, still almost half of the participants in this survey had no experience with research Table 1. These findings demonstrate that RNs working in TCM hospital suffer from working pressure and that undergraduate education needs to improve the research training part.
Tweet Barriers preclude the use of evidence in practice. Photo by Marguerite Rami on Unsplash In a previous post, I talked about the research-practice gapalso known as the evidence-practice gap.
Of course, research takes time! From planning to funding to the conduct of the study i. The writing of the manuscript and submission to a journal — rewrites and resubmissions — another, possibly, significant period of time.
Then the study then needs to be found, read, critiqued, and translated into practice. The research-practice gap effectively stalls the translation of evidence into practice EBP. While some of these barriers have been overcome, many still exist.
Many articles and editorials have been written in an attempt to explain the disparity between the publication of research findings and their utilization i. Nurse leaders have studied barriers to the use of research and evidence in practice for a very long time Thompson, My research interests have mainly focused on individual and organizational factors related to research utilization and evidence-based practice.
Barriers to research use have been identified in three main categories: All of these factors affect the rate and ease with which nurses use research and evidence in professional, clinical, and teaching practice. There are many barriers to using evidence in practice.
The following are a couple of examples of professional factors that can hinder the translation of evidence into practice. Complex Communication There are many different terms that mean the same thing or something similar in nursing.
For example, a study by Graham et al. For tenure purposes, publication of research in highly-regarded research journals is looked at more favorably than publication in clinical journals. The discussion of methodology, the need to interpret statistics related to quantitative research findings, and the perceived lack of practical implications, caused many a bedside clinician myself included before I went back to school!
This is one area that has changed for the better as more original research studies are being published in clinical journals. Many journals have added a Research to Practice column and help translate the evidence by walking clinicians through the fine points of evidence and research studies.
Publication Time Lag The delay between the generation of knowledge i. There is a lot of variability in publication time due to a number of factors including whether the manuscript is being submitted to a peer-reviewed journal or not, the amount of revising that may be required, and the time for copyediting and getting the manuscript to print Cofactor, This barrier has also been mitigated somewhat because the availability of the Internet allows for immediate access to information.
Barriers can hinder research use in practice. Here are a few examples for each. Does the culture encourage or discourage questioning the status quo? Are there resources financial, material, personnel to support a culture of inquiry?
Is EBP an expectation of practice? Are nurses considered an important part of the team? No Time or Authority Time is the number one factor identified for both organizational and personal influences of research use. No time to read, to search the literature, to design or conduct a study, to change practice, or to go to school are some of the laments.
As I noted, the lack of research skills and the lack of time are major barriers to the implementation of best practices. Advanced practice nurses APNs are educated with core knowledge and skill competencies in evidence-based practice, quality improvement, and systems thinking to facilitate positive patient, nurse, and organizational outcomes.
Clinical nurse specialists CNSs are educated to be translators of research into practice. To promote positive patient outcomes organizations need to hire CNSs to support the clinical staff! Now, even though the masters-prepared clinical nurse leader CNL is not recognized as an advanced practice role, it is a unit-based nurse specialist role and can be a resource to the staff.
The CNL can guide staff nurses to implement best practices on the unit. Knowledge and Skill Deficits Evidence-based practice is the way of the healthcare world. Even if you did learn about the research or evidence-based practice process, like almost anything, you have to practice these skills or you will forget how to use them and why they are important!
Once the preliminary steps are finished, then you have to decide if the results are ready for implementation into practice and if they can be used in your particular patient population.
For most staff nurses, knowledge, and skill deficits are major barriers to implementing EBP.The word “research” can send nurses running. Barriers such as a lack of knowledge on a topic and inadequate time to conduct literature searches can create anxiety and confusion.
But with a little effort, nurse managers can help nurses become engaged in research activities. 5 Key Barriers to Educational Technology Adoption in the Developing World.
Clayton R. Wright. Educational technology will continue to be implemented incrementally in many parts of the developing world. Background: Research ethics involve requirements on daily work, the protection of dignity of subjects and the publication of the information in the research.
Whereas nursing research utilization, is the process of taking the products of nursing research and applying them to practice in order to improve patient care. This discussion will include the research advancements of Florence Nightingale.
Break down the barriers to nursing research. After reading this article, you will be able to: Identify the results from a survey focused on nursing research barriers; Recall strategies to increase staff engagement; The word “research” can send nurses running.
OJIN is a peer-reviewed, online publication that addresses current topics affecting nursing practice, research, education, and the wider health care sector.