Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice Implementation in Clinical Practice in Tikure Anbessa Specialized Hospital
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Date
2014-06
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Addis Ababa University
Abstract
Background: health care is one of the most dynamic human disciplines, and large amounts of
money are spent annually on high-quality and sophisticated research. Nursing staff are the largest
health professional group in all sectors of healthcare. The majority of Nurses work in direct care
of patients. Today, EBP is essential to the practice of nursing for purposes of promoting optimal
patient outcomes through incorporating research findings, the clinicians’ experience, and patient
preferences. Historically, nurses have relied on expert’ opinions in clinical decision-making.
However, these traditional ways of practicing may not only be outdated but unsafe. Also,
experienced-based knowledge may be associated with biased thinking that lead to errors.
Objective: Assessment of nurses’ perceptions, level of use and barriers on EBP implementation
in clinical practice in TASH.
Method: A cross-sectional Study design was used. Two hundred ten nurses were assessed
through self-administer questionnaires for quantitative and fifteen nurses were also involved in
in-depth interview for qualitative. The quantitative data was coded and interred to epi info
version 7 and exported to analysis in Statistical Package for the Social Science (SPSS) version 21
window7. Data analysis include descriptive statistics was be used to describe participants’
demographic characteristics. To determine statistically significant logistic regression was used.
The qualitative was analyzed through open code.
Results: good perception and positive attitude have 90% and 73.8% respectively. Of the total
210 121(57.6%) of nurses were integrate EBP in their clinical practice. Only 19 (15.7%) use
EBP in their clinical practice always. have Knowledge, free time, supportive nursing managers
are significant association with implementation of EBP. But, year of experience and perception
have no association with implementation of EBP.
Conclusion and Recommendation: Both individual (knowledge and skill) and organizational
(lack of training, workload, insufficient time and supportive managers) factors are the
predominant factors that hinders implementation of EBP. So hospital managements and nursing
leaders can easily overcome some of these barriers through arranging EBP training and providing
time off from work for nurses to learn and implement new techniques
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Keywords
Nurses’ Perceptions, Clinical Practice