Barriers and Facilitators to Evidence-Based Nursing in Colombia: Perspectives of Nurse Educators, Nurse Researchers and Graduate Students

Rebecca DeBruyn, Sandra Catalina Ochoa Marín, Sonia Semenic

Abstract


Objective. To identify and describe the perceptions of nursing researchers, educators, and graduate students regarding the barriers to, and facilitators for, EBN in Medellín, Colombia.

Methodology. Using a qualitative descriptive design, in-depth semi-structured interviews were conducted with 12 participants associated with a large university faculty of nursing in Medellín, and one member of the National Association of Nurses. Qualitative content analysis was used to analyze the interview transcripts.

Results. Several barriers to EBN were reported, including: lack of recognition of nursing as an autonomous profession; a lack of incentives for nurses to pursue advanced education or engage in research; limited availability and utility of nursing evidence; and a lack of communication between academic and clinical practice environments. Perceived facilitators included an increase in nurses pursuing advanced education opportunities; the current healthcare accreditation process; access to international research and research collaborations; and clinical and research partnerships between universities and clinical institutions.

Conclusion. Effective implementation of evidence-based nursing practices is a necessity to translate the vast amount of health-related research, knowledge, and experience into positive changes in healthcare quality.

Key words: evidence-based nursing; education, nursing; research, nursing; information dissemination.

 

How to cite this article: DeBruyn RR, Ochoa-Marín SC, Semenic S. Barriers and Facilitators to Evidence-Based Nursing in Colombia: Perspectives of Nurse Educators, Nurse Researchers and Graduate Students. Invest Educ Enferm. 2014;32(1): ____.


References


(1) Hutchinson AM, Johnston L. Beyond the BARRIERS Scale: commonly reported barriers to research use. J Nurs Adm. 2006; 36(4):189-99.

(2) Landry R, Amara N, Pablos-Mendes A, Shademani R, Gold I. The knowledge-value chain: a conceptual framework for knowledge translation in health. Bull World Health Organ. 2006; 84(8):597-602.

(3) Welch V, Ueffing E, Tugwell P. Knowledge translation: An opportunity to reduce global health inequalities. J Int Dev. 2009; 21(8):1066-82.

(4) Cañon HM. La práctica de la enfermería basada en la evidencia. Investig Enferm Imagen Desarrollo. 2007; 9(2):97-106.

(5) Ochoa-Marín SC. A propósito de la enfermería basada en la evidencia: algunos cuestionamientos, limitaciones y recomendaciones para su implementación. Invest Educ Enferm. 2008; 23(2):138-46.

(6) Romero MN. La Práctica basada en Evidencias en América Latina,¿ realidad o utopía? Index Enferm. 2009; 18(1):5-7.

(7) World Health Organization. Bridging the “Know–Do” Gap; Meeting on Knowledge Translation in Global Health. Geneva: Switzerland; 2005.

(8) Kitson AL, Rycroft-Malone J, Harvey G, McCormack B, Seers K, Titchen A. Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implement Sci. 2008;3(1):1.

(9) Estabrooks CA, Floyd JA, Scott-Findlay S, O'Leary KA, Gushta M. Individual determinants of research utilization: a systematic review. J Adv Nurs. 2003; 43(5):506-20.

(10) Cummings GG, Estabrooks CA, Midodzi WK, Wallin L, Hayduk L. Influence of organizational characteristics and context on research utilization. Nurs Res. 2007;56(4):S24-S39.

(11) Marchionni C, Ritchie J. Organizational factors that support the implementation of a nursing best practice guideline. J Nurs Manag. 2008; 16(3):266-74.

(12) Scott SD, Estabrooks CA, Allen M, Pollock C. A context of uncertainty: how context shapes nurses' research utilization behaviors. Qual Health Res. 2008; 18(3):347-57.

(13) Scott-Findlay S, Golden-Biddle K. Understanding how organizational culture shapes research use. J Nurs Adm. 2005; 35(7-8):359-65.

(14) Logan J, Graham ID. The Ottawa Model of Research Use. In: Jo Rycroft-Malone, Tracey Bucknall, editors. Models and frameworks for implementing evidence-based practice; Linking evidence to action: Wiley; 2011.

(15) The Canadian Coalition for Global Health Research. Knowledge Translation in Low & Middle-Income Countries: A Learning Module. In: Knowledge Translation Branch, Canadian Institutes of Health Research, editors. Ottawa: ON; 2010.

(16) Baker R, Camosso-Stefinovic J, Gillies C, Shaw EJ, Cheater F, Flottorp S, et al. Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2010(3): CD005470.

(17) Orellana Yañez A, Paravic Klijn T. Enfermería basada en evidencia: Barreras y estrategias para su implementación. Cienc Enferm. 2007; 13(1):17-24.

(18) Sandelowski M. Whatever happened to qualitative description? Res Nurs Health. 2000; 23(4):334-40.

(19) Polit DF, Beck CT. Nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins; 2008.

(20) Brown CE, Wickline MA, Ecoff L, Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. J Adv Nurs. 2009; 65(2):371-81.

(21) Kajermo KN, Nordström G, Krusebrant Å, Björvell H. Perceptions of research utilization: comparisons between health care professionals, nursing students and a reference group of nurse clinicians. J Adv Nurs. 2000; 31(1):99-109.

(22) Parahoo K. Barriers to, and facilitators of, research utilization among nurses in Northern Ireland. J Adv Nurs. 2000; 31(1):89-98.

(23) Nagy S, Lumby J, McKinley S, Macfarlane C. Nurses' beliefs about the conditions that hinder or support evidence-based nursing. Int J Nurs Pract. 2001; 7(5):314-21.

(24) Mrayyan MT. Nurses’ autonomy: influence of nurse managers’ actions. J Adv Nurs. 2004; 45(3):326-36.

(25) Melnyk BM, Fineout-Overholt E, Fischbeck Feinstein N, Li H, Small L, Wilcox L, et al. Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: implications for accelerating the paradigm shift. Worldviews Evid Based Nurs. 2004; 1(3):185-93.

(26) Gifford WA, Davies B, Edwards N, Graham ID. Leadership strategies to influence the use of clinical practice guidelines. Nurs Leadersh. 2006; 19(4):72-88.

(27) Schutzenhofer KK, Musser DB. Nurse characteristics and professional autonomy. J Nurs Sch. 1994; 26(3):201-5.

(28) Manojlovich M. Power and empowerment in nursing: looking backward to inform the future. Online J Issues Nurs. 2007; 12(1):2.

(29) Sandströma B, Borglin G, Nilsson R, Willman A. Promoting the implementation of evidence-based practice: A literature review focusing on the role of nursing leadership. Worldviews Evid Based Nurs. 2011; 8(4):212-23.

(30) Udod SA, Care WD. Setting the climate for evidence-based nursing practice: what is the leader's role? Nurs Leadersh. 2004; 17(4):64-75.

(31) Vargas I, Vazquez ML, Mogollón-Pérez AS, Unger JP. Barriers of access to care in a managed competition model: Lessons from Colombia. BMC Health Serv Res. 2010; 10(1):297.

(32) Guevara EB, Mendias EP. A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas. Rev Panam Salud Publica. 2002; 12(5):347-53.

(33) Rycroft-Malone J. Implementing evidence-based practice in the reality of clinical practice. Worldviews Evid Based Nurs. 2012; 9(1):1.

(34) Christie J, Hamill C, Power J. How can we maximize nursing students’ learning about research evidence and utilization in undergraduate, preregistration programmes? A discussion paper. J Adv Nurs. 2012; 68(12):2789-801.

(35) Melnyk BM, Fineout-Overholt E. Evidence-based Practice in Nursing and Healthcare. Lippincott Williams & Wilkins; 2005.

(36) Godin G, Bélanger-Gravel A, Eccles M, Grimshaw J. Healthcare professionals' intentions and behaviours: A systematic review of studies based on social cognitive theories. Implement Sci. 2008; 3(1):36.

(37) Wallin L, Boström A-M, Gustavsson JP. Capability beliefs regarding evidence-based practice are associated with application of EBP and research use: validation of a new measure. Worldviews Evid Based Nurs. 2012; 9(3):139-48.

(38) GANM. Global Alliance for Nursing and Midwifery Communities of Practice. [Web site]; 2009. Available from: http://knowledge-gateway.org/ganm


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