Facilitators and Barriers to Evidence Based Practice: Perceptions of Nurse Educators, Clinical Coaches and Nurse Specialists from a descriptive study. Malik, G., McKenna, L., & Plummer, V. Contemporary nurse, 5, 2016.
abstract   bibtex   
Background Implementation of evidence-based practice (EBP) is a major initiative within health care settings to ensure clinical and policy decisions incorporate best available evidence. Nurse educators, clinical coaches (clinical support nurses) and clinical nurse specialists are the key people to bring change by facilitating EBP within clinical settings. Aims In this paper the findings are reported from a descriptive study exploring nurse educators', clinical coaches' and nurse specialists' perceptions of factors associated with using EBP. Methods A questionnaire containing quantitative and a small number of qualitative questions was employed. Data was collected from nurse educators, clinical coaches and clinical nurse specialists working in a tertiary health care network in Victoria, Australia. The questionnaire was distributed to a total of 435 people, of whom 135 responded. Data Analysis Data were analysed using SPSS (Statistical Package for Social Sciences version 17). Frequencies and percentages were calculated for demographic data and descriptive statistics for each questionnaire item were determined. Thematic analysis was performed for the qualitative part of the questionnaire. Results Findings revealed that nurse educators, clinical coaches and nurse specialists perceived organisational support (mean 3.53, median 4.00), sufficient resources (mean 3.62, median 4.00) and access to continuing education (mean 4.40, median 4.00) as factors promoting acceptance of EBP. Barriers to such acceptance in health care settings were identified as lack of knowledge and skills (mean 3.12 median 3.00), poor time allowance (median 3.79, median 4.00) limited support (mean 3.61, median 4.00) and insufficient resources (mean 3.42, median 4.00). Conclusion The reported findings and discussion in this study create evidence-based information for organisational strategic planning. Organisations need to develop educational programs to promote EBP in the clinical setting and employ strategies to overcome barriers to implementation.
@article{
 title = {Facilitators and Barriers to Evidence Based Practice: Perceptions of Nurse Educators, Clinical Coaches and Nurse Specialists from a descriptive study},
 type = {article},
 year = {2016},
 identifiers = {[object Object]},
 keywords = {Clinical Nurse specialists,Evidence-based Nursing,Evidence-based practice,Nurse Educators},
 pages = {1-25},
 month = {5},
 day = {10},
 city = {a School of Nursing & Midwifery, Faculty of Medicine, Nursing & Health Sciences , Monash University , 35 Rainforest Walk, Level 3, Room D324, Wellington Road, Clayton VIC 3800.; b School of Nursing & Midwifery, Faculty of Medicine, Nursing & Health Scienc},
 id = {05100bbb-8365-3534-aa20-e6b989e69d49},
 created = {2016-08-21T22:17:46.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {LR: 20160516; JID: 9211867; OTO: NOTNLM; aheadofprint; SO: Contemp Nurse. 2016 May 10:1-25.},
 folder_uuids = {e4ff5360-c610-4ebf-bedd-2234a0f66415},
 private_publication = {false},
 abstract = {Background Implementation of evidence-based practice (EBP) is a major initiative within health care settings to ensure clinical and policy decisions incorporate best available evidence. Nurse educators, clinical coaches (clinical support nurses) and clinical nurse specialists are the key people to bring change by facilitating EBP within clinical settings. Aims In this paper the findings are reported from a descriptive study exploring nurse educators', clinical coaches' and nurse specialists' perceptions of factors associated with using EBP. Methods A questionnaire containing quantitative and a small number of qualitative questions was employed. Data was collected from nurse educators, clinical coaches and clinical nurse specialists working in a tertiary health care network in Victoria, Australia. The questionnaire was distributed to a total of 435 people, of whom 135 responded. Data Analysis Data were analysed using SPSS (Statistical Package for Social Sciences version 17). Frequencies and percentages were calculated for demographic data and descriptive statistics for each questionnaire item were determined. Thematic analysis was performed for the qualitative part of the questionnaire. Results Findings revealed that nurse educators, clinical coaches and nurse specialists perceived organisational support (mean 3.53, median 4.00), sufficient resources (mean 3.62, median 4.00) and access to continuing education (mean 4.40, median 4.00) as factors promoting acceptance of EBP. Barriers to such acceptance in health care settings were identified as lack of knowledge and skills (mean 3.12 median 3.00), poor time allowance (median 3.79, median 4.00) limited support (mean 3.61, median 4.00) and insufficient resources (mean 3.42, median 4.00). Conclusion The reported findings and discussion in this study create evidence-based information for organisational strategic planning. Organisations need to develop educational programs to promote EBP in the clinical setting and employ strategies to overcome barriers to implementation.},
 bibtype = {article},
 author = {Malik, G and McKenna, L and Plummer, V},
 journal = {Contemporary nurse}
}
Downloads: 0