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Hwang: Hospital Nurses' Uses of Evidence, and Barriers to and Enablers of Evidenced-based Practice
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2013; 19(2): 292-303.

Published online: 31 March 2013

DOI: https://doi.org/10.11111/jkana.2013.19.2.292

Hospital Nurses' Uses of Evidence, and Barriers to and Enablers of Evidenced-based Practice

Jee-In Hwang1

1College of Nursing Science, Kyung Hee University, Korea.

Correspondence: Hwang, Jee-In. College of Nursing Science, Kyung Hee University, Dongdaemoon-Gu, Kyungheedae-Ro 26, Seoul, 130-701, Republic of Korea. Tel: 82-2-961-9145, Fax: 82-2-961-9145, jihwang@khu.ac.kr

Received 17 January 2013       Revised 21 January 2013       Accepted 28 January 2013

Copyright © 2013 Korean Academy of Nursing Administration

Abstract

Purpose

The purpose of this study was to explore nurses' experience of evidence-based nursing practice in general hospitals.

Methods

Data were collected from 13 nurses through in-depth interviews about their experiences with evidence-based practice. The research questions were "What kind of evidence are you using in your practice?" and "What are the barriers to and enablers of evidence-based practice that you have experienced?" Qualitative data from field and transcribed notes were analyzed using qualitative content analysis methodology.

Results

Major themes of using evidence were identified as 'research as primary valid evidence', 'information from local context and internet as realistic evidence', and 'clinical experience as pragmatic evidence'. Patient experience was not used as evidence in solving nursing problems. Barriers to and enablers of evidence-based practice were linked. They included both external, organizational factors and individual factors. Main issues were 'lack of evidence and poor work environment', and major facilitating factors were 'improving knowledge and skills related to evidence-based practice' and 'communicating and sharing evidence'.

Conclusion

The study findings provide useful information for understanding nurses' experience of using external and internal evidence along with their meaning. A multidimensional approach is needed to overcome barriers to and implement evidence-based practice.

Keywords: Evidence-based practice, Nurses, Barriers, Enablers

Figures and Tables

Table 1
General Characteristics of the Participants
jkana-19-292-i001
Table 2
Nurses' Uses of Evidence in their Practice
jkana-19-292-i002
Table 3
Nurses' Perceived Barriers to and Facilitating Factors for Evidence-based Practice
jkana-19-292-i003

Notes

This work was supported by National Research Foundation of Korea - Grant funded by the Korean Government (NRF-2009-327-H00039).

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