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Individual and organizational barrier to evidence-based practice utilization in clinical decision making among nurses

Author: 
Boka Dugassa Tolera and Feng Hui
Subject Area: 
Health Sciences
Abstract: 

Evidence-based practice, which is a systematic problem-solving approach to using best evidence in making decisions about patient care, is no longer an option for staff nurses. However, there are several barriers preventing nurses from using EBP in clinical decision making. The purpose of this review was to explore barriers to evidence based practice utilization among nurses in clinical decision making. The major outcome was generally, reviewed at individual and organizational level. Nurses’ poor attitudes and perceptions to utilization of EBP, lack of knowledge and skill in all research process, lack of awareness of EBP, poor communication skill in understanding research language and inability to understand statistical analysis of research were identified as individual barrier to EBP utilization, whereas lack of continues education, lack of authority to change practice, insufficient time to implement new ideas, lack of access to research, unsupportive staff and management were identified as Organizational barriers to utilization of EBP. Throughout, important link between role of individual, role of organizational and use of EBP are highlighted, Along with a significant individual readiness and organizational support were needed for nurses to overcome barrier on utilization of evidence based practice to ensure the high quality patient care. This can make further EBP development and implementation.

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