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Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review
BACKGROUND: This study is to summarize the status of knowledge, attitudes, implementation, facilitators, and barriers of evidence-based practice (EBP) in community nurses (CNs). EBP has been widely adopted but the knowledge, attitudes, and implementation of EBP among CNs, and the facilitators and ba...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775415/ https://www.ncbi.nlm.nih.gov/pubmed/31574830 http://dx.doi.org/10.1097/MD.0000000000017209 |
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author | Li, Shu Cao, Meijuan Zhu, Xuejiao |
author_facet | Li, Shu Cao, Meijuan Zhu, Xuejiao |
author_sort | Li, Shu |
collection | PubMed |
description | BACKGROUND: This study is to summarize the status of knowledge, attitudes, implementation, facilitators, and barriers of evidence-based practice (EBP) in community nurses (CNs). EBP has been widely adopted but the knowledge, attitudes, and implementation of EBP among CNs, and the facilitators and barriers they perceived have not been clearly confirmed. METHODS: A literature search was conducted using combined keywords in 3 English databases and 3 Chinese databases of peer-reviewed publications covering the dates of publication from 1996 to July, 2018. Twenty articles were included. The information of the knowledge, attitudes, implementation, and the perceived facilitators and barriers of EBP in CNs was extracted and summarized. RESULTS: CNs had positive attitudes toward EBP, but insufficient knowledge and unprepared implementation. The most cited facilitators were academic training, management functions, and younger age. Inadequate time and resources were recognized as main barriers hindering the transforming from knowledge and attitudes to implementation. Developed interventions mainly focused on knowledge facilitation rather than the elimination of objective barriers. CONCLUSIONS: Findings demonstrate a compelling need for improvement in knowledge and implementation of EBP in CNs, compared with the better attitudes. Except education, knowledge translating into implementation needs more coordination with authorities to magnify the facilitators and overcome the barriers. Further studies need to concentrate on deficient knowledge and implementation of EBP among CNs. Policy makers can use the facilitators and barriers found by this review to modify nursing education, current scientific resources supplement, practice supports for care improving. |
format | Online Article Text |
id | pubmed-6775415 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-67754152019-10-07 Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review Li, Shu Cao, Meijuan Zhu, Xuejiao Medicine (Baltimore) 6600 BACKGROUND: This study is to summarize the status of knowledge, attitudes, implementation, facilitators, and barriers of evidence-based practice (EBP) in community nurses (CNs). EBP has been widely adopted but the knowledge, attitudes, and implementation of EBP among CNs, and the facilitators and barriers they perceived have not been clearly confirmed. METHODS: A literature search was conducted using combined keywords in 3 English databases and 3 Chinese databases of peer-reviewed publications covering the dates of publication from 1996 to July, 2018. Twenty articles were included. The information of the knowledge, attitudes, implementation, and the perceived facilitators and barriers of EBP in CNs was extracted and summarized. RESULTS: CNs had positive attitudes toward EBP, but insufficient knowledge and unprepared implementation. The most cited facilitators were academic training, management functions, and younger age. Inadequate time and resources were recognized as main barriers hindering the transforming from knowledge and attitudes to implementation. Developed interventions mainly focused on knowledge facilitation rather than the elimination of objective barriers. CONCLUSIONS: Findings demonstrate a compelling need for improvement in knowledge and implementation of EBP in CNs, compared with the better attitudes. Except education, knowledge translating into implementation needs more coordination with authorities to magnify the facilitators and overcome the barriers. Further studies need to concentrate on deficient knowledge and implementation of EBP among CNs. Policy makers can use the facilitators and barriers found by this review to modify nursing education, current scientific resources supplement, practice supports for care improving. Wolters Kluwer Health 2019-09-27 /pmc/articles/PMC6775415/ /pubmed/31574830 http://dx.doi.org/10.1097/MD.0000000000017209 Text en Copyright © 2019 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 |
spellingShingle | 6600 Li, Shu Cao, Meijuan Zhu, Xuejiao Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review |
title | Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review |
title_full | Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review |
title_fullStr | Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review |
title_full_unstemmed | Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review |
title_short | Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review |
title_sort | evidence-based practice: knowledge, attitudes, implementation, facilitators, and barriers among community nurses—systematic review |
topic | 6600 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6775415/ https://www.ncbi.nlm.nih.gov/pubmed/31574830 http://dx.doi.org/10.1097/MD.0000000000017209 |
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