A scoping systematic review of factors influencing evidence-based practice implementation in nursing
1 Department of Adult Nursing, Birmingham City University, City South Campus Birmingham. B15 3TN, UK.
2 Faculty of Health and Social Care, London School of Science & Technology, Luton Campus, UK.
Review Article
World Journal of Advanced Research and Reviews, 2020, 05(03), 090-113
Article DOI: 10.30574/wjarr.2020.5.3.0040
Publication history:
Received on 10 February 2020; revised on 05 March 2020; accepted on 09 March 2020
Abstract:
Internationally, nurses are required to deliver care that is underpinned by sound evidence. However, available evidence suggests that the delivery of evidence-based practice is difficult due to multifaceted problems inherent in healthcare settings. This scoping review aimed to examine factors influencing evidence-based practice in nursing, to identify existing gaps requiring further inquiry. It is a scoping systematic literature search of major electronic databases, including CINAHL, MEDLINE, EbscoH, Embase, ASSIA, Science Direct, Nursing index, PsycINFO and Google Scholar. Fifty-two studies met the inclusion criteria and were eligible for review. The PRISMA approach was utilised in retrieving articles which were critically appraised. Findings were qualitatively synthesised using constant comparative approach. Findings were collated and summarised thematically. Outcomes were categorised into four broad themes as well as four subthemes. The scoping review identified dearth of studies utilising qualitative approaches, particularly in the low and middle income countries. Consistent with previous findings, this review exposes the difficulties associated with implementing evidence-based practice. There is need to examine the influence of power dynamics on evidence-based practice implementation in nursing.
Keywords:
Evidence-based practice; Nursing practice; Nurses; Implementation; Knowledge utilisation; Research utilisation
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Copyright © 2020 Author(s) retain the copyright of this article. This article is published under the terms of the Creative Commons Attribution Liscense 4.0