From Theory to Practice: A Qualitative Scoping Review on Nurses' Barriers in Implementing Evidence-Based Practice in Hospitals

Yodha Pranata, Athaya Zafira Yuflih, Rizky Lukman Saputra, Ajani Mutiarasani, Yutika Wiguna, Tita Hartati

Sari


ABSTRACT

 

Evidence-based practice (EBP) is essential for improving healthcare quality and clinical outcomes. However, nurses face significant barriers to implementing EBP in hospital settings, ranging from individual knowledge gaps to systemic challenges. Addressing these barriers is crucial for bridging the gap between research and practice. This scoping review aims to identify and synthesize qualitative evidence on the barriers nurses face in implementing EBP in hospitals and to provide actionable insights to guide policy and practice improvements. A qualitative scoping review was conducted using a systematic search strategy across four databases (Scopus, PubMed, EBSCOhost) based on the PCC framework. Articles were included if they employed a qualitative design, focused on nurses' experiences with EBP, and were available in full text. Nine articles meeting the inclusion criteria were analyzed thematically using the Braun and Clarke approach. Thematic analysis revealed key barriers to EBP implementation: Lack of Institutional and Managerial Support, Time Constraints in Implementing EBP, Lack of Access to Resources and Information, Knowledge and Training Gaps in EBP, Tradition-Based and Intuition-Based Practice Culture in EBP, Low Motivation and Self-Confidence in Implementing EBP, and Barriers in Language and Understanding of Scientific Evidence.  Overcoming barriers to EBP in nursing practice demands a multifaceted approach that combines policy support, resource allocation, and capacity building. These strategies are vital for fostering a culture of evidence-based care in hospital settings.

 

Keywords: Evidence-Based Practice (EBP), EBP Implementation, Nursing Barriers, Healthcare Implementation


Referensi


Ah, D., Mh, B., Dagne, A. H., & Beshah, M. H. (2021). Implementation Of Evidence-Based Practice: The Experience Of Nurses And Midwives. Plos One, 16(8 August), E0256600. Https://Doi.Org/10.1371/Journal.Pone.0256600

Arksey, H., & O’malley, L. (2005). Scoping Studies: Towards A Methodological Framework. International Journal Of Social Research Methodology, 8(1), 19–32. Https://Doi.Org/10.1080/1364557032000119616

Atakro, C. A., Atakro, A., Akuoko, C. P., Aboagye, J. S., Blay, A. A., Addo, S. B., Adatara, P., Agyare, D. F., Amoa-Gyarteng, K. G., Garti, I., Menlah, A., Ansong, I. K., Boni, G. S., Sallah, R., & Gyamera Sarpong, Y. (2020). Knowledge, Attitudes, Practices And Perceived Barriers Of Evidence-Based Practice Among Registered Nurses In A Ghanaian Teaching Hospital. International Journal Of Africa Nursing Sciences, 12. Https://Doi.Org/10.1016/J.Ijans.2020.100204

Baatiema, L., De-Graft Aikins, A., Sav, A., Mnatzaganian, G., Chan, C. K. Y., & Somerset, S. (2017a). Barriers To Evidence-Based Acute Stroke Care In Ghana: A Qualitative Study On The Perspectives Of Stroke Care Professionals. Bmj Open, 7(4). Https://Doi.Org/10.1136/Bmjopen-2016-015385

Baatiema, L., De-Graft Aikins, A., Sav, A., Mnatzaganian, G., Chan, C. K. Y., & Somerset, S. (2017b). Barriers To Evidence-Based Acute Stroke Care In Ghana: A Qualitative Study On The Perspectives Of Stroke Care Professionals. Bmj Open, 7(4). Https://Doi.Org/10.1136/Bmjopen-2016-015385

Badparva, B., Ghanbari, A., Karkhah, S., Osuji, J., Kazemnejad Leyli, E., & Jafaraghaee, F. (2023). Prevention Of Central Line-Associated Bloodstream Infections: Icu Nurses’ Knowledge And Barriers. Nursing In Critical Care, 28(3), 419–426. Https://Doi.Org/10.1111/Nicc.12757

Braun, V., & Clarke, V. (2006). Using Thematic Analysis In Psychology. Qualitative Research In Psychology, 3(2), 77–101. Https://Doi.Org/10.1191/1478088706qp063oa

Braun, V., & Clarke, V. (2021). One Size Fits All? What Counts As Quality Practice In (Reflexive) Thematic Analysis? Qualitative Research In Psychology, 18(3), 328–352. Https://Doi.Org/10.1080/14780887.2020.1769238

Cao, S., Gu, M., Feng, M., Jia, Y., Zhao, Y., Chen, S., Zhu, L., Bo, S., & Zhao, Q. (2022). Implementation Of Evidence In Preventing Medical Device-Related Pressure Injury In Icu Patients Using The I-Parihs Framework. Journal Of Nursing Management, 30(1), 318–327. Https://Doi.Org/10.1111/Jonm.13458

Chien, W.-T., Bai, Q., Wong, W.-K., Wang, H., & Lu, X. (2013). Nurses’ Perceived Barriers To And Facilitators Of Research Utilization In Mainland China: A Cross-Sectional Survey. Open Nursing Journal, 7(1), 96–106. Https://Doi.Org/10.2174/1874434601307010096

Clavijo-Chamorro, M. Z., Romero-Zarallo, G., Gómez-Luque, A., López-Espuela, F., Sanz-Martos, S., & López-Medina, I. M. (2021). Leadership As A Facilitator Of Evidence Implementation By Nurse Managers: A Metasynthesis. Western Journal Of Nursing Research, 44(6), 567–581. Https://Doi.Org/10.1177/01939459211004905

Crawford, C. L., Rondinelli, J., Zuniga, S., Valdez, R. M., Tze-Polo, L., & Titler, M. G. (2023). Barriers And Facilitators Influencing Ebp Readiness: Building Organizational And Nurse Capacity. Worldviews On Evidence-Based Nursing, 20(1), 27–36. Https://Doi.Org/10.1111/Wvn.12618

Dagne, A. H., Beshah, M. H., Kassa, B. G., & Dagnaw, E. H. (2021). Implementation Of Evidence-Based Practice And Associated Factors Among Nurses And Midwives Working In Amhara Region Government Hospitals: A Cross-Sectional Study. Reproductive Health, 18(1), 1–10. Https://Doi.Org/10.1186/S12978-021-01096-W

Deswani, D., Agustina, L., Hidayah, N., Larasati, A. D., Tyas, N. T. A., Vitani, R. A. I., ... & Purborini, N. (2024). Buku Ajar Keperawatan Kritis. Pt. Sonpedia Publishing Indonesia.

Fu, Y., Wang, C., Hu, Y., & Muir-Cochrane, E. (2020). The Barriers To Evidence-Based Nursing Implementation In Mainland China: A Qualitative Content Analysis. Nursing And Health Sciences, 22(4), 1038–1046. Https://Doi.Org/10.1111/Nhs.12763

Giesen, J., Bakker-Jacobs, A., Van Vught, A., Berings, M., Vermeulen, H., & Waal, G. H. De. (2024). What Is Needed For Nurses To Work With Evidence-Based Practice? A Qualitative Study. Contemporary Nurse, 60(6), 659–672. Https://Doi.Org/10.1080/10376178.2024.2369660

Grant, M. J., & Booth, A. (2009). A Typology Of Reviews: An Analysis Of 14 Review Types And Associated Methodologies. Health Information And Libraries Journal, 26(2), 91–108. Https://Doi.Org/10.1111/J.1471-1842.2009.00848.X

K, K., S, S., & N, G. (2021). Opinions And Practice On Research Among Nurses In Sri Lanka. International Journal Of Scientific And Research Publications (Ijsrp), 11(5), 420–427. Https://Doi.Org/10.29322/Ijsrp.11.05.2021.P11352

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y.-L., Chang, Y.-K., & Mokhtar, I. A. (2011). Adopting Evidence-Based Practice In Clinical Decision Making: Nurses’ Perceptions, Knowledge, And Barriers. Journal Of The Medical Library Association, 99(3), 229–236. Https://Doi.Org/10.3163/1536-5050.99.3.010

Page, M. J., Mckenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., Mcdonald, S., … Moher, D. (2021). The Prisma 2020 Statement: An Updated Guideline For Reporting Systematic Reviews. Journal Of Clinical Epidemiology, 134, 178–189. Https://Doi.Org/10.1016/J.Jclinepi.2021.03.001

Peters, M. D. J., Godfrey, C. M., Khalil, H., Mcinerney, P., Parker, D., & Soares, C. B. (2015). Guidance For Conducting Systematic Scoping Reviews. International Journal Of Evidence-Based Healthcare, 13(3), 141–146. Https://Doi.Org/10.1097/Xeb.0000000000000050

Schuler, E., Mott, S., Forbes, P. W., Schmid, A., Atkinson, C., & Degrazia, M. (2021). Evaluation Of An Evidence-Based Practice Mentorship Programme In A Paediatric Quaternary Care Setting. Journal Of Research In Nursing : Jrn, 26(1–2), 149–165. Https://Doi.Org/10.1177/1744987121991417

Torres, C., Mendes, F., Duarte, A. M., Vilaça, S., & Barbieri-Figueiredo, M. D. C. (2024). Implementation Of Evidence-Based Practice In Paediatric Nursing Care: Facilitators And Barriers. Collegian, 31(5), 342–347. Https://Doi.Org/10.1016/J.Colegn.2024.07.001

Tucker, S. J., & Gallagher-Ford, L. (2019). Ebp 2.0: From Strategy To Implementation. The American Journal Of Nursing, 119(4), 50–52. Https://Doi.Org/10.1097/01.Naj.0000554549.01028.Af

Warren, J. I., Mclaughlin, M., Bardsley, J., Eich, J., Esche, C. A., Kropkowski, L., & Risch, S. (2016). The Strengths And Challenges Of Implementing Ebp In Healthcare Systems. Worldviews On Evidence-Based Nursing, 13(1), 15–24. Https://Doi.Org/10.1111/Wvn.12149

Yeheyis, T., Hoyiso, D., Borie, Y. A., & Tagesse, N. (2024). Implementation Of Evidence-Based Clinical Practice And Its Associated Factors Among Health Care Workers At Public Hospitals In Sidama Regional State, Southern Ethiopia. Plos One, 19(3 March). Https://Doi.Org/10.1371/Journal.Pone.0299452




DOI: https://doi.org/10.33024/mahesa.v5i7.18886

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