Community Health Journal

Community Health Journal

Challenges of Evidence-Based Practice in Nurses in Iran and Providing a Solution: A Review Study

Document Type : Original Article

Authors
E Khaloobagheri 1
M Taghadosi 2
1 1- PhD Student in Nursing, Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran. Dept. of Internal Surgery Nursing, Ali-ibn Abi-Taleb Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
2 2- Associate Prof., School of Nursing and Midwifery, Kashan University of Medical Science, Kashan, Iran.
10.22123/chj.2024.437665.2063
Abstract
Introduction: Evidence-based practice is the use of the best scientific findings in clinical decisions and plays an important role in improving the quality of nursing care. But it faces challenges. This study was conducted with the aim of identifying the challenges of evidence-based practice.
Materials and Methods: The current review study was conducted using the Broome 2000 method. Key words “evidence-based practice, evidence-based practice barriers and challenges, and evidence-based nursing” were searched in Persian databases (SID, Magiran, IranMedex, and Irandoc) and English databases (Web of Science, PubMed, and Google Scholar). After obtaining 173 articles, 164 articles were excluded due to lack of inclusion criteria, and finally 9 articles were included in the study.
Results: The findings confirmed that it is impossible to hope for the use of evidence at the desired level and showed several challenges that were classified in 6 areas: mismatch of organizational strategies, human, educational, research, cultural factors, and resources and equipment.
Conclusion: It seems that these obstacles cannot be prioritized because their impact can be different in different regions of the country. But they can be identified by looking carefully in each area. Therefore, being aware of these challenges, the officials will be able to find their roots and take action to solve them so that they can take steps towards improving the health of the society.
Keywords
Evidence-based practice
Evidence-based nursing
Evidence-based practice challenges
Nurses’ evidence-based practice barriers
  1. Mohamadi I, Yazdizadeh Moghadam H. Nursing research in the 3 past decades. IJNR 2006;1(2):63-72.
  2. Nagelkerk J. Leadership and nursing care management: Elsevier Health Sciences; 2005.
  3. Vali Zadeh L, Zaman Zadeh V, Fathi Azar A, Safaeian A. Barriers and facilitators of research utilization among nurses working in teaching hospitals in Tabriz. Hayat 2002;8(2):32-42.
  4. Retsas A. Barriers to using research evidence in nursing practice. Journal of advanced nursing 2000;31(3):599-606.
  5. Bryar RM, Closs SJ, Baum G, Cooke J, Griffiths J, Hostick T, et al. The Yorkshire BARRIERS project: diagnostic analysis of barriers to research utilisation. IJNS 2003;40(1):73-84.
  6. Ozsoy SA, Ardahan M. Research on knowledge sources used in nursing practices. Nurse education today 2008;28(5):602-9.
  7. Haynes RB, Sackett DL, Richardson WS, Rosenberg W, Langley GR. Evidence-based medicine: How to practice & teach EBM. CMAJ 1997;157(6):788.
  8. Hjørland B. Evidence‐based practice: An analysis based on the philosophy of science. JASIST 2011;62(7):1301-10.
  9. Cleary‐Holdforth J. Evidence‐based practice in nursing and midwifery: we are talking the talk, but are we walking the walk? : Wiley Online Library; 2020. p. 94-7.
  10. Cook BG SG, Tankersley M. Evidence-based practices in education. APA Educational Psychology2012. 495-528 p.
  11. Rolfe G. Faking a difference: evidence-based nursing and the illusion of diversity. Nurse education today 2002;22(1):3-12.
  12. Stievano A, Marinis MGD, Kelly D, Filkins J, Meyenburg-Altwarg I, Petrangeli M, et al. A proto-code of ethics and conduct for European nurse directors.NEJ 2012;19(2):279-88.
  13. Koehn ML, Lehman K. Nurses’ perceptions of evidence‐based nursing practice. JAN 2008;62(2):209-15.
  14. Nezamzadeh M, Khademolhosseini SM, Mokhtari Nori J, Ebadi A. Design of guidelines evidence-based nursing care in patients with angina pectoris. IJCCN 2012;4(4):69-76.
  15. Balas EA, Boren SA. Managing clinical knowledge for health care improvement. Yearbook of medical informatics 2000;9(01):65-70.
  16. Farokhzadian J, Khajouei R, Ahmadian L. Evaluating factors associated with implementing evidence‐based practice in nursing. Journal of evaluation in clinical practice 2015;21(6):1107-13.
  17. Banken R. Evidence-based public health. Bulletin of the World Health Organization. 2004;82(4):308.
  18. Whittemore R, Knafl K. The integrative review: updated methodology. JAN2005;52(5):546-53.
  19. Kiaei MZ, Azmal M, Kalhor F, Shah Bahrami E, Kalhor R. Perceived Barriers Of Evidence-Based Practice Among Nurses Working In Qazvin Hospitals. Payavard Salamat 2016;9(5):489-99.
  20. Soltani L, Mazhari F, Nouhi E, Sabzevari S. Barriers to Implementation of EvidenceBased Nursing Care from the Perspective of Nursing Instructors of Nursing and Midwifery Faculty of Rafsanjan and Kerman Iran SDME 2017;13(6):589-97.
  21. Hosseini‐Moghaddam F, Mohammadpour A, Bahri N, Mojalli M. Nursing managers' perspectives on facilitators of and barriers to evidence‐based practice: A cross‐sectional study. Wiley Online Library. Nursing Open 2021.
  22. Yousefi F, Ebrahimi H, Seyedrasooli A, Khodadadi E. Barriers and facilitators of evidence-based practice from the perspective of nurses who working in northwestern psychiatric centers of Iran IJDMSR2017;5(3):1-8.
  23. Nouhi E, Shakouri A. The study of facilities and barriers to evidence-based practice (EBP) in nurses, view point of Kerman University of Medical Sciences. Journal of Nursing Education 2016;5(2):24-30.
  24. Pashaeypoor S, Ashktorab T, Rassouli M, Alavi-Majd H. Nursing students' perceptions of barriers to evidence-based practice: Qualitative content analysis. IJNR 2016;10(4):117-26.
  25. Mayel Afshar M, Totonchi M, Noohi F, Shirkhanloo N, Pasha H, Ahangari F, et al. Obstacles to implementation of evidence-based protocols from the perspective of the staff nurses in Rajaie Cardiovascular Medical and Research Center, Tehran, Iran. Iranian Journal of Cardiovascular Nursing 2022;11(1):88-95.
  26. Sakhlou ZI, Foroughei MR, Khameslou MA. 17: ASSESSING THE BARRIERS TO EVIDENCE-BASED PRACTICE FROM THE PERSPECTIVE OF NURSES IN INTENSIVE CARE UNITS SOCIAL SECURITY HOSPITALS IN TABRIZ. BMJ Open2017;7(Suppl 1):bmjopen-2016-015415.17.
  27. Khammarnia M, Haj Mohammadi M, Amani Z, Rezaeian S, Setoodehzadeh F. Barriers to implementation of evidence based practice in Zahedan teaching hospitals, Iran, 2014. Nursing research and practice 2015.
  28. Mojadadi MS, Shomoossi N, Rad M. From education and clinical training to evidence-based nursing: a review of literature and its relevance to current Iranian conditions. Beyhagh 2015;18(1):1-8.
  29. Youssef NF, Alshraifeen A, Alnuaimi K, Upton P. Egyptian and Jordanian nurse educators' perception of barriers preventing the implementation of evidence-based practice: A cross-sectional study. Nurse education today 2018;64:33-41.
  30. Carrion M, Woods P, Norman I. Barriers to research utilisation among forensic mental health nurses. IJNS 2004;41(6):613-9.
  31. Kermanshahi S, Parvinian Barriers to implementation of evidence-based care: viewpoints of nursing staff. Iranian Journal of Medical Education 2012;12(2):84-92.
  32. Brown CE, Wickline MA, Ecoff L, Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidence‐based practice at an academic medical center. JAN2009;65(2):371-81.
  33. Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: A guide to best practice: Lippincott Williams & Wilkins; 2022.
  34. Kitson A. The state of the art and science of evidence-based nursing in UK and Europe. Worldviews on Evidence-Based Nursing. 2004;1(1):6-8.
  35. JDM, 33-6. Creating a research culture in a nursing school. Nursing Standard (through 2013). 2003;18(3):33-6.
Community Health Journal
Volume 18, Issue 2
Autumn 2024
Pages 41-50