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Using research in community nursing.

V Buxton1, T James, W Harding

  • 1University College, London.

Nursing Times
|February 23, 1999
PubMed
Summary
This summary is machine-generated.

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This study explored evidence use in community nursing. Organizational and cultural factors, not individual resistance, are the main barriers to implementing evidence-based practices.

Area of Science:

  • Nursing
  • Healthcare Management
  • Evidence-Based Practice

Background:

  • Evidence-based medicine is widely discussed, but its application in community nursing requires further investigation.
  • The unique characteristics of evidence within the community nursing context are not well understood.
  • Existing literature often focuses on individual resistance to change, overlooking broader systemic issues.

Purpose of the Study:

  • To examine the nature of evidence used in community nursing.
  • To identify factors influencing the utilization of evidence in community nursing practice.
  • To contrast individual-level barriers with organizational and cultural impediments.

Main Methods:

  • Qualitative research approach.
  • Exploration of community nursing practice settings.

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  • Analysis of factors affecting evidence adoption.

    • Main Results:

    • Organizational factors significantly hinder evidence-based practice adoption in community nursing.
    • Cultural elements within community nursing settings pose substantial obstacles to using evidence.
    • Individual resistance is less significant than systemic, organizational, and cultural barriers.

    Conclusions:

    • Organizational and cultural factors are primary barriers to evidence-based practice in community nursing.
    • Shifting focus from individual resistance to systemic change is crucial for advancing evidence utilization.
    • Understanding these broader influences can inform strategies to improve evidence implementation in community nursing.