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Has the BARRIERS Scale changed nursing practice? An integrative review
Cathy L Carlson1, Donna J Plonczynski
1Department of Nursing, Northern Illinois University, Illinois, USA. clcarlson@niu.edu
Journal of Advanced Nursing
|August 30, 2008
Summary
Identifying barriers to research utilization among nurses using the BARRIERS Scale did not influence nursing practice. Further research is needed to link perceived barriers to evidence-based practice adoption.
Area of Science:
- Nursing Research
- Evidence-Based Practice
- Healthcare Quality Improvement
Background:
- The BARRIERS Scale is a tool used to identify nurses' perceptions of barriers to research utilization.
- Understanding these barriers is crucial for improving research uptake in clinical settings.
Purpose of the Study:
- To analyze studies using the BARRIERS Scale to determine if identifying perceived barriers influences nurses' research utilization.
- To assess changes in the extent and nature of these barriers over 15 years.
- To investigate cross-country differences in cited barriers.
Main Methods:
- A comprehensive literature search was conducted across multiple databases (CINAHL, MEDLINE, etc.) from 1991 to 2006.
- Studies in English using the complete BARRIERS Scale with reported nurse responses were included.
- Data extracted included country, sample size, frequently cited barriers, and rated barrier severity.
Main Results:
- Forty-five studies met the inclusion criteria, consistently identifying similar barriers.
- No evidence emerged to suggest that identifying barriers influenced nurses' research utilization or practice.
- The most frequently cited barriers to research utilization remained largely consistent.
Conclusions:
- Further descriptive research using the BARRIERS Scale may offer minimal benefit.
- Future research should focus on the relationship between perceived barriers and the adoption of evidence-based practice.
- Investigating the impact of identified barriers on actual nursing practice is warranted.
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