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Published on: October 24, 2019
The BARRIERS scale -- the barriers to research utilization scale: A systematic review
Kerstin Nilsson Kajermo1, Anne-Marie Boström, David S Thompson
1Knowledge Utilization Studies Program (KUSP), Faculty of Nursing, University of Alberta, 5-104 Clinical Science Building, Edmonton, Alberta T6G 2G3, Canada. anne-marie.bostrom@ualberta.ca.
The BARRIERS scale identifies general nursing research barriers but lacks validity for planning interventions. Future research should focus on context-specific barrier measurement for effective implementation.
Area of Science:
- Nursing Research
- Evidence-Based Practice
- Healthcare Implementation Science
Background:
- Identifying barriers to research utilization is key for implementing evidence-based practice in clinical settings.
- The BARRIERS scale is a widely used tool in nursing to assess these barriers.
Purpose of the Study:
- To systematically review the literature on the BARRIERS scale's modifications, psychometric properties, identified barriers, and association with research use.
- To provide recommendations for the future application of the BARRIERS scale in nursing research.
Main Methods:
- A systematic search of Medline, CINHAL, and ProQuest dissertations from 1991 to 2009 was conducted.
- Studies utilizing the complete BARRIERS scale with nursing samples were included.
- Data were independently assessed for quality and extracted, with descriptive and inferential statistics applied.
Main Results:
- Sixty-three studies were included, predominantly cross-sectional, with no study using the scale for intervention tailoring.
- Consistent barriers related to setting and research presentation were identified across time and locations.
- Few studies reported associations between perceived barriers and actual research use.
Conclusions:
- The BARRIERS scale is a reliable tool for identifying general barriers but its validity is questionable for planning interventions.
- The scale is not recommended for future descriptive studies; context-specific barrier measurement is advised.
- Implementation science requires tailored approaches rather than generic barrier identification tools.
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