Community- and hospital-based nurses' implementation of evidence-based practice: are there any differences?

Area of Science:

• Nursing
• Healthcare Management
• Evidence-Based Practice

Background:

• Evidence-based practice (EBP) integration in healthcare is crucial.
• Traditionally, nurses' negative beliefs, lack of time, knowledge, and skills hinder EBP.
• Recent changes in nursing education and community health focus prompt re-evaluation.

Purpose of the Study:

• To examine the influence of nurses' beliefs, knowledge, and skills on EBP implementation.
• To identify changes in barriers and facilitators for EBP in contemporary nursing practice.
• To compare EBP implementation factors in hospital versus community settings.

Main Methods:

• A comprehensive literature search was conducted.
• The search focused on contemporary literature published between 2010 and 2015.
• The review synthesized findings on nurses' beliefs, knowledge, skills, and EBP implementation.

Main Results:

• Traditional barriers like lack of time, knowledge, and skills persist.
• Nurses' beliefs towards EBP have become more positive.
• Positive beliefs did not correlate with increased intention or skill in EBP implementation.

Conclusions:

• Despite more positive beliefs, traditional barriers to evidence-based practice (EBP) remain significant for nurses.
• Enhanced nursing education has not fully translated into improved EBP knowledge or skills.
• Similar barriers and facilitators to EBP implementation exist in both hospital and community settings.