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Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community
Shu Li1, Meijuan Cao, Xuejiao Zhu
1Nursing Faculty, Medical College, Hangzhou Normal University, Hangzhou, China.
Medicine
|October 3, 2019
Summary
Community nurses have positive attitudes towards evidence-based practice (EBP) but lack sufficient knowledge and implementation skills. Addressing barriers like time and resources is crucial for improving EBP adoption in community nursing.
Area of Science:
- Nursing Research
- Evidence-Based Practice
- Healthcare Delivery
Background:
- Evidence-based practice (EBP) is widely adopted in community nursing.
- The current status of EBP knowledge, attitudes, and implementation among community nurses (CNs) requires clarification.
- Perceived facilitators and barriers to EBP among CNs have not been comprehensively confirmed.
Purpose of the Study:
- To summarize the current state of knowledge, attitudes, implementation, facilitators, and barriers of EBP in community nurses.
- To identify key factors influencing EBP adoption and challenges faced by CNs.
- To provide insights for improving EBP integration in community nursing.
Main Methods:
- A systematic literature search was conducted across 3 English and 3 Chinese databases.
- Publications from 1996 to July 2018 were included, with 20 articles selected for analysis.
- Data on EBP knowledge, attitudes, implementation, facilitators, and barriers among CNs were extracted and synthesized.
Main Results:
- Community nurses exhibit positive attitudes towards EBP but possess insufficient knowledge and unprepared implementation.
- Facilitators for EBP include academic training, management support, and younger nurse demographics.
- Inadequate time and resources are primary barriers hindering the translation of EBP knowledge and attitudes into practice.
Conclusions:
- There is a significant need to enhance EBP knowledge and implementation among community nurses, despite positive attitudes.
- Overcoming barriers requires coordinated efforts with authorities to leverage facilitators and address resource limitations.
- Future research and policy should focus on improving EBP knowledge and implementation, informing nursing education and practice support.
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