Sanjari Mahnaz, Baradaran Hamid Reza, Aalaa Maryam, Mehrdad Neda
School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran.
Iran J Nurs Midwifery Res. 2015 Sep-Oct;20(5):529-39. doi: 10.4103/1735-9066.164501.
According to professionalization in nursing profession, the nursing researches expanded dramatically and rapidly in a very short period. Research results showed improvement in quality of provided care by using research findings. But there is still a gap between nursing research and practice, which led scientists to explore the barriers and facilitators of research utilization that could affect the application of research results. The aim of this review was to appraise and synthesize evidences of studies about the facilitators and barriers to research utilization in Iranian nurses.
A systematic review of quantitative and qualitative studies about the barriers and facilitators of nursing research utilization in Iran was undertaken.
The results showed that items such as "The nurse is isolated from knowledgeable colleagues with whom to discuss the research," "There is insufficient time on the job to implement new ideas," "The nurse does not have time to read research," "The nurse does not feel she/he has enough authority to change patient care procedures," "The facilities are inadequate for implementation," "Physicians will not cooperate with implementation," and "The relevant literature is not compiled in one place" were rated as the main barriers.
The results of 10 studies about research utilization in Iran showed that the barriers and facilitators remained constant through time and across different locations. The rank orders of barriers and facilitators were the same approximately. The nurse managers and administrators could utilize the findings of this review to allocate human resources and other sources and promote nursing research utilization in clinical field.
随着护理专业的专业化发展,护理研究在很短的时间内急剧且迅速地扩展。研究结果表明,运用研究成果可提高所提供护理的质量。但护理研究与实践之间仍存在差距,这促使科学家去探索可能影响研究成果应用的研究成果利用的障碍和促进因素。本综述的目的是评估和综合有关伊朗护士研究成果利用的促进因素和障碍的研究证据。
对伊朗护理研究成果利用的障碍和促进因素的定量和定性研究进行了系统综述。
结果显示,诸如“护士与有知识的同事隔离,无法与之讨论研究”、“工作中没有足够时间实施新想法”、“护士没有时间阅读研究”、“护士觉得自己没有足够权力改变患者护理程序”、“设施不足以实施”、“医生不配合实施”以及“相关文献未集中整理”等项目被评为主要障碍。
关于伊朗研究成果利用的10项研究结果表明,障碍和促进因素在不同时间和不同地点保持不变。障碍和促进因素的排名顺序大致相同。护士管理者和行政人员可利用本综述的结果来分配人力资源和其他资源,并促进临床领域的护理研究成果利用。