Department of Nursing, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia.
Department of Medical Laboratory Sciences, College of Applied Medical Sciences, University of Bisha, Bisha, Saudi Arabia.
Nurs Open. 2024 Jan;11(1):e2080. doi: 10.1002/nop2.2080.
To explore nurses' experiences and perspectives about evidence-based practice (EBP) implementation in the healthcare context.
A qualitative descriptive study design using focus group discussions (FGDs).
Sixty-four nurses who purposefully selected and worked at various healthcare organizations in Bisha Governorate, Saudi Arabia, were included. Eight FGDs were used to obtain data using open-ended questions. The collected data underwent inductive qualitative content analysis.
Two main categories were extracted: experiences and perspectives towards EBP. The experiences category emerged into four sub-categories: familiarity with concepts and benefits, steps, dissemination sources of EBP and sources of EBP knowledge, while perspectives towards the EBP category included four sub-categories: application of EBP in clinical practice, barriers, facilitators and EBP application methods. The participants experienced being in a non-supportive and non-encouraging atmosphere which results from a lack of organizational commitment to EBP implementation and illuminates the complexities involved in the integration process.
The nurses' experience with EBP indicated that there was limited support for the implementation of this approach. Furthermore, they experienced varying barriers to EBP implementation. They viewed EBP as a complex technique as they lacked knowledge and skills related to the formulation of research questions, and retrieving, applying and disseminating of EBP in clinical practice decision-making. That is due to barriers pertinent to the individual, organizational and patient factors. The key to successfully implementing an EBP in nursing practice is to promote professional development, comprehensive and continuous training, a culture of change, organizational support and motivation.
Through the construction and provision of ongoing educational interventions and mentoring programmes about EBP, healthcare organizations and nursing leadership may develop a comprehensive strategy to encourage staff nurses' participation in the EBP process. This is to enhance nurses' experiences and perspectives towards the EBP approach and overcome the barriers to effective implementation.
Patients or the general public were not involved in the design, analysis or interpretation of the data in this study.
探索护士在医疗保健环境中实施循证实践（EBP）的经验和观点。
采用焦点小组讨论（FGD）的定性描述性研究设计。
纳入了 64 名在沙特阿拉伯比沙省各个医疗机构有目的地选择和工作的护士。使用 8 个 FGD 采用开放式问题获取数据。收集的数据进行了归纳定性内容分析。
提取出两个主要类别：对 EBP 的经验和观点。经验类别分为四个亚类：熟悉概念和益处、EBP 的步骤、传播来源和 EBP 知识来源，而对 EBP 类别的观点包括四个亚类：EBP 在临床实践中的应用、障碍、促进因素和 EBP 应用方法。参与者经历了缺乏组织对 EBP 实施的承诺而导致的非支持和非鼓励的氛围，这说明了整合过程中涉及的复杂性。
护士对 EBP 的经验表明，对这种方法的实施支持有限。此外，他们在实施 EBP 时遇到了各种障碍。他们认为 EBP 是一种复杂的技术，因为他们缺乏与制定研究问题、检索、应用和将 EBP 应用于临床实践决策相关的知识和技能。这是由于个体、组织和患者因素的障碍所致。成功将 EBP 应用于护理实践的关键是促进专业发展、全面持续的培训、变革文化、组织支持和激励。
通过构建和提供关于 EBP 的持续教育干预和指导计划，医疗保健组织和护理领导层可以制定一项全面的战略，鼓励员工护士参与 EBP 过程。这是为了增强护士对 EBP 方法的经验和观点，并克服有效实施的障碍。
在这项研究中，患者或公众未参与数据的设计、分析或解释。
