Owusu Lydia Boampong, Scheepers Nicholin, Tenza Immaculate Sabelile
School of Nursing Science, North-West University, Potchefstroom, South Africa.
School of Nursing and Midwifery, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Int J Nurs Stud Adv. 2025 May 15;8:100354. doi: 10.1016/j.ijnsa.2025.100354. eCollection 2025 Jun.
Research utilization is critical in evidence-based practice, enhancing patient outcomes and professionalism of service providers. Despite its importance, implementation in nursing and midwifery remains low due to various barriers. Understanding these barriers and identifying facilitators can inform strategies to enhance research utilization and promote evidence-based practice. To explore the barriers and facilitators influencing research utilization as well as strategies to promote it in clinical nursing and midwifery practice in Kumasi, Ghana. A qualitative descriptive methodology was employed. Six hospitals in Ghana One hundred and twenty clinical nurses and midwives Purposive sampling with seventeen focus group discussions was held to collect data which were recorded and transcribed. Braun and Clarke's thematic analysis was applied using the steps of research utilization: access, analysis, dissemination, and implementation as a guiding framework. Lincoln and Guba's criteria of trustworthiness were applied in the study. Three themes were identified: barriers, facilitators, and strategies. Barriers included lack of resources (physical, financial, and time) and inadequate research knowledge due to deficiencies in nursing and midwifery education. Facilitators comprised continuous professional development and higher education. Having designated research units in hospitals was part of the strategies to improve research utilization. The findings have significant implications for healthcare practice, suggesting the need for improved resources, education, and organizational support to promote research utilization. Further studies on the preparation of nurses and midwives for research utilization in their education should be conducted, and recommendations made for adequate research education in nursing and midwifery.
研究应用在循证实践中至关重要，它能提升患者治疗效果以及服务提供者的专业水平。尽管其很重要，但由于各种障碍，在护理和助产领域的实施率仍然很低。了解这些障碍并确定促进因素可为提高研究应用率和推动循证实践的策略提供依据。为了探索影响加纳库马西临床护理和助产实践中研究应用的障碍和促进因素以及促进研究应用的策略。采用了定性描述方法。加纳的六家医院、120名临床护士和助产士，通过目的抽样法进行了17次焦点小组讨论以收集数据，这些数据被记录并转录。使用研究应用的步骤：获取、分析、传播和实施作为指导框架，应用了布劳恩和克拉克的主题分析法。研究中应用了林肯和古巴的可信度标准。确定了三个主题：障碍、促进因素和策略。障碍包括缺乏资源（物力、财力和时间）以及由于护理和助产教育不足而导致的研究知识欠缺。促进因素包括持续专业发展和高等教育。在医院设立指定的研究单位是提高研究应用率策略的一部分。这些发现对医疗实践具有重要意义，表明需要改善资源、教育和组织支持以促进研究应用。应进一步开展关于护士和助产士在教育中为研究应用做准备的研究，并就护理和助产领域充分的研究教育提出建议。
