Sulaiman Nadirah, Tok Peter Seah Keng, Gimbo Juhanah, Saptu Ammar Rafidah, Philip Phylis Bridget, Kim Yain Yau, Pengui Lilyiana, Dalie Drina, Tinggal Norfairuziana
Clinical Research Centre, Hospital Queen Elizabeth, Kota Kinabalu 88586, Malaysia.
Institute for Clinical Research, National Institutes of Health, Shah Alam 40170, Malaysia.
Nurs Rep. 2025 Jul 16;15(7):258. doi: 10.3390/nursrep15070258.
B Evidence-based practice (EBP) has been widely adopted in clinical nursing practice, with nursing education efforts consistently emphasizing its importance in strengthening implementation efforts. Despite these efforts to promote translational research, the level of implementation of evidence-based practice (EBP) in clinical nursing practice remains unsatisfactory. This study aimed to identify specific organizational, individual, and research-related barriers to the utilization of research in clinical practice among nurses in Sabah, Malaysia, to determine factors associated with these perceived barriers and to assess nurses' awareness and understanding of the implementation of evidence-based practice. A cross-sectional study was conducted in 2019 using the BARRIERS scale, a validated tool that measures perceived barriers to the utilization of research across four domains: organizational barriers, nurses' research awareness and values, quality of research, and research communication. This study involved nurses from five tertiary hospitals in Sabah, Malaysia. A total of 562 nurses participated in the study, with a mean age of 34.3 years (SD = 7.96) and mean duration of clinical practice of 10.0 years (SD = 7.58). While 66.5% of the nurses had heard of EBP, only 7.3% reported understanding it very well. The top three barriers to the utilization of research were 'the nurse does not feel she/he has enough authority to change patient care procedures' (35.9%), 'the nurse does not have time to read research' (27.8%), and 'research reports/articles are not published fast enough' (25.8%). Among the four domains, organizational barriers scored highest (mean = 2.7, SD = 0.72), followed by research communication (mean = 2.6, SD = 0.73). The study findings emphasize the challenges nurses encounter in integrating research into clinical practice and highlight the need for ongoing efforts to promote the utilization of evidence-based practice and research among nurses in Sabah, while addressing the identified gaps.
B循证实践（EBP）已在临床护理实践中广泛采用，护理教育工作一直强调其在加强实施工作方面的重要性。尽管为促进转化研究做出了这些努力，但循证实践（EBP）在临床护理实践中的实施水平仍不尽人意。本研究旨在确定马来西亚沙巴州护士在临床实践中利用研究的具体组织、个人和研究相关障碍，确定与这些感知障碍相关的因素，并评估护士对循证实践实施的认识和理解。2019年进行了一项横断面研究，使用了BARRIERS量表，这是一种经过验证的工具，用于衡量在四个领域中利用研究的感知障碍：组织障碍、护士的研究意识和价值观、研究质量和研究沟通。本研究涉及马来西亚沙巴州五家三级医院的护士。共有562名护士参与了研究，平均年龄为34.3岁（标准差=7.96），平均临床实践年限为10.0年（标准差=7.58）。虽然66.5%的护士听说过循证实践，但只有7.3%的护士表示对其理解得很好。利用研究的三大障碍是“护士觉得自己没有足够的权力改变患者护理程序”（35.9%）、“护士没有时间阅读研究”（27.8%）和“研究报告/文章发表不够快”（25.8%）。在四个领域中，组织障碍得分最高（平均=2.7，标准差=0.72），其次是研究沟通（平均=2.6，标准差=0.73）。研究结果强调了护士在将研究纳入临床实践中遇到的挑战，并突出了持续努力促进沙巴州护士利用循证实践和研究的必要性，同时解决已发现的差距。
