American Journal of Nursing Research
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American Journal of Nursing Research. 2016, 4(1), 13-24
DOI: 10.12691/ajnr-4-1-3
Open AccessA Clinical Study

Facilitating Factors for Overcoming Barriers Facing Nurses for Research Utilization in Clinical Settings

Magda M. Mohsen1, , Nahla Ashour Safaan1 and Omayma Okby2

1Community Health Nursing, Faculty of Nursing, Menoufia University, Egypt

2Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt

Pub. Date: March 19, 2016

Cite this paper:
Magda M. Mohsen, Nahla Ashour Safaan and Omayma Okby. Facilitating Factors for Overcoming Barriers Facing Nurses for Research Utilization in Clinical Settings. American Journal of Nursing Research. 2016; 4(1):13-24. doi: 10.12691/ajnr-4-1-3

Abstract

Research utilization refers to the use of some aspect of a study in an application unrelated to the original research. The aim of this study was to identify factors that facilitate nurses for overcoming barriers of utilization of research finding in clinical Practice. Design: descriptive correlation design was used. Setting; this study was conducted in; 1) the two Maternal and Child Health Centers in Sheben El-Kom and nine health Units affiliated to Sheben El-Kom districts-Menoufia governorate (2) Faculty of Nursing- Menoufia University. Sample; (1) a random sample 120 practical nurses from the two Maternal and in Sheben El-Kom and nine health Units affiliated to Sheben El-Kom districts (2) a convenience sample of 100 Academic staff from Faculty of Nursing who finished their Master or Doctorate degree was selected. Tools; a questionnaire to collect Socio-demographic data such as: age, educational, experiences and nursing' knowledge, Attitudes towards research utilization. 2. A barriers Scale for Practical Nurses to assess barriers to the use of research findings in practice that was developed by Funk et al., (1991). 3. A structured questionnaire. It was designed to include opinion towards what facilitating factors are important for nurses to adopt research utilization? The main results; total Nurses' Attitude toward research utilization was positive having mean of 8.31±1.43 with Maximum of 12.0 and Minimum of 6.0. Also the current study revealed that, 60 % of practical nurses does not use research findings in patient care/patient care procedures. The facilitating factors that overcoming barriers of research utilization was 80.0% & 64.2 % of academic staff and practical nurses respectively reported that; given adequate training in research utilization was extremely important. Conclusion: our practical nurses are facing many difficulties in implementing research utilization. Facilitating factors that overcome barriers was reported as; given adequate education in Research and its utilization & the support from nursing manager. Recommendations: Enhance research skills of practical nurses, enhance support from nursing manager and initiate a link between health institutions and academic researchers for adoption of research finding.

Keywords:
Research utilization- facilitating factors for Nursing Practice-Clinical Setting

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References:

[1]  World Health Organization (2004): World Health Report on Knowledge for better Health. Geneva37.
 
[2]  World Health Organization (2005): Health and the Millennium Development Goals. Geneva 530.1.38.
 
[3]  Jones G, Stekettee RW, Black RE, Bhutta ZA, Morris SS (2003): the Bellagio Child Survival Study Group. How many child deaths can we prevent this year? Lancet;362: 65-71.
 
[4]  Veeramah V: (2004). Utilization of research findings by graduate nurses and midwives. Journal of Advanced Nursing, 47(2):183-191.
 
[5]  Larsen K, Adamsen L, Bjerregaard L, Madsen L. (2002). There is no gap ‘per se’ between theory and practice: Research knowledge and clinical knowledge are developed in different contexts and follow their own logic. Nursing Outlook, 50(5):204-212.
 
[6]  Canadian Health Services Research Foundation (2005): Leveraging Knowledge: tools & strategies for action. Report of the 7th CHSRF Annual Invitational Workshop. Montreal, Quebec; March 3.
 
[7]  Parahoo K. (2000): Barriers to, and facilitators of, research utilization among nurses in Northern Ireland. J Adv Nurs; 31: 89-98.
 
[8]  Balas, E. A. & Boren, S. A. (2000): Managing clinical knowledge for healthcare improvement. In J. Bemmel & A. T. McCray (Eds.), Yearbook of medical informatics (pp.65-70).
 
[9]  (AHRQ) Agency for Healthcare Research and Quality (2006). National healthcare quality report. Rockville, MD: AHRQ.
 
[10]  Rogers EM: (2003): Diffusion of Innovations. 5th edition. New York: Free Press.
 
[11]  Shaw B, Cheater F, Baker R, Gillies C, Hearnshaw H, Flottorp S, Robertson N: (2005). Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev: CD005470.
 
[12]  Bosch M, Weijden T van der, Wensing M, Grol R. (2007). Tailoring quality improvement interventions to identified barriers: a multiple case analysis. J Eval Clin Pract, 13:161-168.
 
[13]  Medical Research Council (2008). Developing and evaluating complex interventions: New guidance. London.
 
[14]  Estabrooks CA, Wallin L, Milner M. (2003): Measuring knowledge utilization in health care. International Journal of Policy Analysis & Evaluation.1:3-36.
 
[15]  Dempsey,P. A. and Dempsey, A. D. (2000). Using Nursing Research; Process, Critical Evaluation, and Utilization. Fifth Edition, Lippincott, 262.
 
[16]  Polit, D.F. & Beck, C.T. (2006). Essentials of Nursing Research: appraising Evidence for Nursing Practice. Philadelphia: Lippincott Williams & Wilkins.
 
[17]  Thompson DS, Estabrooks CA, Scott-Findlay S, Moore K, Wallin L., (2007): Interventions aimed at increasing research use in nursing: a systematic review. Implement Sci, 2: 15.
 
[18]  Squires JE, Hutchinson AM, Boström A-M, Jerke HM, Cobban SJ, Estabrooks CA.,(2011): To what extent do nurses use research in clinical practice? A systematic review. Implement Sci, 6: 21.
 
[19]  Kajermo K, Boström A-M, Thompson D, Hutchinson A, Estabrooks C, Wallin L., (2010): The BARRIERS scale - the barriers to research utilization scale: A systematic review. Implement Sci. 5: 32.
 
[20]  Clark, J.E. (2000). The Research, Education, Management and Practice Interface. In the Research Process in Nursing. Chapter 3. Fourth Edition, Blakwell Science Ltd London.
 
[21]  Havelock & Havelock, (1973). Research, development, and diffusion model; the Change Agent’s Guide to Innovation (1973), 2nd Ed.
 
[22]  Rogers, E.M. (1995). Diffusion of innovations (4th edition), New York.
 
[23]  Forsman, H., Rudman, A. Gustavsson, P., Ehrenberg, A., Wallin, L., (2012): Nurses’ research utilization two years after graduation, a national survey of associated individual, organizational, and educational factors. Implementation Science, 7:46.
 
[24]  Kajermo, KN, Undén, M., Gardulf, A., Eriksson LE, Orton ML, Arnetz BB, et al. (2008); Predictors of nurses' perceptions of barriers to research utilization. J Nurs Manag; 16 (3): 305-314.
 
[25]  International Council of Nurses ICN. (2007): Position Statement on Nursing Research.
 
[26]  Funk SG, Champange MT, Wiese RA, Tornquist, EM. (1991): BARRIERS; barriers to research utilization scale. Appl Nurs Res; 41: 39-45.
 
[27]  Park, K. (2008): Park’s textbook of preventive and social medicine. 19th Edition. Jabalpur: M/s Banarsidas Bhanot.
 
[28]  Breimaier, H. E., Halfens, R. JG and Lohrmann, C. (2011): Nurses’ wishes, knowledge, attitudes and perceived barriers on implementing research findings into practice among graduate nurses in Austria. Journal of Clinical Nursing, 20, 1744-1756.
 
[29]  Beverley, F. (2005): The process of research use in nursing. Journal of Advanced Nursing, Volume 49, Issue 2, pages 125-134.
 
[30]  Andersson N, Jylli L, Kajermo KN, Klang B. (2007): Nurses in Pediatric Care-self-reported professional self and perceived research utilization. Scand J Caring Sci. 2007 Dec; 21(4): 426-33.
 
[31]  Brown, C E., Wickline, M., Ecoff, L., Glaser, D. G., (2009): Nursing Practice, Knowledge, Attitudes and Perceived Barriers to Evidence-Based Practice at an Academic Medical Center. Library's Research Works. UC San Diego Library.
 
[32]  Cheung NF, Zhang L, Mander R, Xu X, Wang X.( 2011): Proposed continuing professional education programme for midwives in China: new mothers' and midwives' views. Nurse Educ Today. 2011 Jul;31(5):434-8.
 
[33]  Fenwick J1, Butt J, Dhaliwal S, Hauck Y, Schmied V.( 2010): Western Australian women's perceptions of the style and quality of midwifery postnatal care in hospital and at home. Women Birth. 23(1):10-21.
 
[34]  WHO. (2013): Antenatal care. http://www.who.int/gho/maternal˙health/ reproductive ˙health/ antenatal˙ care ˙text/en/ [accessed 1 Sept 2015] 2013.
 
[35]  Mbuagbaw L, Medley N, Darzi AJ, Richardson M, Habiba-Garga K, Ongolo-Zogo P. (2015): Health system and community level interventions for improving antenatal care coverage and health outcomes. The Cochrane Data base of Systematic Reviews, published by John Wiley & Sons, Ltd. on behalf of The Cochrane Collaboration, Issue 12.
 
[36]  Baba T A, Kaul R, Humaira H. (2013): An Epidemiological study to assess the utilization of maternal and child health care services at Sub-center level by the target population in Northern India, Kashmir valley. Int J Med Sci Public Health, Vol 2, Issue 3, 679-687.
 
[37]  Barclay L, Kruske S, Bar-Zeev S, Steenkamp M, Josif C, Narjic CW, Wardaguga M, Belton S, Gao Y, Dunbar T, Kildea S. (2014): Improving Aboriginal maternal and infant health services in the 'Top End' of Australia; synthesis of the findings of a health services research program aimed at engaging stakeholders, developing research capacity and embedding change. BMC Health Serv Res. 2; 14: 241.
 
[38]  Rycroft-Malone J, (2008): Evidence-informed practice: from individual to context. J Nurs Manag,16:404-408.
 
[39]  Wallin L, Boström AM, Gustafsson JP: (2012): Capability beliefs regarding evidence-based practice are associated with application of EBP and research use: validation of a new measure. Worldviews Evid Based Nurs,9 (3):139-48.
 
[40]  Majid, A., Foo, S., Luyt, B., Zhang, M., Theng, Y., Chang, Y., Intan A. (2011): Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers, J Med Libr Assoc 99(3).
 
[41]  Heydari, A., Zeydi, A. E. (2014): Barriers to and Facilitators of Research Utilization among Iranian Nurses: a Literature Review. Journal of Caring Sciences, 3 (4), 265-275, http:// journals. tbzmed.ac.ir/ JCS.
 
[42]  Seyyedrasooli, A., Zamanzadeh, V., Valizadeh, L., and Tadaion, F., (2012): Individual Potentials Related to Evidence-Based Nursing among Nurses in Teaching Hospitals Affiliated to Tabriz University of Medical Sciences, Tabriz, Iran. J Caring Sci.; 1(2): 93-99.
 
[43]  Shafiei,E., Baratimarnani, A., Goharinezhad,S., Kalhor,R., Azmal, M., (2014): Nurses’ perceptions of evidence-based practice: a quantitative study at a teaching hospital in Iran. Medical Journal of the Islamic Republic of Iran (MJIRI), Vol. 28.135.24. http://mjiri.iums.ac.ir
 
[44]  Hadgu G., Almaz S., Tsehay S., (2015): Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice in Tikur Anbessa Specialized Hospital Addis Ababa Ethiopia, American Journal of Nursing Science; 4(3): 73-83. (http://www.sciencepublishinggroup.com/j/ajns.