Barriers and facilitators of evidence-based practice in the Portuguese context: perceptions of formal nursing leaders

Author:

Santos Diana123,Cardoso Daniela14,Cardoso Ana Filipa14,Duque Filipa Margarida1,Fernandes Beatriz15,Sousa Rosário16,Amaral António Fernando1

Affiliation:

1. Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal

2. Faculty of Economics, University of Coimbra, Coimbra, Portugal

3. Centro Hospitalar e Universitário de Coimbra, EPE, Coimbra, Portugal

4. Portugal Centre for Evidence-Based Practice: A JBI Centre of Excellence, Health Sciences Research Unit: Nursing, Nursing School of Coimbra, Coimbra, Portugal

5. Hospital de Cascais Dr. José de Almeida, Alcabideche, Portugal

6. Hospital da Luz, Coimbra, Portugal

Abstract

ABSTRACT Introduction: Formal nursing leaders play an important role in promoting and sustaining evidence-based practice (EBP) in the clinical context, particularly by creating a conducive environment for change and increasing clinicians’ awareness of the positive results of EBP. However, nursing leaders encounter both barriers and facilitators in their work; therefore, it is important to understand their perceptions on this topic. Objective: The objective of this study was to understand the perceptions of formal nursing leaders about barriers and facilitators for EBP. Methods: A descriptive exploratory study with a qualitative approach was conducted. A convenience sample was obtained, consisting of formal nursing leaders from three Portuguese health care institutions. Data were collected through semi-structured interviews. Content analysis was conducted using MAXQDA Analytic Pro 2022 software. Results: Seventeen formal nursing leaders were interviewed. Five categories of EBP barriers were identified: (1) scarce resources and inefficient resource management; (2) non-conducive organizational culture; (3) distance between academia and the clinical context; (4) demotivation; and (5) resistance to change. Seven categories of EBP facilitators were identified: (1) availability of resources and efficient resource management; (2) conducive organizational culture; (3) partnerships between academia and the clinical context; (4) motivation and commitment; (5) leadership; (6) organization that regulates professional practice; and (7) multidisciplinary meetings. Conclusions: This study identified barriers and facilitators for EBP through the perceptions of formal nursing leaders. Collaborative multidisciplinary efforts by leaders, direct care professionals, academics, and researchers should be conducted to overcome barriers and strengthen facilitators for EBP. Spanish abstract: http://links.lww.com/IJEBH/A242

Publisher

Ovid Technologies (Wolters Kluwer Health)

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