Nurses' barriers when using research information in clinical decision making

  • Authors

    • Safaa Mohamed Nursing
    • Mona Thabet
    2018-01-23
    https://doi.org/10.14419/ijans.v7i1.8824
  • Barriers to Research Information, Clinical Decision Making, Evidence Based Decision, Research Utilization.

  • Abstract

    Recently, there has been more emphasis on clinical decision making to be a cooperative process, which encompasses shared and parallel decision making with patients and health care teams. For this, nurses’ clinical decision-making is a complicated process with a possibility to affect the provided quality of care and. Therefore, affect patient condition progress. Thus, it is the critical point to study the nurses' barriers to research to identify the starting point of how do nurses currently view, and apply research based information in their decision. The aim of the study is to evaluate the nurses' barriers when using research information in clinical decision making. A descriptive correlation research design was utilized. The sample was consisted of of 140 nurse participants at Minia University hospitals. One tool was used as Barriers to using research information in clinical decision making. This study revealed that the nurse participants agree on the research barriers such as lack of time, lack of organization support to use and implement insufficient nurse skills to use research, and complex nature of research. Thus it was concluded that nurses appraise the value of research utilization, but there were many factors hinder and become the barrier to them to implement research.

    Author Biography

    • Safaa Mohamed, Nursing
      Nursing Administration department

  • References

    1. [1] Banning M. A review of clinical decision making: Models and current research. Journal of Clinical Nursing. 2008; 17(2): 187-95.

      [2] Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG, Hiatt H. Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard Medical Practice Study I.Quality& Safety in Health Care. 2004; 13: 145- 51. https://doi.org/10.1136/qshc.2002.003822.

      [3] Cader R, Campbell S, Watson D. Cognitive Continuum Theory in nursing decision-making. Journal of Advanced Nursing. 2005; 49:397-405. https://doi.org/10.1111/j.1365-2648.2004.03303.x.

      [4] Chau J, Lopez V, Thompson DR. A Survey of Hong Kong Nurses’ Perceptions of Barriers to and Facilitators of Research Utilization. Research in Nursing & Health. 2008; 31(16):640-9. https://doi.org/10.1002/nur.20289.

      [5] Chen SH, Shao JH, Hsiao YC, Lee HC. Barriers to Research Utilization by Registered Nurses in Taiwan. Research in Nursing & Health. 2013; 36(2):191-202. https://doi.org/10.1002/nur.21521.

      [6] Choi HJ. Public health nurses' decision making models and their knowledge structure. Journal of Korean Academy of Nursing. 2001; 31, 328-39. https://doi.org/10.4040/jkan.2001.31.2.328.

      [7] Choi M, Kim J. Relationships between Clinical Decision-Making Patterns and Self-Efficacy and Nursing Professionalism in Korean Pediatric Nurses. Journal of Pediatric Nursing (2015) 30: e81–e8. https://doi.org/10.1016/j.pedn.2015.07.001.

      [8] Cidoncha-Moreno MA, Alegría-Fernandez BR. Barriers to the implementation of research perceived by nurses from Osakidetza. EnfermClin. 2017 Sept; 27(5):286-93. https://doi.org/10.1016/j.enfcli.2017.03.015.

      [9] Del Bueno D. A crisis in critical thinking. Nursing Education Perspectives. 2005; 26 (5): 278-82.

      [10] Dickson GL, Flynn L. Nurses' clinical reasoning: processes and practices of medication safety. Qual. Health Res. 2012; 22 (1): 3-16. https://doi.org/10.1177/1049732311420448.

      [11] Edwards I, Jones M, Higgs J, Trede F, Jensen G. What is collaborative reasoning? Advances in Physiotherapy. 2004; 6:70–83. https://doi.org/10.1080/14038190410018938.

      [12] Gillespie M. Using the Situated Clinical Decision-Making framework to guide analysis of nurses’ clinical decision-making. Nurse Education in Practice.2010; 10 (6): 333-40. https://doi.org/10.1016/j.nepr.2010.02.003.

      [13] Hall MK. The Relationship between Perceived Barriers to Research Utilization Among Nonacute Care RNs and Telephonic Nursing Demographic Characteristics Using the BARRIERS Scale. Doctoral Dissertation. College of Management and Technology. Walden University. 2011.

      [14] Haynes RB, Kastner M, Wilczynski NL, Team H. Developing optimal search strategies for detecting clinically sound and relevant causation studies in EMBASE. BMC Medical Informatics and Decision Making. 2005; 5(8):1-7.

      [15] Higgs J, Jones MA, Loftus S, Christensen N. Clinical reasoning in the health professions. 3rd ed. Amsterdam: Elsevier Com., 2008, chapter 8; factors influencing clinical decision making. p:89-100.

      [16] Hodgetts TJ, Kenward G, Vlackonikolis I, Payne S, Castle N, Crouch R, Shaikh L. Incidence, location and reasons for avoidable in-hospital cardiac arrest in a district general hospital. Resuscitation. 2002; 54 (2): 115–23. https://doi.org/10.1016/S0300-9572(02)00098-9.

      [17] Hoffman K, Elwin C. The relationship between critical thinking and confidence in decision-making. AJAN. 2004; 22 (1): 8–12.

      [18] Hutchinson AM, Johnston L. Bridging the divide: a survey of nurses’ opinions regarding barriers to, and facilitators of, research utilization in the practice setting. Blackwell Publishing Ltd, Journal of Clinical Nursing. 2004; 13 (3): 304–15 https://doi.org/10.1046/j.1365-2702.2003.00865.x.

      [19] Jette DU, Bacon K, Batty C, Carlson M, Ferland A, Hemingway RD, Hill JC, Ogilvie L, Volk D. Evidence-based practice: beliefs, attitudes, knowledge, and behaviors of physical therapists. Phys Ther. 2003; 83(9):786–805.

      [20] Kajermo KN, Nordstrom G, Krusebrant A, Bjorvell H. Barriers to and facilitators or research utilization, as perceived by a group of nurses in Sweden. Journal of Advanced Nursing. 1998; 27(4):798-07. https://doi.org/10.1046/j.1365-2648.1998.00614.x.

      [21] Kajermo KN, Unden M, Gardulf A, Eriksson LE, Orton ML, Arnetz BB. et al. Predictors of nurses_ perceptions of barriers to research utilization. Journal of Nursing Management. 2008; 16(3):305-14. https://doi.org/10.1111/j.1365-2834.2007.00770.x.

      [22] Kania-Lachance DM, Best PJM, McDonah MR, Ghosh AK. Evidence-based practice and the nurse practitioner. Nurse Pract. 2006; 31(10):46–54.

      [23] Lauri S, Salantera S, Chalmers K, Ekman S, Kim HS, Kappeli S. et al. An exploratory study of clinical decision-making in five countries. Journal of Nursing Scholarship. 2001; 33(1): 83-90. https://doi.org/10.1111/j.1547-5069.2001.00083.x.

      [24] Lauri S, Salantera S. Developing an instrument to measure and describe clinical decision making in different nursing fields. Journal of Professional Nursing. 2002; 18: 93–100. https://doi.org/10.1053/jpnu.2002.32344.

      [25] Ludin SM. Does good critical thinking equal effective decision-making amongcritical care nurses? A cross-sectional survey. Intensive and Critical Care Nursing. 2017; xxx () xxx–xxx

      [26] Majid Sh, Foo S, Luyt B, Zhang X, Theng Y, Chang YK, Mokhtar I A. Adopting evidence-based practice in clinical decision making: nurses’ perceptions, knowledge, and barriers. Med Libr Assoc. 2011; 99(3): 229-36. https://doi.org/10.3163/1536-5050.99.3.010.

      [27] Mantzoukas S. A review of evidence-based practice, nursing research and reflection: leveling the hierarchy. J ClinNurs. 2007; 17(2):214–23. https://doi.org/10.1111/j.1365-2702.2006.01912.x.

      [28] McCaughan D, Thompson C, Cullum N, Sheldon TA, Thompson DR. Acute care nurses’ perceptions of barriers to using research information in clinical decision-making. Blackwell Science Ltd, Journal of Advanced Nursing. 2002; 39(1), 46-60. https://doi.org/10.1046/j.1365-2648.2002.02241.x.

      [29] Mehrdad N, Salsali M, Kazemnejad A. The spectrum of barriers to and facilitators of research utilization in Iranian nursing. Journal compilation. 2008; 17(16): 2194-2202. https://doi.org/10.1111/j.1365-2702.2007.02040.x.

      [30] Muntean WJ. Nursing Clinical Decision-Making: A Literature Review. 2012. Available at https://www.ncsbn.org/2388.htm

      [31] Retsas A. Barriers to using research evidence in nursing practice. Journal of Advanced Nursing. 2000; 31(3): 599-606 https://doi.org/10.1046/j.1365-2648.2000.01315.x.

      [32] Sarabia-Cobo CM, Sarabia-Cobo AB, Pérez V, Hermosilla C, Nuñez MJ, Lorena P. Barriers in implementing research among registered nurses working in the care of the elderly: a multicenter study in Spain. Applied Nursing Research. 2015; 28(4): 352-5. https://doi.org/10.1016/j.apnr.2015.03.003.

      [33] Tan M, Akgun-Sahin Z, Kardas-Ozdemir F. Barriers of research utilization from the perspective of nurses in Eastern Turkey. Nurs Outlook. 2012; 60(1):44-50. https://doi.org/10.1016/j.outlook.2011.07.002.

      [34] Tanner C. Thinking like a nurse: a research-based model of clinical judgment in nursing. Journal of Nursing Education. 2006; 45 (6): 204-12.

      [35] Thompson C, Cullum N, McCaughan D, Sheldon T, Raynor P. Nurses, information use, and clinical decision making--the real world potential for evidence-based decisions in nursing. Evid Based Nurs. 2004; 7: 68-72. https://doi.org/10.1136/ebn.7.3.68.

      [36] Thompson C. Clinical experience as evidence in evidence-based practice. Journal of Advanced Nursing. 2003; 43(3), 230–237 235

      [37] Woda A, Hansen J, Paquette M, Topp R. The impact of simulation sequencing on perceived clinical decision making. Nurse Education in Practice. 2017; 26(1):33-8. https://doi.org/10.1016/j.nepr.2017.06.008.

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  • How to Cite

    Mohamed, S., & Thabet, M. (2018). Nurses’ barriers when using research information in clinical decision making. International Journal of Advanced Nursing Studies, 7(1), 27-33. https://doi.org/10.14419/ijans.v7i1.8824

    Received date: 2017-12-09

    Accepted date: 2018-01-08

    Published date: 2018-01-23