Irish psychiatric nurses' self‐reported barriers, facilitators and skills for developing evidence‐based practice

The National Forensic Mental Health Services, Central Mental Hospital, Dublin, Ireland.
Journal of Psychiatric and Mental Health Nursing (Impact Factor: 0.84). 06/2011; 19(2):116-22. DOI: 10.1111/j.1365-2850.2011.01763.x
Source: PubMed


Evidence-based practice places an emphasis on integration of clinical expertise with available best evidence, patient's clinical information and preferences, and with local health resources. This paper reports the findings of a study that investigated the barriers, facilitators and skills in developing evidence-based practice among psychiatric nurses in Ireland. A postal survey was conducted among a random sample of Irish psychiatric nurses and survey data were collected using the Development of Evidence-Based Practice Questionnaire. Respondents reported that insufficient time to find and read research reports and insufficient resources to change practice were the greatest barriers to the development of evidence-based practice. Practice development coordinators were perceived as the most supportive resource for changing practice. Using the Internet to search for information was the highest-rated skill and using research evidence to change practice was the lowest-rated skill for developing evidence-based practice. Nurses' precursor skills for developing evidence-based practice, such as database searching and information retrieval, may be insufficient in themselves for promoting evidence-based practice if they cannot find evidence relating to their particular field of practice or if they do not have the time, resources and supports to develop their practice in response to evidence.

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Available from: B. L. Yadav, May 01, 2015
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    • "A final organizational barrier is the limited organizational infrastructures that are designed to promote EBP (French, 2005; Hannes et al., 2007). For example, in Yadav and Fealy's (2011a) study, Irish psychiatric nurses stated that they faced difficulty in reaching the research evidence. This is because the limited Internet access in the hospital does not provide them access to those databases that include the huge body of research in PMHN. "
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    ABSTRACT: Many psychiatric/mental health nursing (PMHN) practices have been affected by old traditions and haphazard trial and error instead of by established scientific evidence. The purpose of this article is to explore and analyze the barriers surrounding evidence-based practice (EBP) in PMHN. I identify some strategies to overcome these barriers in an attempt to incorporate EBP within the framework of PMHN services. Barriers explain the lack of EBP in today's PMHN environment. The barriers identified in this research are: the nature of the evidence, the contribution of the psychiatric nursing researchers to EBP, the personal characteristics of psychiatric nurses, and organizational factors. While the barriers to EBP for PMHN practice are clearly apparent, the challenge, now, is to build up creative strategies through which psychiatric nurses are better able to provide EBP care as part of their everyday performance. Adaptation of a more dynamic form of EBP, increasing the number of PMHN researchers, conducting clinical research projects, choosing suitable journals for publication, training the psychiatric nurses about computer skills, integrating the EBP principles into nursing curricula, developing journal clubs, and offering organizational facilitators are essential prerequisites for the achievement of EBP in the PMHN field. It is no longer justifiable for psychiatric nurses to be deficient in knowledge and skill since the advantages of EBP for patients are well-documented.
    Issues in Mental Health Nursing 02/2014; 35(2):134-43. DOI:10.3109/01612840.2013.848385
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    Journal of Evaluation in Clinical Practice 09/2014; 20(6). DOI:10.1111/jep.12222 · 1.08 Impact Factor
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    British journal of community nursing 10/2014; 19(10):496-501. DOI:10.12968/bjcn.2014.19.10.496
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