Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice Implementation In Clinical Practice in Tikure Anbessa Specialized Hospital

Seid, Almaz (2014) Assessment of Nurses’ Perceptions and Barriers on Evidence Based Practice Implementation In Clinical Practice in Tikure Anbessa Specialized Hospital. Masters thesis, Addis Ababa University.

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Abstract

Background: health care is one of the most dynamic human disciplines, and large amounts of money are spent annually on high-quality and sophisticated research. Nursing staff are the largest health professional group in all sectors of healthcare. The majority of Nurses work in direct care of patients. Today, EBP is essential to the practice of nursing for purposes of promoting optimal patient outcomes through incorporating research findings, the clinicians’ experience, and patient preferences. Historically, nurses have relied on expert’ opinions in clinical decision-making. However, these traditional ways of practicing may not only be outdated but unsafe. Also, experienced-based knowledge may be associated with biased thinking that lead to errors. Objective: Assessment of nurses’ perceptions, level of use and barriers on EBP implementation in clinical practice in TASH. Method: A cross-sectional Study design was used. Two hundred ten nurses were assessed through self-administer questionnaires for quantitative and fifteen nurses were also involved in in-depth interview for qualitative. The quantitative data was coded and interred to epi info version 7 and exported to analysis in Statistical Package for the Social Science (SPSS) version 21 window7. Data analysis include descriptive statistics was be used to describe participants’ demographic characteristics. To determine statistically significant logistic regression was used. The qualitative was analyzed through open code. Results: good perception and positive attitude have 90% and 73.8% respectively. Of the total 210 121(57.6%) of nurses were integrate EBP in their clinical practice. Only 19 (15.7%) use EBP in their clinical practice always. have Knowledge, free time, supportive nursing managers are significant association with implementation of EBP. But, year of experience and perception have no association with implementation of EBP. Conclusion and Recommendation: Both individual (knowledge and skill) and organizational (lack of training, workload, insufficient time and supportive managers) factors are the predominant factors that hinders implementation of EBP. So hospital managements and nursing leaders can easily overcome some of these barriers through arranging EBP training and providing time off from work for nurses to learn and implement new techniques.

Item Type: Thesis (Masters)
Subjects: Q Science > Q Science (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RT Nursing
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 24 Oct 2018 08:21
Last Modified: 24 Oct 2018 08:21
URI: http://thesisbank.jhia.ac.ke/id/eprint/6988

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