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Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management
Author(s) -
Hasanpoor Edris,
Siraneh Belete Yibeltal,
Janati Ali,
Hajebrahimi Sakineh,
Haghgoshayie Elaheh
Publication year - 2019
Publication title -
worldviews on evidence‐based nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.052
H-Index - 49
eISSN - 1741-6787
pISSN - 1545-102X
DOI - 10.1111/wvn.12372
Subject(s) - nursing , interpersonal communication , medicine , quality (philosophy) , family medicine , psychology , social psychology , philosophy , epistemology
Background Evidence‐based health management is defined as a new approach to improve the quality of hospital decisions by systematic application of the best available evidence. To use that, facilitators and barriers to implementation of evidence‐based management ( EBM gt) in the decision‐making process need to be identified. Aim The purpose of this study was to assess nursing managers’ perspectives on the facilitators and barriers to implementation of EBM gt in Tabriz hospitals, northwest Iran. Methods A cross‐sectional study design was used in 2017. The study was conducted in one state in Iran (Tabriz). A total of 276 nursing managers (e.g., matrons, supervisors, & head nurses [HNs]) were invited to participate from the Tabriz hospitals ( N = 20); 212 completed and returned the survey, yielding a response rate of 76.81%. The EBM gt assessment questionnaire was used to collect data. The questionnaire consists of two parts. The first part includes barriers to EBM gt (five main domains and 46 questions). The second part includes the facilitators of EBM gt (five main domains and 42 questions). Data entry and analysis were carried out using SPSS ‐21 software. Results Highest mean scores of barriers were observed for “training and research systems” (64.65 ± 12.42). “Lack of communication between knowledge producers and hospital decision‐makers” (68.19 ± 17.32) had highest mean scores among all 46 barriers. Also, the results showed that mean scores for all the barriers were higher than 55. The highest mean scores were observed for “social/interpersonal factors” (65.84 ± 17.07). “Interest and willingness to scientific management principles” (68.62 ± 20.17) had highest mean scores among all 42 facilitators. Linking Evidence to Action The aim of EBM gt is to provide the most effective healthcare outcomes. Identifying barriers and facilitators is essential for implementing EBM gt in hospitals. Building the facilitators and eliminating barriers are foundation of EBM gt. Filling the gap between knowledge producers and nursing managers can be a starting point for improvement of the decision‐making process in nursing care.