Barriers to and Facilitators of Research Utilization: a Survey of Registered Nurses in China

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2013 Dec 7

PMID 24312380

Citations 20

Authors

Li-Ping Wang

Xiao-Lian Jiang

Lei Wang

Guo-Rong Wang

Yang-Jing Bai

Affiliations

Soon will be listed here.

Abstract

Aims: This survey aims to describe the perception of barriers to and facilitators of research utilization by registered nurses in Sichuan province, China, and to explore the factors influencing the perceptions of the barriers to and facilitators of research utilization.

Methods: A cross sectional survey design and a double cluster sampling method were adopted. A total of 590 registered nurses from 3 tertiary level hospitals in Sichuan province, China, were recruited in a period from September 2006 to January 2007. A modified BARRUERS Scale and a Facilitators Scale were used. Data were analyzed with descriptive statistics, rank transformation test, and multiple linear regression.

Results: Barriers related to the setting subscale were more influential than barriers related to other subscales. The lack of authority was ranked as the top greatest barrier (15.7%), followed by the lack of time (13.4%) and language barrier (15.0%). Additional barriers identified were the reluctance of patients to research utilization, the lack of funding, and the lack of legal protection. The top three greatest facilitators were enhancing managerial support (36.9%), advancing education to increase knowledge base (21.1%), and increasing time for reviewing and implementing (17.5%), while cooperation of patients to research utilization, establishing a panel to evaluate researches, and funding were listed as additional facilitators. Hospital, educational background, research experience, and knowledge on evidence-based nursing were the factors influencing perceptions of the barriers and facilitators.

Conclusions: Nurses in China are facing a number of significant barriers in research utilization. Enhancing managerial support might be the most promising facilitator, given Chinese traditional culture and existing health care system. Hospital, educational background, research experience and knowledge on evidence-based nursing should be taken into account to promote research utilization. The BARRIERS Scale should consider funding and involvement of patients in research utilization.

Citing Articles

Psychometric properties of the chinese version of the value-based stigma inventory (VASI): a translation and validation study.

Li W, Li Q BMC Psychiatry. 2024; 24(1):550.

PMID: 39112959 PMC: 11308479. DOI: 10.1186/s12888-024-05998-4.

Barriers to the Adoption of Evidence Based Practice in Nursing: a Focus Group Study.

Pitsillidou M, Noula M, Roupa Z, Farmakas A Acta Inform Med. 2024; 31(4):306-311.

PMID: 38379685 PMC: 10875937. DOI: 10.5455/aim.2023.31.306-311.

Ambulance clinicians implementing evidence-based practice: mind the gap! Attitudes, perceptions and experiences of student paramedics.

Newton J, Smith A Br Paramed J. 2023; 8(3):11-19.

PMID: 38046788 PMC: 10690490. DOI: 10.29045/14784726.2023.12.8.3.11.

Exploring barriers to and facilitators of the implementation of home rehabilitation care for older adults with disabilities using the Consolidated Framework for Implementation Research (CFIR).

Wang H, Zhang Y, Yue S BMC Geriatr. 2023; 23(1):292.

PMID: 37179304 PMC: 10183114. DOI: 10.1186/s12877-023-03976-1.

Utilization of Research in Clinical Nursing and Midwifery Practice in Ghana: Protocol for a Mixed Methods Study.

Owusu L, Scheepers N, Tenza I JMIR Res Protoc. 2023; 12:e45067.

PMID: 37027196 PMC: 10131679. DOI: 10.2196/45067.

References

Bostrom A, Nilsson Kajermo K, Nordstrom G, Wallin L . Barriers to research utilization and research use among registered nurses working in the care of older people: does the BARRIERS scale discriminate between research users and non-research users on perceptions of barriers?. Implement Sci. 2008; 3:24. PMC: 2405784. DOI: 10.1186/1748-5908-3-24. View

McCaughan D, Thompson C, Cullum N, Sheldon T, Thompson D . Acute care nurses' perceptions of barriers to using research information in clinical decision-making. J Adv Nurs. 2002; 39(1):46-60. DOI: 10.1046/j.1365-2648.2002.02241.x. View

Chau J, Lopez V, Thompson D . A survey of Hong Kong nurses' perceptions of barriers to and facilitators of research utilization. Res Nurs Health. 2008; 31(6):640-9. DOI: 10.1002/nur.20289. View

Thompson D, OLeary K, Jensen E, Scott-Findlay S, OBrien-Pallas L, Estabrooks C . The relationship between busyness and research utilization: it is about time. J Clin Nurs. 2008; 17(4):539-48. DOI: 10.1111/j.1365-2702.2007.01981.x. View

Dunn V, Crichton N, Roe B, Seers K, Williams K . Using research for practice: a UK experience of the BARRIERS Scale. J Adv Nurs. 1998; 26(6):1203-10. DOI: 10.1111/j.1365-2648.1997.tb00814.x. View

Estabrooks C, Floyd J, Scott-Findlay S, OLeary K, Gushta M . Individual determinants of research utilization: a systematic review. J Adv Nurs. 2003; 43(5):506-20. DOI: 10.1046/j.1365-2648.2003.02748.x. View

Retsas A . Barriers to using research evidence in nursing practice. J Adv Nurs. 2000; 31(3):599-606. DOI: 10.1046/j.1365-2648.2000.01315.x. View

Thompson C, McCaughan D, Cullum N, Sheldon T, Mulhall A, Thompson D . Research information in nurses' clinical decision-making: what is useful?. J Adv Nurs. 2001; 36(3):376-88. DOI: 10.1046/j.1365-2648.2001.01985.x. View

Oranta O, Routasalo P, Hupli M . Barriers to and facilitators of research utilization among Finnish registered nurses. J Clin Nurs. 2002; 11(2):205-13. DOI: 10.1046/j.1365-2702.2002.00587.x. View

10.

Glacken M, Chaney D . Perceived barriers and facilitators to implementing research findings in the Irish practice setting. J Clin Nurs. 2004; 13(6):731-40. DOI: 10.1111/j.1365-2702.2004.00941.x. View

11.

Funk S, Champagne M, Wiese R, Tornquist E . Barriers to using research findings in practice: the clinician's perspective. Appl Nurs Res. 1991; 4(2):90-5. DOI: 10.1016/s0897-1897(05)80062-x. View

12.

Nilsson Kajermo K, Nordstrom G, Krusebrant A, Bjorvell H . Barriers to and facilitators of research utilization, as perceived by a group of registered nurses in Sweden. J Adv Nurs. 1998; 27(4):798-807. DOI: 10.1046/j.1365-2648.1998.00614.x. View

13.

Parahoo K . Barriers to, and facilitators of, research utilization among nurses in Northern Ireland. J Adv Nurs. 2000; 31(1):89-98. DOI: 10.1046/j.1365-2648.2000.01256.x. View

14.

Chang Y . The impact of Chinese cultural values on Taiwan nursing leadership styles: comparing the self-assessments of staff nurses and head nurses. J Nurs Res. 2008; 16(2):109-20. DOI: 10.1097/01.jnr.0000387296.91677.61. View

15.

Patiraki E, Karlou C, Papadopoulou D, Spyridou A, Kouloukoura C, Bare E . Barriers in implementing research findings in cancer care: the Greek registered nurses perceptions. Eur J Oncol Nurs. 2004; 8(3):245-56. DOI: 10.1016/j.ejon.2003.12.002. View

16.

Nilsson Kajermo K, Bostrom A, Thompson D, Hutchinson A, Estabrooks C, Wallin L . The BARRIERS scale -- the barriers to research utilization scale: A systematic review. Implement Sci. 2010; 5:32. PMC: 2883534. DOI: 10.1186/1748-5908-5-32. View

17.

Kitson A, Harvey G, McCormack B . Enabling the implementation of evidence based practice: a conceptual framework. Qual Health Care. 1998; 7(3):149-58. PMC: 2483604. DOI: 10.1136/qshc.7.3.149. View

18.

Kocaman G, Seren S, Lash A, Kurt S, Bengu N, Yurumezoglu H . Barriers to research utilisation by staff nurses in a university hospital. J Clin Nurs. 2010; 19(13-14):1908-18. DOI: 10.1111/j.1365-2702.2009.03032.x. View

19.

Thompson D, Chau J, Lopez V . Barriers to, and facilitators of, research utilisation: a survey of Hong Kong registered nurses. Int J Evid Based Healthc. 2011; 4(2):77-82. DOI: 10.1111/j.1479-6988.2006.00036.x. View

20.

Rich M . From clinical trials to clinical practice: bridging the GAP. JAMA. 2002; 287(10):1321-3. DOI: 10.1001/jama.287.10.1321. View