When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China
Abstract Background Research into evidence-based practice has been extensively explored in nursing and there is strong recognition that the organizational context influences implementation. A range of barriers has been identified; however, the research has predominantly taken place in Western cultur...
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doaj-0c15aa93482f4341a2c8400f611457cc2020-11-25T00:46:04ZengBMCBMC Nursing1472-69552018-06-0117111110.1186/s12912-018-0295-xWhen east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan ChinaWendy Gifford0Qing Zhang1Shaolin Chen2Barbara Davies3Rihua Xie4Shi-Wu Wen5Gillian Harvey6School of Nursing, Faculty of Health Sciences, University of OttawaSchool of Nursing, Hunan University of MedicineSchool of Nursing, Hunan University of MedicineSchool of Nursing, Faculty of Health Sciences, University of OttawaNanhai Hospital, Southern Medical UniversityClinical Epidemiology Program, Ottawa Hospital Research InstituteAdelaide Nursing School, The University of AdelaideAbstract Background Research into evidence-based practice has been extensively explored in nursing and there is strong recognition that the organizational context influences implementation. A range of barriers has been identified; however, the research has predominantly taken place in Western cultures, and there is little information about factors that influence evidence-based practice in China. The purpose of this study was to explore barriers and facilitators to evidence-based practice in Hunan province, a less developed region in China. Methods A descriptive qualitative methodology was employed. Semi-structured interviews were conducted with staff nurses, head nurses and directors (n = 13). Interviews were translated into English and verified for accuracy by two bilingual researchers. Both Chinese and English data were simultaneously analyzed for themes related to factors related to the evidence to be implemented (Innovation), nurses’ attitudes and beliefs (Potential Adopters), and the organizational setting (Practice Environment). Results Barriers included lack of available evidence in Chinese, nurses’ lack of understanding of what evidence-based practice means, and fear that patients will be angry about receiving care that is perceived as non-traditional. Nurses believed evidence-based practice was to be used when clinical problems arose, and not as a routine way to practice. Facilitators included leadership support and the pervasiveness of web based social network services such as Baidu (百度) for easy access to information. Conclusion While several parallels to previous research were found, our study adds to the knowledge base about factors related to evidence-based practice in different contextual settings. Findings are important for international comparisons to develop strategies for nurses to provide evidence-based care.http://link.springer.com/article/10.1186/s12912-018-0295-xQualitative studyEvidence-based practiceBarriersFacilitatorsChina |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wendy Gifford Qing Zhang Shaolin Chen Barbara Davies Rihua Xie Shi-Wu Wen Gillian Harvey |
spellingShingle |
Wendy Gifford Qing Zhang Shaolin Chen Barbara Davies Rihua Xie Shi-Wu Wen Gillian Harvey When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China BMC Nursing Qualitative study Evidence-based practice Barriers Facilitators China |
author_facet |
Wendy Gifford Qing Zhang Shaolin Chen Barbara Davies Rihua Xie Shi-Wu Wen Gillian Harvey |
author_sort |
Wendy Gifford |
title |
When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China |
title_short |
When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China |
title_full |
When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China |
title_fullStr |
When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China |
title_full_unstemmed |
When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China |
title_sort |
when east meets west: a qualitative study of barriers and facilitators to evidence-based practice in hunan china |
publisher |
BMC |
series |
BMC Nursing |
issn |
1472-6955 |
publishDate |
2018-06-01 |
description |
Abstract Background Research into evidence-based practice has been extensively explored in nursing and there is strong recognition that the organizational context influences implementation. A range of barriers has been identified; however, the research has predominantly taken place in Western cultures, and there is little information about factors that influence evidence-based practice in China. The purpose of this study was to explore barriers and facilitators to evidence-based practice in Hunan province, a less developed region in China. Methods A descriptive qualitative methodology was employed. Semi-structured interviews were conducted with staff nurses, head nurses and directors (n = 13). Interviews were translated into English and verified for accuracy by two bilingual researchers. Both Chinese and English data were simultaneously analyzed for themes related to factors related to the evidence to be implemented (Innovation), nurses’ attitudes and beliefs (Potential Adopters), and the organizational setting (Practice Environment). Results Barriers included lack of available evidence in Chinese, nurses’ lack of understanding of what evidence-based practice means, and fear that patients will be angry about receiving care that is perceived as non-traditional. Nurses believed evidence-based practice was to be used when clinical problems arose, and not as a routine way to practice. Facilitators included leadership support and the pervasiveness of web based social network services such as Baidu (百度) for easy access to information. Conclusion While several parallels to previous research were found, our study adds to the knowledge base about factors related to evidence-based practice in different contextual settings. Findings are important for international comparisons to develop strategies for nurses to provide evidence-based care. |
topic |
Qualitative study Evidence-based practice Barriers Facilitators China |
url |
http://link.springer.com/article/10.1186/s12912-018-0295-x |
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