Perception of Barriers to Evidence Based Practice Among Critical Care Nurses
Jensen, Lacey S.
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Evidence-based practice is the use of the best research evidence, clinical judgment and patient preference to answer clinical questions. Research supports better outcomes for patients when practitioners adopt evidence-based practice (EBP), yet many barriers remain to the widespread use within nursing. This includes nursing practice in critical care units, which continues to fall short of utilizing EBP for state-of-the-science care. A review of the literature identified that critical care nurses' perceived barriers to evidence-based practice are time constraints, a knowledge deficit, and organizational culture. Knowles theory of adult learners helps educators understand these barriers and develop more effective educational campaigns to change practice. These include educating to real-life problems with applicable clinical questions, and facilitating learner driven knowledge building. Implications for future research include assessing the efficacy of educational campaigns to promote EBP that utilize Knowles theory of the adult learner.