Barriers to evidence-based practice in primary care nursing - Why viewing decision-making as context is helpful

Journal of Advanced Nursing

Volumn 52, Issue 4, 2005, Pages 432-444

  Thompson, Carl ^a   McCaughan, Dorothy ^a   Cullum, Nicky ^a   Sheldon, Trevor ^a   Raynor, Pauline ^a  

^a UNIVERSITY OF YORK   (United Kingdom)

Author keywords

Barriers; Clinical decision making; Evidence based practice; Nurses; Q methodology; Research; Utilization

Indexed keywords

ADULT; ARTICLE; DECISION MAKING; EVIDENCE BASED MEDICINE; HEALTH PERSONNEL ATTITUDE; HUMAN; INFORMATION DISSEMINATION; METHODOLOGY; NURSING CARE; PRIMARY HEALTH CARE; PROFESSIONAL COMPETENCE; RESEARCH; TIME; WORKLOAD;

ADULT; ATTITUDE OF HEALTH PERSONNEL; DECISION MAKING; EVIDENCE-BASED MEDICINE; HUMANS; INFORMATION DISSEMINATION; NURSING CARE; PRIMARY HEALTH CARE; PROFESSIONAL COMPETENCE; RESEARCH; TIME FACTORS; WORKLOAD;

EID: 27744451845     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2005.03609.x     Document Type: Article

References (54)

1. Bautista C. & Deber R. (1989) Decision-making and problem solving in nursing: an overview and analysis of relevant literature. In Literature Review Monographs, vol. 3. University of Toronto, Faculty of Nursing, Toronto, pp. 1-37.
2. Bowling A. (2002) Research Methods in Health, 2nd edn. Sage, Milton Keynes.
3. Brown S.R. (1993) A Primer of Q-methodology. Operant Subjectivity 16, 91-138.
4. Bucknall T. & Thomas S. (1997) Nurses' reflections on problems associated with decision-making in critical care settings. Journal of Advanced Nursing 25, 229-237.
5. Case D. (2002) Looking for Information. Academic Press, London.
6. Chumbler N.R., Geller J.M. & Weier A.W. (2000) The effects of clinical decision-making on nurse practitioners' clinical productivity. Evaluation and the Health Professions 23(3), 284-304.
7. Cioffi J. (1997) Heuristics, servants to intuition, in clinical decision-making. Journal of Advanced Nursing 26, 203-208.
8. Cogdill K.W. (2003) Information needs and information seeking in primary care: a study of nurse practitioners. Journal of Medical Library Association 91, 203-215.
9. Covell D.G., Uman G.C. & Manning P.R. (1985) Information needs in office practice: are they being met? Annals of Internal Medicine 103, 596-599.
10. Department of Health (2003) Developing Key Role for Nurses and Midwives: A Guide for Managers. Department of Health, London.
11. Department of Health (1999) Making a Difference: Strengthening the Nursing, Midwifery and Health Visiting Contribution to Health and Healthcare. HMSO, London.
12. Dunn V., Crichton N., Roe B., Seers K. & Williams K. (1998) Using research for practice: a UK experience of the BARRIERS scale. Journal of Advanced Nursing 27, 1203-1210.
13. Eddy D. (1990) Clinical Decision-making: From Theory to Practice. Jones and Bartlett, London.
14. Estabrooks C.A. (1999) The conceptual structure of research utilization. Research in Nursing & Health 22, 203-216.
15. Eve R., Golton I. & Hodgkin P. (1997) Learning from Facts. Lessons from the Framework for Appropriate Care Throughout Sheffield (FACTS) Project. University of Sheffield, Sheffield. SCHARR Occasional paper no.97/3.
16. Field P.A. (1987) The impact of nursing theory on the clinical decision-making process. Journal of Advanced Nursing 12, 563-571.
17. Funk S.G., Champagne M.T., Wiese R.A. & Tornquist E.M. (1991) Barriers to using research findings in practice: the clinician's perspective. Applied Nursing Research 4, 90-95.
18. Funk S.G., Champagne M.T., Tornquist E.M. & Wiese R.A. (1995) Administrators' views on barriers to research utilization. Applied Nursing Research 8, 44-49.
19. Girot E.A. (2001) Graduate nurses: critical thinkers or better decision-makers? Journal of Advanced Nursing 31, 288-297.
20. Gladwell M. (2005) Blink: the Power of Thinking Without Thinking. Penguin, London.
21. Glaser B.G. (1992) Emergence vs. Forcing: Basics of Grounded Theory Analysis. Sociology Press, Mill Valley, CA, USA.
22. Griffiths J.M., Bryar R.M., Closs S.J., Cooke J., Hostick T., Kelly S. & Marshall K. (2001) Barriers to research implementation by community nurses. British Journal of Community Nursing 6(10), 500-511.
23. Grimshaw J.M., Thomas R.E., Maclennan G., Fraser C., Ramsay C.R., Vale L. (2004) Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technology Assessment 8(6), 1-84.
24. Hallett C.E., Austin L., Caress A. & Luker K.A. (2001) Wound care in the community setting clinical decision-making in context. Journal of Advanced Nursing 31(4), 783-793.
25. Hamm R.M. (1998) Clinical intuition and clinical analysis: expertise and the cognitive continuum. In Professional Judgement: A Reader in Clinical Decision-making (Dowie J. & Elstein A., eds), Cambridge University Press, Cambridge, pp. 78-105.
26. Hammond K.R. (1988) Judgement and decision-making in dynamic tasks. Information and Decision Technologies 14, 3-14.
27. Hammond K.R., Hamm R.M., Grassia J. & Pearson T. (1987) Direct comparison of the efficacy of intuitive and analytic cognition in expert judgement. IEEE Transactions on Systems, Man and Cybernetics 17, 753-770.
28. Kenrick M. & Luker K.A. (1996) An exploration of the influence of managerial factors on research utilization in district nursing practice. Journal of Advanced Nursing 23, 697-704.
29. Kitson A., Harvey G. & McCormack B. (1998) Approaches to implementing research in practice. Quality in Health Care 7, 149-159.
30. Lauri S. & Salantera S. (1998) Decision-making models in different fields of nursing. Research in Nursing & Health 21, 443-452.
31. Lomas J. (2003) Connecting research and policy. ISUMA 1(1), 1-10.
32. Maclure M. & Willett W.C. (1987) Misinterpretation and misuse of the Kappa statistic. American Journal of Epidemiology 21, 161-169.
33. McCaughan D., Thompson C., Cullum N., Sheldon T.A., Mulhall A. & Thompson D.R. (2002) Acute care nurses' perceptions of barriers to using research information in clinical decision-making. Journal of Advanced Nursing 39, 46-60.
34. McCormack B., Kitson A., Harvey G., Rycroft Malone J., Titchen A. & Seers K. (2002) Getting evidence into practice: the meaning of 'context'. Journal of Advanced Nursing 38, 94-104.
35. McKenna H., Ashton S. & Keeney S. (2004) Barriers to evidence-based practice in primary care. Journal of Advanced Nursing 45, 178-189.
36. McKeowan B. & Thomas D. (1988) Q-methodology. Sage, London.
37. Offredy M. (2002) Decision-making by Nurse Practitioners in Primary Care. University of Hertfordshire, Hertfordshire.
38. Orme L. & Maggs C. (1993) Decision-making in clinical practice: how do expert nurses, midwives and health visitors make decisions? Nurse Education Today 13, 270-276.
39. Parahoo K. (2000) Barriers to, and facilitators of, research utilization amongst nurses in Northern Ireland. Journal of Advanced Nursing 31, 89-98.
40. Parahoo K., Barr O. & McCaughan E. (2000) Research utilization and attitudes towards research among learning disability nurses in Northern Ireland. Journal of Advanced Nursing 31, 607-613.
41. Parkes J., Hyde C., Decks J. & Milne R. (2001) Teaching critical appraisal skills in health care settings. The Cochrane Database of Systematic Reviews, Issue 3.
42. Retsas A. (2000) Barriers to using research evidence in nursing practice. Journal of Advanced Nursing 31, 599-606.
43. Royal College of Nursing (2003) Defining Nursing. Royal College of Nursing, London.
44. Rycroft Malone J., Kitson A., Harvey G., McCormack B., Seers K., Titchen A. & Estabrooks C.A. (2002) Ingredients for change: revisiting a conceptual framework. Quality and Safety in Health Care 11, 174-180.
45. Sandelowski M. (1986) The problem of rigor in qualitative research. Advances in Nursing Science 8, 27-37.
46. Skinner B.F. (1969) Contingencies of Reinforcement. Appleton-Century- Crofts, New York.
47. Stetler C.B. (1985) Research utilization: defining the concept. IMAGE: Journal of Nursing Scholarship 17, 40-44.
48. Thompson C. (1999a) A conceptual treadmill: the need for 'middle ground' in clinical decision-making theory in nursing. Journal of Advanced Nursing 30, 1222-1229.
49. Thompson C. (1999b) Qualitative research into nurse decision-making: factors for consideration in theoretical sampling. Qualitative Health Research 9, 815-828.
50. Thompson C., McCaughan D., Cullum N., Sheldon T.A., Mulhall A. & Thompson D.R. (2001a) Research information in nurses' clinical decision-making: what is useful? Journal of Advanced Nursing 36, 376-388.
51. Thompson C., McCaughan D., Cullum N., Sheldon T.A., Mulhall A. & Thompson D.R. (2001b) The accessibility of research-based knowledge for nurses in United Kingdom acute care settings. Journal of Advanced Nursing 36, 11-22.
52. Thompson C., McCaughan D., Raynor P., Cullum N. & Sheldon T. (2004) The Potential for Evidence-based Primary Care Nursing: Clinical Decisions and Research Information-use by Primary Care Nurses - Final Report. University of York, York (available from http://www.clinicaldecisionmaking.org.uk).
53. Walsh M. (1997) Barriers to research utilisation and evidence-based practice in A&E nursing. Emergency Nurse 5, 24-27.
54. Yin R. (1994) Case Study Research, 2nd edn. Sage, London.