Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management
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 (EBMgt) in the decision‐making process...
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| Veröffentlicht in: | Worldviews on evidence-based nursing 2019-08, Vol.16 (4), p.255-262 |
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| creator | Hasanpoor, Edris Siraneh Belete, Yibeltal Janati, Ali Hajebrahimi, Sakineh Haghgoshayie, Elaheh |
| description | 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 (EBMgt) 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 EBMgt 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 EBMgt assessment questionnaire was used to collect data. The questionnaire consists of two parts. The first part includes barriers to EBMgt (five main domains and 46 questions). The second part includes the facilitators of EBMgt (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 EBMgt is to provide the most effective healthcare outcomes. Identifying barriers and facilitators is essential for implementing EBMgt in hospitals. Building the facilitators and eliminating barriers are foundation of EBMgt. Filling the gap between knowledge producers and nursing managers can be a starting point for improvement of the decision‐making process in nursing care. |
| doi_str_mv | 10.1111/wvn.12372 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2234486162</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2234486162</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3532-fb65647f43b0d204b4677c8e871b0b14d0b7db29712bf7d59dfd6228b55b05553</originalsourceid><addsrcrecordid>eNp10btOHDEUBmArCgq3FHmByFIaKAZ892wZEAtIXFIASTeyx2eI0YxnsWcWbccj0PJ6PAkmu6SIFDfHkj_9ss6P0BdK9mg--w_zsEcZ1-wD2qBa0ELpUn_MdylkQQn7tY42U7ojhCnN-Ce0zimVshRqA8WLMSYfbvG5CeYWYnp5fMY_8pxBPfg5JNwHPPwGPDW1b_1ghj4mbILDByZGnyEeenzazVroIORnn33f4KO5dxBqeHl8OjAJ3Cr_zWyjtca0CT6v5ha6nh5dHZ4UZ5fHp4ffz4qaS86KxiqphG4Et8QxIqxQWtcllJpaYqlwxGpn2URTZhvt5MQ1TjFWWiktkVLyLbSzzJ3F_n6ENFSdTzW0rQnQj6lijAtRKqpYpt_-oXf9GEP-XVZqwgWfcJ7V7lLVsU8pQlPNou9MXFSUVG9FVLmI6k8R2X5dJY62A_dXvm8-g_0lePAtLP6fVP28uVhGvgJXE5RB</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2269343933</pqid></control><display><type>article</type><title>Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Hasanpoor, Edris ; Siraneh Belete, Yibeltal ; Janati, Ali ; Hajebrahimi, Sakineh ; Haghgoshayie, Elaheh</creator><creatorcontrib>Hasanpoor, Edris ; Siraneh Belete, Yibeltal ; Janati, Ali ; Hajebrahimi, Sakineh ; Haghgoshayie, Elaheh</creatorcontrib><description>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 (EBMgt) 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 EBMgt 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 EBMgt assessment questionnaire was used to collect data. The questionnaire consists of two parts. The first part includes barriers to EBMgt (five main domains and 46 questions). The second part includes the facilitators of EBMgt (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 EBMgt is to provide the most effective healthcare outcomes. Identifying barriers and facilitators is essential for implementing EBMgt in hospitals. Building the facilitators and eliminating barriers are foundation of EBMgt. Filling the gap between knowledge producers and nursing managers can be a starting point for improvement of the decision‐making process in nursing care.</description><identifier>ISSN: 1545-102X</identifier><identifier>EISSN: 1741-6787</identifier><identifier>DOI: 10.1111/wvn.12372</identifier><identifier>PMID: 31155846</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Attitude of Health Personnel ; barriers ; Best practice ; Cross-Sectional Studies ; Evidence-based nursing ; Evidence-Based Practice - methods ; Evidence-Based Practice - trends ; evidence‐based management ; facilitators ; Humans ; Iran ; Nurse Administrators - psychology ; Nurse Administrators - statistics & numerical data ; Nursing administration ; Nursing care ; nursing managers’ perspective ; Perception ; Program Development - methods ; Qualitative Research ; Surveys and Questionnaires</subject><ispartof>Worldviews on evidence-based nursing, 2019-08, Vol.16 (4), p.255-262</ispartof><rights>2019 Sigma Theta Tau International</rights><rights>2019 Sigma Theta Tau International.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3532-fb65647f43b0d204b4677c8e871b0b14d0b7db29712bf7d59dfd6228b55b05553</citedby><cites>FETCH-LOGICAL-c3532-fb65647f43b0d204b4677c8e871b0b14d0b7db29712bf7d59dfd6228b55b05553</cites><orcidid>0000-0002-5155-2679</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fwvn.12372$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fwvn.12372$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31155846$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hasanpoor, Edris</creatorcontrib><creatorcontrib>Siraneh Belete, Yibeltal</creatorcontrib><creatorcontrib>Janati, Ali</creatorcontrib><creatorcontrib>Hajebrahimi, Sakineh</creatorcontrib><creatorcontrib>Haghgoshayie, Elaheh</creatorcontrib><title>Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management</title><title>Worldviews on evidence-based nursing</title><addtitle>Worldviews Evid Based Nurs</addtitle><description>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 (EBMgt) 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 EBMgt 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 EBMgt assessment questionnaire was used to collect data. The questionnaire consists of two parts. The first part includes barriers to EBMgt (five main domains and 46 questions). The second part includes the facilitators of EBMgt (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 EBMgt is to provide the most effective healthcare outcomes. Identifying barriers and facilitators is essential for implementing EBMgt in hospitals. Building the facilitators and eliminating barriers are foundation of EBMgt. Filling the gap between knowledge producers and nursing managers can be a starting point for improvement of the decision‐making process in nursing care.</description><subject>Attitude of Health Personnel</subject><subject>barriers</subject><subject>Best practice</subject><subject>Cross-Sectional Studies</subject><subject>Evidence-based nursing</subject><subject>Evidence-Based Practice - methods</subject><subject>Evidence-Based Practice - trends</subject><subject>evidence‐based management</subject><subject>facilitators</subject><subject>Humans</subject><subject>Iran</subject><subject>Nurse Administrators - psychology</subject><subject>Nurse Administrators - statistics & numerical data</subject><subject>Nursing administration</subject><subject>Nursing care</subject><subject>nursing managers’ perspective</subject><subject>Perception</subject><subject>Program Development - methods</subject><subject>Qualitative Research</subject><subject>Surveys and Questionnaires</subject><issn>1545-102X</issn><issn>1741-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10btOHDEUBmArCgq3FHmByFIaKAZ892wZEAtIXFIASTeyx2eI0YxnsWcWbccj0PJ6PAkmu6SIFDfHkj_9ss6P0BdK9mg--w_zsEcZ1-wD2qBa0ELpUn_MdylkQQn7tY42U7ojhCnN-Ce0zimVshRqA8WLMSYfbvG5CeYWYnp5fMY_8pxBPfg5JNwHPPwGPDW1b_1ghj4mbILDByZGnyEeenzazVroIORnn33f4KO5dxBqeHl8OjAJ3Cr_zWyjtca0CT6v5ha6nh5dHZ4UZ5fHp4ffz4qaS86KxiqphG4Et8QxIqxQWtcllJpaYqlwxGpn2URTZhvt5MQ1TjFWWiktkVLyLbSzzJ3F_n6ENFSdTzW0rQnQj6lijAtRKqpYpt_-oXf9GEP-XVZqwgWfcJ7V7lLVsU8pQlPNou9MXFSUVG9FVLmI6k8R2X5dJY62A_dXvm8-g_0lePAtLP6fVP28uVhGvgJXE5RB</recordid><startdate>201908</startdate><enddate>201908</enddate><creator>Hasanpoor, Edris</creator><creator>Siraneh Belete, Yibeltal</creator><creator>Janati, Ali</creator><creator>Hajebrahimi, Sakineh</creator><creator>Haghgoshayie, Elaheh</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5155-2679</orcidid></search><sort><creationdate>201908</creationdate><title>Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management</title><author>Hasanpoor, Edris ; Siraneh Belete, Yibeltal ; Janati, Ali ; Hajebrahimi, Sakineh ; Haghgoshayie, Elaheh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3532-fb65647f43b0d204b4677c8e871b0b14d0b7db29712bf7d59dfd6228b55b05553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Attitude of Health Personnel</topic><topic>barriers</topic><topic>Best practice</topic><topic>Cross-Sectional Studies</topic><topic>Evidence-based nursing</topic><topic>Evidence-Based Practice - methods</topic><topic>Evidence-Based Practice - trends</topic><topic>evidence‐based management</topic><topic>facilitators</topic><topic>Humans</topic><topic>Iran</topic><topic>Nurse Administrators - psychology</topic><topic>Nurse Administrators - statistics & numerical data</topic><topic>Nursing administration</topic><topic>Nursing care</topic><topic>nursing managers’ perspective</topic><topic>Perception</topic><topic>Program Development - methods</topic><topic>Qualitative Research</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hasanpoor, Edris</creatorcontrib><creatorcontrib>Siraneh Belete, Yibeltal</creatorcontrib><creatorcontrib>Janati, Ali</creatorcontrib><creatorcontrib>Hajebrahimi, Sakineh</creatorcontrib><creatorcontrib>Haghgoshayie, Elaheh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Worldviews on evidence-based nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hasanpoor, Edris</au><au>Siraneh Belete, Yibeltal</au><au>Janati, Ali</au><au>Hajebrahimi, Sakineh</au><au>Haghgoshayie, Elaheh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management</atitle><jtitle>Worldviews on evidence-based nursing</jtitle><addtitle>Worldviews Evid Based Nurs</addtitle><date>2019-08</date><risdate>2019</risdate><volume>16</volume><issue>4</issue><spage>255</spage><epage>262</epage><pages>255-262</pages><issn>1545-102X</issn><eissn>1741-6787</eissn><abstract>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 (EBMgt) 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 EBMgt 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 EBMgt assessment questionnaire was used to collect data. The questionnaire consists of two parts. The first part includes barriers to EBMgt (five main domains and 46 questions). The second part includes the facilitators of EBMgt (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 EBMgt is to provide the most effective healthcare outcomes. Identifying barriers and facilitators is essential for implementing EBMgt in hospitals. Building the facilitators and eliminating barriers are foundation of EBMgt. Filling the gap between knowledge producers and nursing managers can be a starting point for improvement of the decision‐making process in nursing care.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31155846</pmid><doi>10.1111/wvn.12372</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-5155-2679</orcidid></addata></record> |
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| ispartof | Worldviews on evidence-based nursing, 2019-08, Vol.16 (4), p.255-262 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Attitude of Health Personnel barriers Best practice Cross-Sectional Studies Evidence-based nursing Evidence-Based Practice - methods Evidence-Based Practice - trends evidence‐based management facilitators Humans Iran Nurse Administrators - psychology Nurse Administrators - statistics & numerical data Nursing administration Nursing care nursing managers’ perspective Perception Program Development - methods Qualitative Research Surveys and Questionnaires |
| title | Nursing Managers’ Perspectives on the Facilitators and Barriers to Implementation of Evidence‐Based Management |
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