Nan M. Solomons|Judith A. Spross
Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: an integrative review
Arizona State University|MaineHealth|University of Southern Maine
purpose present study examine barriers facilitators evidencebased practice ebp using shortells framework continuous quality improvement cqiebp typically undertaken improve practice although many studies focused barriers facilitators adopting ebp tied explicitly cqi frameworkscinahl academic search premier medline psych info abiinform lista databases searched using keywords nurses information literacy access information sources knowledge decision making research utilization information seeking behaviour nursing practice evidencebased practice shortells framework used organize barriers facilitatorsacross articles common barriers lack time lack autonomy change practice falls within strategic cultural dimensions shortells frameworkbarriers facilitators ebp adoption occur individual institutional levels solutions barriers need directed dimension barrier occurs recognizing multidimensional approaches essential success overcoming barriersthe findings present study help nurses identify barriers implement strategies promote ebp part cqi