Obstacles of Applying Evidence-Based Practice Among Emergency Nurses in Palestinian Hospitals: A Mixed-Method Approach رسالة ماجستير

Abstract

Background: Evidence-based practice (EBP) has gained significant attention from researchers, practitioners, and decision-makers in the field of healthcare. It has gained popularity as a strategy that has the potential to affect nursing professionals' knowledge and practice. EBP is described as the methodical application of the most recent research to resolve a clinical issue while also taking into account the practitioner's own clinical expertise and the values and preferences of the patient. The arms of evidence-based practice, nurses are at the forefront of providing direct patient care. Objective: This study aims to assess perception and obstacles in applying evidence-based practice among emergency nurses in Palestine. Method: A quantitative cross-sectional survey utilizing a mixed method approach (quantitative and qualitative) made up the study's design. That used a self-administered questionnaire to gather data. The sample was composed of two hundred thirty-six nurses who worked in the emergency rooms of hospitals in Jerusalem and the West Bank. (Governmental, Non- Governmental; Charitable, Educational, and Private Sector). Strongly agree, agree, unsure, disagree, and strongly disagree are the five choices on the EBP scale, a Likert-style scale. The second was a qualitative study design in which 6 nurses were selected (with high and low level) and interviewed about the obstacles to implementing EBP in emergency rooms. Result: the study showed that the level of obstacles was moderate (31.98%), this percentage of study subjects who perceive obstacles. The greatest Evidence-Based Practice obstacles ranked by emergency nurses was regarding research accessibility by 100 nurses XIV (42.5%), followed by the individual characteristic by 79 nurses (36.6%), the research quality by 63 nurses (27%), and the organizational limitations by 52 nurses (22.1%). The study confirmed that there was a significant relationship between the type of hospital and obstacles toward EBP by (52.6%), since p–value equals 0.001 in favor of charitable hospitals that had high level. There was a significant relationship between demographic data and obstacles toward EBP by (54.95%), related to nurses’ gender since p–value equals 0.04 in favor of male nurses, and nurses' age since p–value equals 0.001 in favor of nurses less than 35 years. There was a significant relationship between working factor and obstacles toward EBP by (57.61%), related to working experience since p-value equal 0.000 in favor of less than 10 years, job position since p-value equal 0.03 in favor of assistance head nurse, day shift related since p-value equal 0.001 in favor of (A+BC), related to city since p-value equal 0.000 in favor of Jenin. Emergency nurses identify that the obstacles of implement EBP are lack of resources and skills, lack of reward system, and cultural unacceptance. While, other emergency nurses found that skills support, resources availability, and desire to change are factors facilitate implementing EBP in emergency room. Conclusion: In this study, two hundred thirty-six emergency nurses were conducted in a multi-center study; this study found that the obstacle is moderate to implement EBP among ER nurses. Obstacles had a strong correlation with the type of hospital, the work factor, and the demographic information. The findings suggest improving nurses' education, research training, and administrative support in Palestine hospitals' emergency departments.