Why do we need supporting structures for evidence-based practice?
The need for evidence-based practice (EBP) is emphasized in health care, but many barriers relating to EBP are identified. Among them are limited resources in health care and health professionals’ skills for searching evidence (e.g. Shafaghat et al. 2021). In addition, there exists a misunderstanding concerning the process of utilizing evidence. Nurses may think, as was previously taught in evidence-based courses, that it is their duty to define the clinical problem and search for the research literature by themselves, appraise its methodological quality, interpret the results and make conclusions before applying the evidence into practice. These kinds of expectations are not realistic and they hold up the barriers to EBP due to an ever-increasing workload and simultaneous shortage of staff. Instead, nurses need to know where to find reliable synthesized evidence and how to implement it into practice. (e.g. Warren et al. 2016).
Two models, the Action Model of Expertise (FinAME) and Model for Developing Evidence-Based Practices (OMEBP), were developed to support evidence implementation and EBP in nursing.
Shafaghat T, Nasab MHI, Bahrami MA, Kavosi Z, Montazer MRA, Zarchi MKR, Bastani P. 2021. A mapping of facilitators and barriers to evidence-based management in health systems: a scoping review study. Systematic Reviews 10:24.
Warren JI, Lothschuetz Montgomery K, Friedmann E. 2016. Three-year pre-post analysis of EBP integration in a Magnet-Designated community hospital. Worldviews on Evidence-Based Nursing 13:1, 50-58.