UTILIZATION OF RESEARCH FOR EVIDENCE BASED PRACTICE AMONG NURSES IN THE MAIN CRITICAL CARE UNIT, KENYATTA NATIONAL HOSPITAL, NAIROBI COUNTY

  • MARY AUMA JUMA Masters of Science Student, Nursing (Critical Care), Kenyatta University, Kenya
  • TALASO BARAKO, PhD Lecturer, Department of Medical Surgical Nursing and Preclinical Sciences, School of Nursing Sciences, Kenyatta University, Kenya
  • LUCY MENG’ANYI PhD Candidate, Nursing Sciences (Critical Care), MScN (Critical Care) BScN
Keywords: Critical Care, Nurse Characteristics, Health Care

Abstract

This study was carried out to determine the utilization of research for evidence-based practice among nurses in the main critical care unit, Kenyatta National Hospital, Nairobi County. A quantitative cross-sectional study design was used to determine level of utilization of research among nurses in main CCU, relationship between research utilization and nurse characteristics and to determine the facilitators and barriers to research utilization among nurses in main CCU at KNH.  Convenience sampling technique was used to select participants because of the different shifts and workload. A sample size of 82 nurses was used and a self-administered questionnaire. Data was coded into electronic form using statistical package for social science (SPSS) version 28.0. Analysis of data was done using both descriptive and inferential statistics.  Level of significance was evaluated at p<0.05. The findings showed that, 35.4% (n =29) of the respondents had utilized the findings of the studies they read from the websites. Age (>40 years) (AOR =6.11, 95%CI:4.38 – 17.11, p<0.001), MScN educational qualification (AOR=5.55, 95%CI:1.86 – 19.22, p=0.025), trained in computer packages (AOR=9.81, 95%CI:2.26 – 25.11, p =0.012) and high level of awareness on research (AOR=14.75, 95%CI:1.88 – 55.46, p=0.010) were significantly associated with utilization of research for evidence-based practice. 50% (n =41) of the respondents disagreed that nurses have access to research evidence, 68.3% (n =56) of the respondents disagreed with the statement that nurses have enough training on research while 64.6% (n =53) were unsure on whether research agents are needed to spearhead research utilization. Major barriers to research utilization were 78% (n =64) of the respondents cited lack of resources, 64.6% (n =53) cited resistance to change and 54.9% (n =45) stated that negative attitude among care providers were major barriers to research utilization. The findings showed that the practice of research utilization in nursing is poor hence the need for multi-disciplinary integration to help improve the level of awareness as well as improve overall understanding of nurses on the importance of research in clinical practice.

Author Biographies

MARY AUMA JUMA, Masters of Science Student, Nursing (Critical Care), Kenyatta University, Kenya

Masters of Science Student, Nursing (Critical Care), Kenyatta University, Kenya

TALASO BARAKO, PhD, Lecturer, Department of Medical Surgical Nursing and Preclinical Sciences, School of Nursing Sciences, Kenyatta University, Kenya

Lecturer, Department of Medical Surgical Nursing and Preclinical Sciences, School of Nursing Sciences, Kenyatta University, Kenya

LUCY MENG’ANYI, PhD Candidate, Nursing Sciences (Critical Care), MScN (Critical Care) BScN

PhD Candidate, Nursing Sciences (Critical Care), MScN (Critical Care) BScN

Lecturer, Department of Medical Surgical Nursing and Preclinical Sciences, School of Nursing Sciences, Kenyatta University, Kenya

References

Aljezawi, M., & Qadire, M. Al. (2018). Barriers to Integrating Research. March 2019. https://doi.org/10.1097/NCQ.0000000000000371

Almalki, M. S., Kimpton, A., Jones, L. K., & Da Costa, C. (2022). Nurses’ Perceived Facilitators of Research Utilisation in a Multicultural Setting in Saudi Arabia: Observational Study. Nursing Reports. https://doi.org/10.3390/nursrep12010017

Atakro, C. A., Atakro, A., Akuoko, C. P., Aboagye, J. S., Blay, A. A., Addo, S. B., Adatara, P., Agyare, D. F., Amoa-Gyarteng, K. G., Garti, I., Menlah, A., Ansong, I. K., Boni, G. S., Sallah, R., & Gyamera Sarpong, Y. (2020). Knowledge, attitudes, practices and perceived barriers of evidence-based practice among Registered Nurses in a Ghanaian Teaching Hospital. International Journal of Africa Nursing Sciences. https://doi.org/10.1016/j.ijans.2020.100204

Aynalem, Z. B., Yazew, K. G., & Gebrie, M. H. (2021). Evidence-based practice utilization and associated factors among nurses working in Amhara Region Referral Hospitals, Ethiopia. PLoS ONE. https://doi.org/10.1371/journal.pone.0248834

Cline, G. J., Burger, K. J., Amankwah, E. K., Goldenberg, N. A., & Ghazarian, S. R. (2017). in Healthcare ( PUSH ) Project. 33(3), 113–119. https://doi.org/10.1097/NND.0000000000000345

Dagne, A. H., Beshah, M. H., Kassa, B. G., & Dagnaw, E. H. (2021). Implementation of evidence-based practice and associated factors among nurses and midwives working in Amhara Region government hospitals: a cross-sectional study. Reproductive Health. https://doi.org/10.1186/s12978-021-01096-w

Dalheim, A., Harthug, S., Nilsen, R. M., & Nortvedt, M. W. (2012). Factors influencing the development of evidence-based practice among nurses: a self-report survey. BMC Health Services Research. https://doi.org/10.1186/1472-6963-12-367

Davis, M., Siegel, J., Becker-Haimes, E. M., Jager-Hyman, S., Beidas, R. S., Young, J. F., Wislocki, K., Futterer, A., Mautone, J. A., Buttenheim, A. M., Mandell, D. S., Marx, D., & Wolk, C. B. (2021). Identifying Common and Unique Barriers and Facilitators to Implementing Evidence-Based Practices for Suicide Prevention across Primary Care and Specialty Mental Health Settings. Archives of Suicide Research. https://doi.org/10.1080/13811118.2021.1982094

Dawit, H., Abinet, A., & Terefe, M. (2018). Evidence based nursing practice and associated factors among nurses working in Jimma zone public hospitals, Southwest Ethiopia. International Journal of Nursing and Midwifery. https://doi.org/10.5897/ijnm2017.0294

Dikmen, Y., Filiz, N. Y., Tanrıkulu, F., & Yılmaz, D. (2018). Attitudes of Intensive Care Nurses towards Evidence-Based Nursing. 8(January), 138–143.

Duncombe, D. C. (2018). A multi-institutional study of the perceived barriers and facilitators to implementing evidence-based practice. Journal of Clinical Nursing. https://doi.org/10.1111/jocn.14168

Florin, J., Ehrenberg, A., Wallin, L., & Gustavsson, P. (2011). nursing students. https://doi.org/10.1111/j.1365-2648.2011.05792.x

Giang, N. Van. (2020). RESEARCH METHODOLOGY PAPER A psychometric evaluation of the Vietnamese version of the Evidence-Based Practice Attitudes and Beliefs Scales. May 2019, 1–10. https://doi.org/10.1111/ijn.12896

Griffiths, P., & Riddington, L. (2001). Nurses’ use of computer databases to identify evidence for practice-A cross-sectional questionnaire survey in a UK hospital. Health Information and Libraries Journal. https://doi.org/10.1046/j.1365-2532.2001.00312.x

Harper, M. G., Gallagher-ford, R. L., Warren, J. I., Troseth, M., Sinnott, L. T., & Thomas, K. (2017). Evidence-Based Practice and U.S. Healthcare Outcomes. 33(4). https://doi.org/10.1097/NND.0000000000000360

Jackson, S. F., Johnson, P. A., & Mcpherson, A. (n.d.). PERCEIVED BARRIERS TO RESEARCH UTILIZATION AMONG REGISTERED NURSES.

Kyalo, M. A. (2015). NURSING RESEARCH AND EVIDENCE BASED PRACTICE : ASSESSMENT , EDUCATIONAL INTERVENTION AND ITS OUTCOME AT KENYATTA NATIONAL HOSPITAL , KENYA A Thesis Submitted in Fulfillment of The Requirements for the Degree of Doctor of Philosophy in Nursing , University.

Li, S., Cao, M., Zhu, X., & Ford, C. (2019). Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses-systematic review. In Medicine (United States). https://doi.org/10.1097/MD.0000000000017209

Mahmoud, M. H., Fikry, Z., & Abdelrasol, M. (2019). Obstacles in employing evidence-based practice by nurses in their clinical settings : a descriptive study. 6(2), 123–134. https://doi.org/10.2478/FON-2019-0019

Mohsen, M. M., Safaan, N. A., & Okby, O. M. (2016). Nurses ’ Perceptions and Barriers for Adoption of Evidence Based Practice in Primary Care : Bridging the Gap. 4(2), 25–33. https://doi.org/10.12691/ajnr-4-2-1

Naderkhah, Z., Kalhor, R., & Azmal, M. (2016). The evaluation of Level of Knowledge , Attitude and practice of Evidence- Based Practice and its Barriers among Nurses working in selected Iranian Hospitals. September. https://doi.org/10.15412/J.JBTW.01050902

Nkrumah, I. (2018). research in three hospitals within the Kumasi Metropolis , Ghana. 8688, 1–11. https://doi.org/10.11604/pamj.2018.30.24.15230

Omer, T. (2018). Research Utilization in a Multicultural Nursing Setting in Saudi Arabia : Barriers and Facilitators. March 2012. https://doi.org/10.1097/JNR.0b013e31824777d8

Sitzia, J. (2002). Barriers to research utilisation : the clinical setting and nurses. 3397(02), 230–243. https://doi.org/10.1016/S0964-3397(02)00012-5

Wilson, M., Sleutel, M. P. H. M., Newcomb, P., Behan, P. N. P. D., Walsh, J., Wells, J. N., & Baldwin, O. C. N. K. M. (2015). Empowering Nurses With Evidence-Based Practice Environments : Surveying Magnet R , Pathway to Excellence R , and Non-Magnet Facilities in One Healthcare System. 12–21.

Yoder, L. H. (n.d.). Conflict of Interest I have nothing to disclose.

Zhou, F., Maier, M., Hao, Y., Tang, L., Guo, H., Liu, H., & Liu, Y. (2015). Barriers to Research Utilization among Registered Nurses in Traditional Chinese Medicine Hospitals: A Cross-Sectional Survey in China. Evidence-Based Complementary and Alternative Medicine. https://doi.org/10.1155/2015/475340
Published
2024-10-01
Section
Articles