For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
3
views
17
references
 Top references
cited by
2
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      694
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Nurses Barriers to Evidence-Based Practice in Palliative Care: A Systematic Review

      research-article
      Author(s):
      Publication date (Electronic):
      Journal: SAGE Open Nursing
      Publisher: SAGE Publications
      Keywords: evidence-based practice, EBP, palliative care, barrier, nurses

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Background

          Research shows low evidence-based practice (EBP) uptake among palliative care nurses, a global concern because the demand for palliative care services is rising, raising the urgent need to improve healthcare quality. Promoting EBP uptake in palliative care can improve healthcare quality. This systematic review investigated nurses’ barriers to EBP implementation in palliative care.

          Methods

          PubMed, MEDLINE, CINHAL, and Google Scholar were used to identify seven articles. Articles were included for review if they were published within the past 10 years (English only) and investigated barriers to EBP implementation in palliative care.

          Results

          Four barriers were identified: (a) time and resource constraints, (b) lack of readiness for organizational change, (c) negative attitudes toward palliative care, and (d) process-specific difficulties.

          Conclusion

          This systematic review's findings can inform policy changes to improve the uptake of EBP in palliative care.

          Related collections

          Most cited references17

          • Record: found
          • Abstract: not found
          • Article: not found

          Using thematic analysis in psychology

          Virginia Braun, Victoria Clarke (2014)
          Article 0 comments Cited 18518 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found
            Is Open Access

            The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

            Matthew J L Page, Joanne E McKenzie, Patrick Bossuyt … (2025)
            The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.
            Article 0 comments Cited 14515 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              Towards evidence-based palliative care in nursing homes in Sweden: a qualitative study informed by the organizational readiness to change theory

              Per Nilsen, Birgitta Wallerstedt, Lina Behm … (2018)
              Background Sweden has a policy of supporting older people to live a normal life at home for as long as possible. Therefore, it is often the oldest, most frail people who move into nursing homes. Nursing home staff are expected to meet the existential needs of the residents, yet conversations about death and dying tend to cause emotional strain. This study explores organizational readiness to implement palliative care based on evidence-based guidelines in nursing homes in Sweden. The aim was to identify barriers and facilitators to implementing evidence-based palliative care in nursing homes. Methods Interviews were carried out with 20 managers from 20 nursing homes in two municipalities who had participated along with staff members in seminars aimed at conveying knowledge and skills of relevance for providing evidence-based palliative care. Two managers responsible for all elderly care in each municipality were also interviewed. The questions were informed by the theory of Organizational Readiness for Change (ORC). ORC was also used as a framework to analyze the data by means of categorizing barriers and facilitators for implementing evidence-based palliative care. Results Analysis of the data yielded ten factors (i.e., sub-categories) acting as facilitators and/or barriers. Four factors constituted barriers: the staff’s beliefs in their capabilities to face dying residents, their attitudes to changes at work as well as the resources and time required. Five factors functioned as either facilitators or barriers because there was considerable variation with regard to the staff’s competence and confidence, motivation, and attitudes to work in general, as well as the managers’ plans and decisional latitude concerning efforts to develop evidence-based palliative care. Leadership was a facilitator to implementing evidence-based palliative care. Conclusions There is a limited organizational readiness to develop evidence-based palliative care as a result of variation in the nursing home staff’s change efficacy and change commitment as well as restrictions in many contextual conditions. There are considerable individual- and organizational-level challenges to achieving evidence-based palliative care in this setting. The educational intervention represents one of many steps towards developing a culture conducive to evidence-based nursing home palliative care.
              Article 0 comments Cited 74 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Journal
                Journal ID (nlm-ta): SAGE Open Nurs
                Journal ID (iso-abbrev): SAGE Open Nurs
                Journal ID (publisher-id): SON
                Journal ID (hwp): spson
                Title: SAGE Open Nursing
                Publisher: SAGE Publications (Sage CA: Los Angeles, CA )
                ISSN (Electronic): 2377-9608
                Publication date (Electronic): 9 December 2022
                Publication date Collection: Jan-Dec 2022
                Volume: 8
                Electronic Location Identifier: 23779608221142957
                Affiliations
                [1-23779608221142957]Arbel Geriatric Center—Moria Group, Petah Tikva, Israel
                Author notes
                [*]Falah Jamal Dakka, Arbel Geriatric Center—Moria Group, ELHANAN 4, Petah Tikva, Israel. Email: falah.dakka20@ 123456gmail.com
                Author information
                https://orcid.org/0000-0002-9348-255X
                Article
                Publisher ID: 10.1177_23779608221142957
                DOI: 10.1177/23779608221142957
                PMC ID: 9742693
                SO-VID: c7a785f5-42eb-458d-a6d3-e0f0c4d1a5b9
                Copyright © © The Author(s) 2022
                License:

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Date received : 20 September 2022
                Date revision received : 14 November 2022
                Date accepted : 15 November 2022
                Categories
                Subject: Review Article
                Custom metadata
                typesetter ts19
                cover-date January-December 2022

                Keywords: evidence-based practice,ebp,palliative care,barrier,nurses
                Data availability:
                Keywords: evidence-based practice, ebp, palliative care, barrier, nurses

                Comments

                Comment on this article

                scite_

                Similar content694

                See all similar

                Cited by2

                See all cited by

                Most referenced authors1,190

                See all reference authors