Original Article

Barriers to adopting evidence-based practice: A cross-sectional study among undergraduate nursing students in Vietnam

Abstract

Background & Aim: As the future nursing workforce, evidence-based practice is one of the key competencies for undergraduate nursing students in delivering safe and quality care. While plenty of studies investigate nurses' evidence-based practice, understanding this topic is limited among nursing students. Thus, this study aimed to identify barriers and associated factors to adopting evidence-based practice among undergraduate nursing students in Vietnam.
Methods & Materials: A cross-sectional descriptive study was conducted on 395 undergraduate nursing students who were conveniently selected at a public university in Central Vietnam from March to May 2022. A questionnaire was administered to collect information about general characteristics and barriers to implementing evidence-based practice regarding knowledge, practice, authority, setting, and research utilization. Data were analyzed using SPSS 20.0 with descriptive statistics, independent t-test, one-way analysis of variance, and Pearson's correlation coefficients.
Results: Among 395 participants, most of them faced barriers regarding knowledge (91.9%), practice (96.2%), authority (89.1%), clinical setting (92.2%), and research utilization (96.2%). The most mentioned barriers were related to research utilization and clinical settings. Barriers to adopting evidence-based practice were significantly associated with a level of seeking information about research/scientific evidence and a level of participating in research/implementing evidence-based practice (p<.05). Moreover, knowledge barriers were related to age, school year, and sources of data for searching (p<.05).
Conclusion: Undergraduate nursing students have faced many barriers when adopting scientific evidence into clinical practice. Supporting students in addressing these barriers is necessary to enhance their evidence-based practice competency.

1. Chien LY. Evidence-based practice and nursing research. Journal of Nursing Research. 2019 Aug;27(4):e29. https://doi.org/10.1097/jnr.0000000000000346
2. Scott K, McSherry R. Evidence-based nursing: clarifying the concepts for nurses in practice. Journal of Clinical Nursing. 2009 Apr;18(8):1085–95. https://doi.org/10.1111/j.1365-2702.2008.02588.x
3. Connor L, Dean J, McNett M, Tydings DM, Shrout A, Gorsuch PF, et al. Evidence-based practice improves patient outcomes and healthcare system return on investment: Findings from a scoping review. Worldviews on Evidence-Based Nursing. 2023 Feb;20(1):6-15. https://doi.org/10.1111/wvn.12621
4. Stevens KR. The impact of evidence-based practice in nursing and the next big ideas. The Online Journal of Issues in Nursing. 2013 May;18(2):4. https://doi.org/10.3912/OJIN.Vol18No02Man04
5. Lam CK, Schubert C. Evidence-based practice competence in nursing students: an exploratory study with important implications for educators. Worldviews on Evidence-Based Nursing. 2019 Apr;16(2):161-8. https://doi.org/10.1111/wvn.12357
6. Kyriakoulis K, Patelarou A, Laliotis A, Wan AC, Matalliotakis M, Tsiou C, et al. Educational strategies for teaching evidence-based practice to undergraduate health students: systematic review. Journal of Educational Evaluation for Health Professions. 2016 Sep;13:34. https://doi.org/10.3352/jeehp.2016.13.34
7. Abu-Baker NN, AbuAlrub S, Obeidat RF, Assmairan K. Evidence-based practice beliefs and implementations: a cross-sectional study among undergraduate nursing students. BMC Nursing. 2021 Jan;20:13. https://doi.org/10.1186/s12912-020-00522-x
8. Iradukunda F, Mayers PM. Rwandan nursing students' knowledge, attitudes and application of evidence-based practice. Curationis. 2020 Jan ;43(1):2005. https://doi.org/10.4102/curationis.v43i1.2005
9. Labrague LJ, McEnroe-Pettite D, Tsaras K, D’Souza MS, Fronda DC, Mirafuentes EC, et al. Predictors of evidence-based practice knowledge, skills, and attitudes among nursing students. Nursing Forum. 2019 Apr-Jun;54(2):238–45. https://doi.org/10.1111/nuf.12323
10. Labrague LJ, McEnroe-Petitte D, D'Souza MS, Cecily HSJ, Fronda DC, Edet OB, at al. A multicountry study on nursing students' self-perceived competence and barriers to evidence-based practice. Worldviews on Evidence-Based Nursing. 2019 Jun;16(3):236-46. https://doi.org/10.1111/wvn.12364
11. Clavijo-Chamorro MZ, Sanz-Martos S, Gómez-Luque A, Romero-Zarallo G, López-Medina IM. Context as a facilitator of the implementation of evidence-based nursing: A meta-synthesis. Western Journal of Nursing Research. 2020 Jan;43(1):60-72. https://doi.org/10.1177/0193945920914397.
12. Nguyen TBT, Tran THO, Tran TBD. Perception of evidence-based practice among nurses. Journal of Nursing Science. 2020 Nov;3(5):148-57. https://vjol.info.vn/index.php/DHDDND/article/view/64383/54307
13. Nguyen TNM, Wilson A. Knowledge, skills, and attitudes to implementing best practice in hospitals in Central Vietnam. International Journal of Evidence-Based Healthcare. 2016 Dec;14(4):142-9. https://doi.org/10.1097/XEB.0000000000000081.
14. Vietnamese Nurses Association. Basic competency standards of Vietnamese nurses [Vietnamese]. Hanoi: Ministry of Health of Vietnam, 2022 [cited 2022 Jan 15]. Available from: https://thuvienphapluat.vn/van-ban/The-thao-Y-te/Quyet-dinh-3474-QD-BYT-2022-Chuan-nang-luc-co-ban-cua-Cu-nhan-Dieu-duong-Viet-Nam-548413.aspx
15. Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian Journal of Psychological Medicine. 2013 Apr-Jun;35(2):121-6. https://doi.org/10.4103/0253-7176.116232
16. El-Said ES, Zaki HN, Jakalat SS. Barriers and facilitators for implementing evidence-based practice among nurses at Yanbu general hospital-Kingdom of Saudi Arabia. Life Science Journal. 2013 Jan;10(3):920-32.
17. Maneesriwongul W, Dixon JK. Instrument translation process: A methods review. Journal of Advanced Nursing. 2004 Sep;48(2): 175-86. https://doi.org/10.1111/j.1365-2648.2004.03185.x
18. Shayan SJ, Kiwanuka F, Nakaye Z. Barriers associated with evidence-based practice among nurses in low- and middle- income countries: a systematic review. Worldviews on Evidence-Based Nursing. 2019 Feb; 16(1):12–20. https://doi.org/10.1111/wvn.12337
19. Nguyen TTT, Duong NT, Jarrett S. Factor influencing the application evidence in nursing care practice. HoChiMinhCity Journal of Medicine. 2021;5(25):90-8. https://yhoctphcm.ump.edu.vn/index.php?Content=ChiTietBai&idBai=19179
20. Elmannan AAA, Alrebish S, Alqarzai RK, Alshubrmi AA, Alammar AY, Alsaeed HS. Barriers to participation in research as perceived by undergraduate medical students: A cross-sectional study from Qassim. Research Square. 2021 Aug;11(1019):1019. https://doi.org/10.21203/rs.3.rs-860230/v1
21. Battineni G, Baldoni S, Chintalapudi N, Sagaro GG, Pallotta G, Nittari G, et al. Factors affecting the quality and reliability of online health information. Digital Health. 2020 Jan-Dec;6:2055207620948996. https://doi.org/10.1177/2055207620948996
22. Baixinho CL, Ferreira OR, Medeiros M, de Oliveira ESF. Participation of nursing students in evidence-based practice projects: results of two focus groups. International Journal of Environmental Research and Public Health. 2022 Jun;19(11):6784. https://doi.org/10.3390/ijerph19116784.
23. Horntvedt MT, Nordsteien A, Fermann T, Severinsson E. Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC Medical Educcation. 2018 Jul;18(1):172. https://doi.org/10.1186/s12909-018-1278-z.
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IssueVol 11 No 1 (2024): Winter QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/npt.v11i1.14941
Keywords
barriers; evidence-based-practice; nursing students; Vietnam

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How to Cite
1.
Hien P, Thuy L, Hoai N. Barriers to adopting evidence-based practice: A cross-sectional study among undergraduate nursing students in Vietnam. NPT. 2023;11(1):44-52.