Evidence map›Paper›PMID 29977154›Full record

ArticleBMC nursing2018

When east meets west: a qualitative study of barriers and facilitators to evidence-based practice in Hunan China.

Wendy Gifford, Qing Zhang, Shaolin Chen, Barbara Davies, Rihua Xie, Shi-Wu Wen, Gillian Harvey

Abstract read
In one paragraph

Article in BMC nursing, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Barriers to the Adoption of Evidence Based Practice in Nursing: a Focus Group Study.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2023
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Factors Affecting the Application and Implementation of Evidence-based Practice in Nursing.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2021
    Article
  15. Article
  16. Review
  17. Article
  18. Routinization in Nursing Care: An Integrated Review.Iranian journal of nursing and midwifery research
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Wendy Gifford1School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5 Canada.ORCID 0000-0002-0841-3219
Qing Zhang3School of Nursing, Hunan University of Medicine, 492 Jinxinan Road, Huaihua, Hunan China.
Shaolin Chen3School of Nursing, Hunan University of Medicine, 492 Jinxinan Road, Huaihua, Hunan China.
Barbara Davies1School of Nursing, Faculty of Health Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON K1H 8M5 Canada.
Rihua Xie4Nanhai Hospital, Southern Medical University, 45 ZhenXing Road, Lishui Town, Nanhai District, Foshan, 528244 Guangdong China.
Shi-Wu Wen6Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Gillian Harvey8Adelaide Nursing School, The University of Adelaide, Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch into evidence-based practice has been extensively explored in nursing and there is strong recognition that the organizational context influences implementation. A range of barriers has been identified; however, the research has predominantly taken place in Western cultures, and there is little information about factors that influence evidence-based practice in China. The purpose of this study was to explore barriers and facilitators to evidence-based practice in Hunan province, a less developed region in China.

methodsA descriptive qualitative methodology was employed. Semi-structured interviews were conducted with staff nurses, head nurses and directors (

resultsBarriers included lack of available evidence in Chinese, nurses' lack of understanding of what evidence-based practice means, and fear that patients will be angry about receiving care that is perceived as non-traditional. Nurses believed evidence-based practice was to be used when clinical problems arose, and not as a routine way to practice. Facilitators included leadership support and the pervasiveness of web based social network services such as Baidu () for easy access to information.

conclusionWhile several parallels to previous research were found, our study adds to the knowledge base about factors related to evidence-based practice in different contextual settings. Findings are important for international comparisons to develop strategies for nurses to provide evidence-based care.

Indexed as

BarriersChinaEvidence-based practiceFacilitatorsQualitative study

Identifiers

PMID29977154
PMCPMC6011581

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.