Evidence-based practice: Knowledge, attitudes, implementation, facilitators, and barriers among community nurses-systematic review.

Abstract:

BACKGROUND:This study is to summarize the status of knowledge, attitudes, implementation, facilitators, and barriers of evidence-based practice (EBP) in community nurses (CNs). EBP has been widely adopted but the knowledge, attitudes, and implementation of EBP among CNs, and the facilitators and barriers they perceived have not been clearly confirmed. METHODS:A literature search was conducted using combined keywords in 3 English databases and 3 Chinese databases of peer-reviewed publications covering the dates of publication from 1996 to July, 2018. Twenty articles were included. The information of the knowledge, attitudes, implementation, and the perceived facilitators and barriers of EBP in CNs was extracted and summarized. RESULTS:CNs had positive attitudes toward EBP, but insufficient knowledge and unprepared implementation. The most cited facilitators were academic training, management functions, and younger age. Inadequate time and resources were recognized as main barriers hindering the transforming from knowledge and attitudes to implementation. Developed interventions mainly focused on knowledge facilitation rather than the elimination of objective barriers. CONCLUSIONS:Findings demonstrate a compelling need for improvement in knowledge and implementation of EBP in CNs, compared with the better attitudes. Except education, knowledge translating into implementation needs more coordination with authorities to magnify the facilitators and overcome the barriers. Further studies need to concentrate on deficient knowledge and implementation of EBP among CNs. Policy makers can use the facilitators and barriers found by this review to modify nursing education, current scientific resources supplement, practice supports for care improving.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Li S,Cao M,Zhu X

doi

10.1097/MD.0000000000017209

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

e17209

issue

39

eissn

0025-7974

issn

1536-5964

pii

00005792-201909270-00039

journal_volume

98

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Perioperative Standard Oral Nutrition Supplements Versus Immunonutrition in Patients Undergoing Colorectal Resection in an Enhanced Recovery (ERAS) Protocol: A Multicenter Randomized Clinical Trial (SONVI Study).

    abstract::To compare immunonutrition versus standard high calorie nutrition in patients undergoing elective colorectal resection within an Enhanced Recovery After Surgery (ERAS) program.Despite progress in recent years in the surgical management of patients with colorectal cancer (ERAS programs), postoperative complications are...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/MD.0000000000003704

    authors: Moya P,Soriano-Irigaray L,Ramirez JM,Garcea A,Blasco O,Blanco FJ,Brugiotti C,Miranda E,Arroyo A

    更新日期:2016-05-01 00:00:00

  • Incidence of surgical-site infection following open reduction and internal fixation of a distal femur fracture: An observational case-control study.

    abstract::Surgical-site infection (SSI) is a common complication in orthopedic surgery; however, SSI after surgically managed distal femur fractures was not well studied. The aim of this study was to investigate the incidence of SSI and identify some modifiable and nonmodifiable risk factors.The patients' electronic medical rec...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014547

    authors: Bai Y,Zhang X,Tian Y,Tian D,Zhang B

    更新日期:2019-02-01 00:00:00

  • Th17/Treg imbalance in patients with severe acute pancreatitis: Attenuated by high-volume hemofiltration treatment.

    abstract:BACKGROUND:To investigate the effect of high-volume hemofiltration (HVHF) on Th17/Treg imbalance in patients with severe acute pancreatitis (SAP). METHODS:Forty-two patients with SAP were randomly received 24 hours of continuous HVHF (n = 21) or without HVHF (n = 21). At day 28, all 42 patients were divided into survi...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000021491

    authors: Guo J,Li Z,Tang D,Zhang J

    更新日期:2020-07-31 00:00:00

  • Trends in Outcomes for Out-of-Hospital Cardiac Arrest by Age in Japan: An Observational Study.

    abstract::Population aging has rapidly advanced throughout the world and the elderly accounting for out-of-hospital cardiac arrest (OHCA) has increased yearly.We identified all adults who experienced an out-of-hospital cardiac arrest in the All-Japan Utstein Registry of the Fire and Disaster Management Agency, a prospective, po...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002049

    authors: Fukuda T,Ohashi-Fukuda N,Matsubara T,Doi K,Kitsuta Y,Nakajima S,Yahagi N

    更新日期:2015-12-01 00:00:00

  • The effect of critical illness insurance in China.

    abstract::Critical illness insurance to reduce the incidence of catastrophic health expenditure was implemented in China in 2012. The aim of this study is to explore the implementation status and medical guarantee effect of critical illness insurance in various cities.We extracted insurance reimbursement data for 2014 from the ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000011362

    authors: Fang P,Pan Z,Zhang X,Bai X,Gong Y,Yin X

    更新日期:2018-07-01 00:00:00

  • 125I Brachytherapy in Locally Advanced Nonsmall Cell Lung Cancer After Progression of Concurrent Radiochemotherapy.

    abstract::To investigate the safety and effectiveness of computed tomography (CT)-guided I seed implantation for locally advanced nonsmall cell lung cancer (NSCLC) after progression of concurrent radiochemotherapy (CCRT).We reviewed 78 locally advanced NSCLC patients who had each one cycle of first-line CCRT but had progressive...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002249

    authors: Xiang Z,Li G,Liu Z,Huang J,Zhong Z,Sun L,Li C,Zhang F

    更新日期:2015-12-01 00:00:00

  • Efficacy of Shexiang Baoxin Pills for the treatment of unstable angina pectoris: Protocol of systemic review and meta-analysis.

    abstract:BACKGROUND:Shexiang Baoxin Pills (SBP) is widely used for the treatment of unstable angina pectoris (UAP) in China. However, the clinical evidence on the efficacy of SBP for the treatment of UAP is not well concluded. METHODS:Seven electronic databases will be searched for eligible studies: MEDLINE, EMBASE, The Cochra...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000017119

    authors: Chen H,Dong Q,Zheng X

    更新日期:2019-09-01 00:00:00

  • Diagnostic accuracy of endoscopic ultrasound, computed tomography, magnetic resonance imaging, and endorectal ultrasonography for detecting lymph node involvement in patients with rectal cancer: A protocol for an overview of systematic reviews.

    abstract:BACKGROUND:Rectal cancer is one of the most common tumors and is the leading cause of cancer-related deaths in developed countries. Lymph node involvement remains the strongest prognostic factor associated with a worse prognosis in patients with rectal cancer. Several systematic reviews have investigated the accuracy o...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000012899

    authors: Wang X,Gao Y,Li J,Wu J,Wang B,Ma X,Tian J,Shen M,Wang J

    更新日期:2018-10-01 00:00:00

  • Pooled analysis of efficacy and safety of ureteral stent removal using an extraction string.

    abstract:OBJECTIVE:We conducted a Pooled analysis to investigate the efficacy and safety of ureteral stent removal using an extraction string. METHODS:A systematic review was performed by using the Preferred Reporting Items for Systematic Reviews and Pooled analyses. The sources including EMBASE, MEDLINE, and the Cochrane Cont...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000017169

    authors: Sun X,Dong L,Chen T,Huang Z,Zhang X,Wu J,Lin C,Cui Y

    更新日期:2019-09-01 00:00:00

  • Olfactory function and quality of life following microscopic endonasal transsphenoidal pituitary surgery.

    abstract::Olfactory outcomes as well as oronasal postoperative complications of transsphenoidal pituitary surgery have not been well studied. The objective of this study was to investigate nasal symptoms including olfactory function as well as quality of life following transsphenoidal pituitary surgery. The study is designed as...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000465

    authors: Wang S,Chen Y,Li J,Wei L,Wang R

    更新日期:2015-01-01 00:00:00

  • Successful Outflow Reconstruction to Salvage Traumatic Hepatic Vein-Caval Avulsion of a Normothermic Machine Ex-Situ Perfused Liver Graft: Case Report and Management of Organ Pool Challenges.

    abstract::Donor organ shortage continues to limit the availability of liver transplantation, a successful and established therapy of end-stage liver diseases. Strategies to mitigate graft shortage include the utilization of marginal livers and recently ex-situ normothermic machine perfusion devices. A 59-year-old woman with cir...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003119

    authors: Athanasopoulos PG,Hadjittofi C,Dharmapala AD,Orti-Rodriguez RJ,Ferro A,Nasralla D,Konstantinidou SK,Malagó M

    更新日期:2016-04-01 00:00:00

  • Mobile health, physical activity, and obesity: Subanalysis of a randomized controlled trial.

    abstract:BACKGROUND:Recent studies on physical activity were analyzed by randomizing participants into either the intervention or control group. It is necessary to classify each intervention and control groups according to physical activity using the International Physical Activity Questionnaire (IPAQ). METHODS:This was a pilo...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000012309

    authors: Lee CH,Cheung B,Yi GH,Oh B,Oh YH

    更新日期:2018-09-01 00:00:00

  • Acquired methemoglobinemia: a retrospective series of 138 cases at 2 teaching hospitals.

    abstract::Methemoglobin is a form of hemoglobin that does not bind oxygen. When its concentration is elevated in red blood cells, functional anemia and tissue hypoxia may occur. We performed a retrospective case series to describe the cases of acquired methemoglobinemia (methemoglobin level >2%) detected and the clinical circum...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/01.md.0000141096.00377.3f

    authors: Ash-Bernal R,Wise R,Wright SM

    更新日期:2004-09-01 00:00:00

  • Comparing Burnout Across Emergency Physicians, Nurses, Technicians, and Health Information Technicians Working for the Same Organization.

    abstract::Studies on the topic of burnout measure the effects of emotional exhaustion (EE), depersonalization (DP) (negative or cynical attitudes toward work), and reduced sense of personal accomplishment (PA). While the prevalence of burnout in practicing emergency medicine (EM) professionals has been studied, little is known ...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002856

    authors: Schooley B,Hikmet N,Tarcan M,Yorgancioglu G

    更新日期:2016-03-01 00:00:00

  • Characteristics and outcome of spontaneous bacterial meningitis in patients with cancer compared to patients without cancer.

    abstract::In cancer patients, who are frequently immunocompromised, bacterial meningitis (BM) can be a severe complication, with a different presentation, etiology, and course, compared to patients without cancer. Our objective is to compare the characteristics and outcomes of BM in patients with and without cancer. A single-ce...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000006899

    authors: Pomar V,Benito N,López-Contreras J,Coll P,Gurguí M,Domingo P

    更新日期:2017-05-01 00:00:00

  • Efficacy and safety of Soshiho-tang in patients with atopic dermatitis and gastrointestinal disorders: Study protocol for a double-blind, randomized, and placebo-controlled clinical trial.

    abstract:BACKGROUND:Atopic dermatitis (AD) is a chronically relapsing inflammatory skin disease that affects the quality of life in patients with AD. Since there is limitation of conventional treatment of AD, complementary treatment is required to treat AD symptoms more effectively and safely Soshiho-tang (SSHT) is a traditiona...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000015479

    authors: Kang SJ,Jo EH,Yang GJ,Shim YH,Hong JE,Park MC

    更新日期:2019-05-01 00:00:00

  • Effectiveness of different types of ultrasonography screening for developmental dysplasia of the hip: A meta-analysis.

    abstract:BACKGROUND:Infant hip screening for early detection of developmental dysplasia of the hip (DDH) is essential as early detection can enable less invasive treatments and achieve better long-term results. A previous meta-analysis assessed about 10,000 infants per group, which is insufficient for evaluating the effect of d...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000023562

    authors: Jung HW,Jang WY

    更新日期:2020-12-11 00:00:00

  • The association between rs12885713 polymorphism in CALM1 and risk of osteoarthritis: A meta-analysis of case-control studies.

    abstract:OBJECTIVE:The single nucleotide polymorphism (SNP) rs12885713 of calmodulin 1 gene (CALM1) has been reported to involve in the etiology of osteoarthritis (OA) in several association studies with limited sample size and conflicting results. The purpose of the present systematic review and meta-analysis was to evaluate a...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000012235

    authors: Shi J,Gao ST,Lv ZT,Sheng WB,Kang H

    更新日期:2018-09-01 00:00:00

  • Obesity and metabolic syndrome in children in Brazil: The challenge of lifestyle change.

    abstract::The purpose of this observational study was to examine the prevalence of obesity in children of 6 to 8 years of age from primary public schools over a period of 6 years and the associated environmental and metabolic health risk factors.This was a cohort observational study to investigate the prevalence of obesity in c...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015666

    authors: Sentalin PBR,Pinheiro AO,Oliveira RR,Zângaro RA,Campos LA,Baltatu OC

    更新日期:2019-05-01 00:00:00

  • Relation between primary tumor FDG avidity and site of first distant metastasis in patients with breast cancer.

    abstract::Identification of tumor imaging features associated with metastatic pattern may allow better understanding of cancer dissemination. Here, we investigated how primary tumor F-fluorodeoxyglucose (FDG) avidity influences the first site of breast cancer metastasis.Subjects were 264 patients with advanced breast cancer who...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000004266

    authors: Lim CH,Moon SH,Cho YS,Im YH,Choe YS,Kim BT,Lee KH

    更新日期:2016-08-01 00:00:00

  • Late adverse effects related to treatment in a cohort of survivors of childhood and adolescent cancer.

    abstract::Taking into consideration the progress in cancer treatment, an increase in the number of adult survivors of childhood cancer is expected. These survivors will have received treatment that predisposes them to late morbidity and increased risk of early mortality. The aim of this single-center retrospective cohort study ...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000014921

    authors: Livinalli A,Silva MT,Lopes LC

    更新日期:2019-03-01 00:00:00

  • Efficacy of DA-5204 (Stillen 2X) for patients with gastroesophageal reflux disease: A randomized, double-blind, placebo-controlled pilot study.

    abstract:BACKGROUND/AIM:Proton pump inhibitor (PPI) alone is not satisfactory for the treatment of gastroesophageal reflux disease (GERD). Therefore, we investigated the efficacy of DA-5204 (Stillen 2X, 90 mg of Artemisia asiatica 95% ethanol extract per tablet) and PPI combination therapy on GERD in comparison to PPI alone. M...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000022729

    authors: Cho JH,Yoon H,Shin CM,Park YS,Kim N,Lee DH

    更新日期:2020-10-30 00:00:00

  • Miller-Fisher syndrome complicated by Bickerstaff brainstem encephalitis: A case report.

    abstract:RATIONALE:Bickerstaff brainstem encephalitis (BBE) and Miller-Fisher syndrome (MFS) might be a pedigree disease. Herein, we report a rare case that fits the diagnoses of both MFS and BBE. PATIENT CONCERNS:A 48-year-old woman was hospitalized due to blurred vision and unsteady gait lasting for 9 days, and numbness of t...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000009824

    authors: Jing C,Wang Z,Chu C,Dong M,Lin W

    更新日期:2018-03-01 00:00:00

  • Celiac disease serology and gut microbiome following proton pump inhibitor treatment.

    abstract:BACKGROUND:Celiac disease is an autoimmune enteropathy characterized by an aberrant immune response to ingested gluten in genetically predisposed individuals. Studies have pointed to a rising prevalence of celiac disease in recent decades. Changes in diet and use of medication that may impact the gut microbiome have be...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000021488

    authors: Jang S,Lebwohl B,Abrams JA,Green PHR,Freedberg DE,Alaedini A

    更新日期:2020-08-28 00:00:00

  • Mining prognostic factors of extensive-stage small-cell lung cancer patients using nomogram model.

    abstract::This study is to establish the nomogram model and provide clinical therapy decision-making for extensive-stage small-cell lung cancer (ES-SCLC) patients with different metastatic sites using the Surveillance, Epidemiology, and End Results (SEER) Program.A total of 10,025 patients of ES-SCLC with metastasis from Januar...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000021798

    authors: Gao H,Dang Y,Qi T,Huang S,Zhang X

    更新日期:2020-08-14 00:00:00

  • Curative-intent radiotherapy in patients with oligometastatic lesions from colorectal cancer: A single-center study.

    abstract::The purpose of the present study was to investigate the efficacy and safety of radiotherapy for patients with oligometastases from colorectal cancer (CRC).This was a retrospective cross-sectional study. Patients with liver and/or lung oligometastatic lesions from CRC treated with curative-intent radiotherapy in West C...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000012601

    authors: He X,Zhang P,Li Z,Bi F,Xu F,Wang X,Shen Y,Li Q,Qiu M

    更新日期:2018-10-01 00:00:00

  • Effect of oral alpha-lipoic acid (ALA) on the treatment of male infertility: A protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:Male fertility has gradually become a worldwide problem. Because of the limitation of treatment, many drugs have been used for improving sperm quality. Among them, alpha-lipoic acid (ALA), as a treatment of diabetic neuropathy, has been applied to improve the quality of sperm in clinical practice, with satis...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000018453

    authors: Dong L,Zhang X,Yang F,Li J,Yu X,Li Y

    更新日期:2019-12-01 00:00:00

  • Analysis of the Metabolic and Structural Brain Changes in Patients With Torture-Related Post-Traumatic Stress Disorder (TR-PTSD) Using ¹⁸F-FDG PET and MRI.

    abstract::Many people exposed to torture later suffer from torture-related post-traumatic stress disorder (TR-PTSD). The aim of this study was to analyze the morphologic and functional brain changes in patients with TR-PTSD using magnetic resonance imaging (MRI) and positron emission tomography (PET). This study evaluated 19 su...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003387

    authors: Zandieh S,Bernt R,Knoll P,Wenzel T,Hittmair K,Haller J,Hergan K,Mirzaei S

    更新日期:2016-04-01 00:00:00

  • Transcutaneous electric nerve stimulation over acupoints for patients with diarrhea-predominant irritable bowel syndrome: Protocol for systematic review and meta-analysis.

    abstract:BACKGROUND:At present, drug therapy for diarrhea-predominant irritable bowel syndrome (IBS-D) has made great progress; however, it does not often produce a satisfying curative effect. Transcutaneous electric nerve stimulation over acupoints (Acu-TENS) might be more effective in improving patient's symptoms and producin...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000013267

    authors: Han BY,Shao QF,Cong Y,Guo S,Mao XY,Wei RH,Wei W

    更新日期:2018-12-01 00:00:00

  • Prognostic value of serum albumin for patients with acute aortic dissection: A retrospective cohort study.

    abstract::Serum albumin (SA) is associated with inflammation and thrombosis, which are involved in acute aortic dissection (AAD). Our aim was to investigate the effect of SA level on survival in patients with AAD.We analyzed 777 patients with AAD. The patients were divided into hypoalbuminemia and non-hypoalbuminemia groups acc...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014486

    authors: Gao Y,Li D,Cao Y,Zhu X,Zeng Z,Tang L

    更新日期:2019-02-01 00:00:00