Challenges and Strategies for Implementing Evidence-Based Practice in Nursing: a Systematic Review

Many nurses face challenges of implementing evidence-based practice as a problem-solving approach in the field of health care. Therefore, the purpose of this study was to summarize and report structurally the results of various studies conducted in this field to identify challenges and strategies for implementing evidence-based practice in nursing to develop effective and efficient guidelines.

In this systematic review study, using the internal database: Magiran, SID, Iranmedex and foreign: CINAHL, ProQuest, Ovid, PubMed, Scopus, Science Direct, Google Scholar all articles published in Iran in 2010 to 2020 in the field of Evidence-based practice were explored. The result of this research was the achievement of 39 articles and a research project related to the subject, which eventually 19 completely related studies are included in the research.

Among the studies reviewed, 3 articles (16%) were published in foreign journals and 16 articles (84%) in domestic journals. The results represent four main concepts include: "Evidence-Based Practice Features", "Evidence-Based Practice Barriers", "Evidence-Based Practice Strategies" and "Evidence-Based Practice Instructions".

According to the results, most nurses are not familiar with the concept of evidence-based practice and there are several barriers in the way of nurses in implementing evidence-based practice. To address the clinical challenges of nursing, health care managers and policymakers should plan to use nursing professors and graduate students with the support of nursing managers to guide nurses in the implementation of evidence-based practice and the development of protocols.