Evidence-Based Practice and Its Implementation in Pakistani Health Care Systems

Thursday, 2 August 2012: 8:50 AM

Zehra Ali Muhammad Ahmed Parvani, RN, BScN
School Of Nursing, Aga Khan University, Karachi, Pakistan

Learning Objective 1: Identify the barriers for not integrating Evidence Based Practice (EBP)in health care delivery systems of Pakistan. identified for its implementation.

Learning Objective 2: To explore solution for its better implementation.


Evidence-based practice (EBP) is an anticipated and advance strategy to improve the quality of care and service delivery in health care systems. Though the implication of EPB have positive results and out come but still it is unrecognized and unaccepted in most of the health set ups of Pakistan.


The purpose of this study is to identify the barriers for not integrating EBP in health care delivery systems of Pakistan so reliable solutions can be identified for its implementation.


To identify the reasons of failure of EBP in Pakistan multiple interviews were conducted. The interviews were taken from the higher to the lower officials belong to private and government medical organizations of Karachi, Pakistan. The interviewers were asked for the permission through verbal consent to disseminate the findings.   The findings were further supported with the literature searched from the international Journals.


The interviews analyzed reveal that the barrier of implementation of EBP in Pakistani health care systems is the failure to change the existing system. Further, it was analyzed that the health care professionals are still unaware about EBP and they are untrained to implement it.


Hence, EBP is essential to improve the quality of health care delivery system and to improve the quality of services and care therefore; it should be implemented in Pakistan at earliest. In addition, it is recommended that the different frame works and models should be adopted to implement it. Furthermore, change theory should be considered while bringing this change in Pakistani health care settings.