Methods: Data were collected by using focus groups with purposive sampling of recruiting evidence-based seeded nurses of the study hospital. The focus groups were organized between February 2018 and July December 2018. They were in high homogeneity and grouped into 4 to 5 focus groups by medicine divisions. Each group consists of 3 people in turn to be interviewed for 60 to 90 minutes per time section. In each focus group, an independent moderator instructed the guidelines with 7 semi-structural issues that were examined by 2 qualitative experts beforehand. The reliability (trustworthiness) proposed by Lincoln and Guba was used to adopt as the stringency control. Also, a content analysis were conducted on the data obtained.
Results: Three focus group interviews were used to collect the barriers and facilitators affecting the evidence-based practices from 16 seeded nurses. Three facilitators and six barriers were delineated from the focus interviews. Three facilitators were “evidence-based report included in nursing clinical ladder”, “head nurse’s sense about evidence-based practice”, and “ evidence-based practice as a team work”. Six barriers were: “fair English abilities”, “having difficulty in using medical database”、“having difficulty in judging level of evidence”, “the dedicated office have no enough function”, and “communication barriers among doctors and nurses”.
Conclusion: This study found that there were more barriers than facilitators in promoting evidence-based practice in a regional hospital. In order to facilitate the effectiveness of evidence-based practice, it suggests that the hospital should use its unique strategy to promote evidence-based practice. By accumulating experiences and evidence-based resources, it will be easier to promote evidence-based practice by degrees. Findings from this study provide as a reference for hospitals to promote evidence-based practice in Taiwan and worldwide.