Table 4

Ranking of barriers to evidence-based practice
Rank Item Mean score (SD)
Barriers to finding and reviewing evidence1
1 I do not have sufficient time to find research reports 2.29 (0.9)
2 I do not have sufficient time to find organizational information (guidelines, protocols etc.) 2.35 (0.9)
3 I do not feel confident in judging the quality of research reports 2.65 (1.0)
4 I think that understanding English-language research reports is especially difficult 2.83 (1.1)
5 I find it difficult to identify the implications of research findings for my own practice 2.90 (0.9)
6 Organizational information (protocols, guidelines etc.) is not easy to find 2.94 (0.9)
7 Research reports are not easy to find 2.99 (0.9)
8 I find it difficult to identify the implications of organizational information (protocols, guidelines etc.) for my own practice 3.06 (0.9)
9 I find it difficult to understand research reports 3.10 (0.9)
10 I do not know how to find organizational information (protocols, guidelines etc.) 3.23 (1.1)
11 I do not know how to find appropriate research reports 3.44 (1.1)
Barriers to changing practice on the basis of ‘best’ evidence1
1 There is insufficient time at work to implement changes in practice 2.88 (1.0)
2 There are insufficient resources (e.g. equipment) to change practice 3.08 (0.8)
3 I lack the authority in the workplace to change practice 3.26 (0.8)
4 I do not feel confident about beginning to change my practice 3.30 (0.9)
5 The culture of my team is not receptive to changing practice 3.76 (0.8)
Colleagues supporting you in changing practice2
1 Doctors with whom I work are supportive of my changing practice 2.86 (0.7)
2 Nurse managers are supportive of my changing practice 2.57 (0.8)
3 Nursing colleagues are supportive of my changing practice 2.55 (0.7)
4 Practice managers are supportive of my changing practice 2.48 (0.7)

Note: SD, standard deviation.

1Each item is scored as follows: 1 = never; 2 = seldom; 3 = sometimes; 4 = frequently; 5 = Always.

2Each item is scored as follows: 5 = never; 4 = seldom; 3 = sometimes; 2 = frequently; 1 = Always.

Dalheim et al.

Dalheim et al. BMC Health Services Research 2012 12:367   doi:10.1186/1472-6963-12-367

Open Data