Barriers and Facilitators of Research Finding Utilization in Healthcare: A Scoping Review
,
Abstract
Background: We aimed to identify and classify barriers and facilitators of implementation of research finding in healthcare.
Methods: A scoping review was conducted using Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA-ScR). Articles were extracted from online databases. The initial search was implemented on Jun, 2022, and updated until end of 2023. Two independent reviewers screened, selected, and extracted the data. Data were synthesized using thematic analysis.
Results: Overall, 32 studies from 3,435 documents met the inclusion criteria. From which 60 barriers and 45 facilitators were identified. The main barriers and facilitators extracted were grouped into eight components: Organization, Collaboration to knowledge utilization, Researcher role, Methodology and technical aspect of research, Management, Cultural and social determinants, Training, and Government and community. Organizational barriers and facilitators were the most concerning with insufficient attention, methodology and technical aspects of research were salient barriers, and the other components had similar roles.
Conclusion: This study directly addresses a gap in implementing the research findings in organizations. The government would benefit from knowledge implementation with respect to evidence utilization. Additionally, implementation knowledge was not transferred to healthcare practice to a sufficient extent, thus restricting the systematic use of implementation knowledge in practice.
1. Hashemi Sj, Ebadi GH.H (2006). The Exploring Ways For Utilizing Research Findings In Khouzesta Organization Of Eucation. J Edu Sci, 13(4):79-101. [In Persian]
2. Scott-Findlay S, Golden-Biddle K (2005). Understanding how organizational culture shapes research use. J Nurs Adm, 35(7-8):359-65.
3. Knapp H, Anaya HD (2012). Implementation science in the real world: a streamlined model. J Healthc Qual, 34(6):27-34.
4. Thamlikitkul V (2006). Bridging the gap between knowledge and action for health: case studies. Bull World Health Organ, 84(8):603-7.
5. Matthew-Maich N, Ploeg J, Jack S, Dobbins M (2010). Transformative learning and research utilization in nursing practice: a missing link?. Worldviews Evid Based Nurs, 7(1):25-35.
6. Shabankareh K, Mojiri S, Soleymani MR and et al (2022). Strategies, facilitators, and barriers to interaction between health researchers and policy makers: Protocol for a systematic review. J Educ Health Promot, 11:235.
7. Squires JE, Estabrooks CA, Gustavsson P, Wallin L (2011). Individual determinants of research utilization by nurses: a systematic review update. Implement Sci, 6:1.
8. Khalil H (2016). Knowledge translation and implementation science: what is the difference?. Int J Evid Based Healthc, 14(2):39-40.
9. Glasgow RE, Vinson C, Chambers D, et al (2012). National Institutes of Health approaches to dissemination and implementation science: current and future directions.
Am J Public Health, 102(7):1274-81.
10. Cummings GG, Hutchinson AM, Scott SD, et al (2010). The relationship between characteristics of context and research utilization in a pediatric setting. BMC Health Serv Res, 10:168.
11. Hemsley‐Brown J (2004). Facilitating research utilisation: A cross‐sector review of research evidence. International Journal of Public Sector Management, 17(6):534-552.
12. Bach-Mortensen AM, Lange BC, Montgomery P (2018). Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review. Implement Sci, 13(1):103.
13. Olswang LB, Prelock PA (2015). Bridging the gap between research and practice: Implementation science. J Speech Lang Hear Res, 58(6):S1818-26.
14. Kitson AL, Rycroft-Malone J, Harvey G, et al (2008). Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implement Sci, 3:1.
15. Loutfy M, Tharao W, Kazemi M, et al (2021). Development of the Canadian Women-Centred HIV Care Model Using the Knowledge-to-Action Framework. J Int Assoc Provid AIDS Care, 20: 2325958221995612.
16. Tinc PJ, Gadomski A, Sorensen JA, et al (2018). Adapting the T0-T4 implementation science model to occupational health and safety in agriculture, forestry, and fishing: A scoping review. Am J Ind Med, 61(1):51-62.
17. Marten R, Mikkelsen B, Shao R, et al (2021). Committing to implementation research for health systems to manage and control non-communicable diseases. Lancet Glob Health, 9(2):e108-e109.
18. Tricco AC, Cardoso R, Thomas SM, et al (2016). Barriers and facilitators to uptake of systematic reviews by policy makers and health care managers: a scoping review. Implement Sci, 11:4.
19. Ramaswamy R, Chirwa T, Salisbury K, et al (2020). Developing a field of study in implementation science for the Africa region: The Wits–UNC AIDS Implementation Science Fogarty D43. Pedagogy Health Promot, 6(1):46-55.
20. Jabonete FGV, Roxas REO (2022). Barriers to Research Utilization in Nursing: A Systematic Review (2002-2021). SAGE Open Nurs, 8: 23779608221091073.
21. Berthelsen C, Hølge-Hazelton B (2021). The Importance of Context and Organization Culture in the Understanding of Nurses' Barriers Against Research Utilization: A Systematic Review. Worldviews Evid Based Nurs, 18(2):111-117.
22. Tricco AC, Lillie E, Zarin W, et al (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med, 169(7):467-73.
23. Levac D, Colquhoun H, O'Brien KK (2010). Scoping studies: advancing the methodology. Implement Sci, 5:69.
24. Hong QN, Fàbregues S, Bartlett G, et al (2018). The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information, 34 (4):285-291.
25. Mahdian H (1992). The status of utilization of research finding in Iran. Rahyaft, 2(3). [In Persian]
26. Nilsson Kajermo K, Nordström G, Krusebrant A, et al (1998). Barriers to and facilitators of research utilization, as perceived by a group of registered nurses in Sweden. J Adv Nurs, 27(4):798-807.
27. Parahoo K (2000). Barriers to, and facilitators of, research utilization among nurses in Northern Ireland. J Adv Nurs, 31(1):89-98.
28. Craik J, Rappolt S (2003). Theory of research utilization enhancement: A model for occupational therapy. Can J Occup Ther, 70(5):266-75.
29. Hasanzdeh R (2005). Evaluating barriers and faciliators in theutilization of research findings by universities and executive organizations. J Educ, 20(4):39-.[In Persian]
30. Abedi A, Oreizi H, Shavakhi AR (2005). Meta-analysis of influential factors on application of research increment in ministry of education. Journal of Educational Innovations, 4(2):109-33. [In Persian]
31. Meijers JM, Janssen MA, Cummings GG, et al (2006). Assessing the relationships between contextual factors and research utilization in nursing: systematic literature review. J Adv Nurs, 55(5):622-35.
32. Thompson DR, Chau JP, Lopez V (2006). Barriers to, and facilitators of, research utilisation: a survey of Hong Kong registered nurses. Int J Evid Based Healthc, 4(2):77-82.
33. Mehrdad N, Salsali MA, Kazemnejad AN (2007). Nurses' attitudes toward research utilization in clinical practice. Hayat, 13(2):41-52. [In Persian]
34. Peterson JC, Rogers EM, Cunningham-Sabo L, et al (2007). A framework for research utilization applied to seven case studies. Am J Prev Med, 33(1 Suppl):S21-34.
35. Matin N (2007). The Extent of Utilizing Research Findings in the Educational System. Quart J Educ, 22(4).
36. Estabrooks CA, Scott S, Squires JE, et al (2008). Patterns of research utilization on patient care units. Implement Sci, 3:31. [In Persian]
37. Hasanzadeh R (2008). Barriers to the utilization of research in organizations and how confronting them. Farabi International Festival. Available from http://farabiaward.ir.
38. Elliott V, Wilson SE, Svensson J, et al (2009). Research utilisation in sonographic practice: Attitudes and barriers. Radiography, 15(3):187-95.
39. Amini K, Taghiloo G, Bagheri H, et al (2011). Nurses' Perceptions of Barriers to Nursing Research Utilization in Clinical Environment in Zanjan Hospitals, 2010. J Adv Med Biomed Res, 19(76):107-116. [In Persian]
40. Latifi S, Khalilpour A, Rabiee OL, et al (2012). Barriers to research utilization among clinical nurses. J Mazandaran Univ Med Sci, 22(89):87-95. [In Persian]
41. Ahmadi M, Rasoolzadeaghdam S, Mohammadifar Y (2012). The obstacles and solutions in using human sciences research. Interdisciplinary Studies in the Humanities, 4(2):17-34.
42. Rezaei A, Hosseini MA, Mehrdad N (2012). The influential factors in profiting the research evidences and results in clinical practice by rehabilitation practitioners. Journal of Rehabilitation, 13(3):50-60. [In Persian]
43. Braithwaite J, Marks D, Taylor N (2014). Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. Int J Qual Health Care, 26(3):321-9.
44. Mohammadpour A, Khosravan S, Mansourian MR, et al (2014). Nurses’ Opinion towards Barriers and Facilitators of Clinical Utilization of Research Results among nurses of teaching hospitals in gonabad 2013. J Med Edu Dev, 7(15):103-16. [In Persian]
45. Humphries S, Stafinski T, Mumtaz Z, et al (2014). Barriers and facilitators to evidence-use in program management: a systematic review of the literature. BMC Health Serv Res, 14:171.
46. Bashiri J, Gilvari A, F K (2015). The Application of the Results of Research Projects of the Agricultural Research, Education and Extension Organization as Viewed by the Researchers. Sciences and Techniques of Information Management, 1(1):47-68. [In Persian]
47. Eriksson L, Bergström A, Hoa DTP, et al (2017). Sustainability of knowledge implementation in a low-and middle-income context: experiences from a facilitation project in Vietnam targeting maternal and neonatal health. PLoS One, 12(8):e0182626.
48. Zamaanimanesh H, Musavi A’zam (2016). Survey of Teachers’ Perspectives on Barriers of Implementing the Research Findings to Education System. Educational and Scholastic studies, 5(1):99-133. [In Persian]
49. Wolfenden L, Reilly K, Kingsland M, et al (2019). Identifying opportunities to develop the science of implementation for community-based non-communicable disease prevention: a review of implementation trials. Prev Med, 118:279-285.
50. Selove R, Neil-Sztramko S, Leng J, et al (2020). Use of implementation science in tobacco control intervention studies in the USA between 2000 and 2020: a scoping review protocol. BMJ Open, 10(11):e038617.
51. Campione E, Wampler-Kuhn M, Fisher MI (2021). Translating evidence into practice through knowledge implementation. Rehabil Oncol, 39(2):103-10.
52. Schwartz SR, Smith J, Hoffmann C, et al (2021). Implementing implementation research: teaching implementation research to HIV researchers. Curr HIV/AIDS Rep, 18(3):186-97.
53. Dagne AH, Tebeje H, Demewozu M (2021). Research utilisation in clinical practice: the experience of nurses and midwives working in public hospitals. Reprod Health, 18(1):62.
54. Kumar A, Ray AB, Blanchard C (2022). Use of research evidence varied in efforts to expand specific pharmacist autonomous prescriptive authority: an evaluation and recommendations to increase research utilization. Health Res Policy Syst, 20(1):1.
55. Damba FU, Mtshali NG, Chimbari MJ (2022). Barriers and facilitators of translating health research findings into policy in sub-Saharan Africa: A Scoping Review. Palgrave Communications, 9(1):1-15.
56. Zhao J, Bai W, Zhang Q, et al (2022). Evidence-based practice implementation in healthcare in China: a living scoping review. Lancet Reg Health West Pac, 20:100355.
57. Hennink M, Stephenson R (2005). Using research to inform health policy: barriers and strategies in developing countries. J Health Commun, 10(2):163-80.
58. Rycroft‐Malone J, Harvey G, et al (2004). An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs, 13(8):913-24.
59. Gifford WA, Squires JE, Angus DE, et al (2018). Managerial leadership for research use in nursing and allied health care professions: a systematic review. Implement Sci, 13(1):127.
2. Scott-Findlay S, Golden-Biddle K (2005). Understanding how organizational culture shapes research use. J Nurs Adm, 35(7-8):359-65.
3. Knapp H, Anaya HD (2012). Implementation science in the real world: a streamlined model. J Healthc Qual, 34(6):27-34.
4. Thamlikitkul V (2006). Bridging the gap between knowledge and action for health: case studies. Bull World Health Organ, 84(8):603-7.
5. Matthew-Maich N, Ploeg J, Jack S, Dobbins M (2010). Transformative learning and research utilization in nursing practice: a missing link?. Worldviews Evid Based Nurs, 7(1):25-35.
6. Shabankareh K, Mojiri S, Soleymani MR and et al (2022). Strategies, facilitators, and barriers to interaction between health researchers and policy makers: Protocol for a systematic review. J Educ Health Promot, 11:235.
7. Squires JE, Estabrooks CA, Gustavsson P, Wallin L (2011). Individual determinants of research utilization by nurses: a systematic review update. Implement Sci, 6:1.
8. Khalil H (2016). Knowledge translation and implementation science: what is the difference?. Int J Evid Based Healthc, 14(2):39-40.
9. Glasgow RE, Vinson C, Chambers D, et al (2012). National Institutes of Health approaches to dissemination and implementation science: current and future directions.
Am J Public Health, 102(7):1274-81.
10. Cummings GG, Hutchinson AM, Scott SD, et al (2010). The relationship between characteristics of context and research utilization in a pediatric setting. BMC Health Serv Res, 10:168.
11. Hemsley‐Brown J (2004). Facilitating research utilisation: A cross‐sector review of research evidence. International Journal of Public Sector Management, 17(6):534-552.
12. Bach-Mortensen AM, Lange BC, Montgomery P (2018). Barriers and facilitators to implementing evidence-based interventions among third sector organisations: a systematic review. Implement Sci, 13(1):103.
13. Olswang LB, Prelock PA (2015). Bridging the gap between research and practice: Implementation science. J Speech Lang Hear Res, 58(6):S1818-26.
14. Kitson AL, Rycroft-Malone J, Harvey G, et al (2008). Evaluating the successful implementation of evidence into practice using the PARiHS framework: theoretical and practical challenges. Implement Sci, 3:1.
15. Loutfy M, Tharao W, Kazemi M, et al (2021). Development of the Canadian Women-Centred HIV Care Model Using the Knowledge-to-Action Framework. J Int Assoc Provid AIDS Care, 20: 2325958221995612.
16. Tinc PJ, Gadomski A, Sorensen JA, et al (2018). Adapting the T0-T4 implementation science model to occupational health and safety in agriculture, forestry, and fishing: A scoping review. Am J Ind Med, 61(1):51-62.
17. Marten R, Mikkelsen B, Shao R, et al (2021). Committing to implementation research for health systems to manage and control non-communicable diseases. Lancet Glob Health, 9(2):e108-e109.
18. Tricco AC, Cardoso R, Thomas SM, et al (2016). Barriers and facilitators to uptake of systematic reviews by policy makers and health care managers: a scoping review. Implement Sci, 11:4.
19. Ramaswamy R, Chirwa T, Salisbury K, et al (2020). Developing a field of study in implementation science for the Africa region: The Wits–UNC AIDS Implementation Science Fogarty D43. Pedagogy Health Promot, 6(1):46-55.
20. Jabonete FGV, Roxas REO (2022). Barriers to Research Utilization in Nursing: A Systematic Review (2002-2021). SAGE Open Nurs, 8: 23779608221091073.
21. Berthelsen C, Hølge-Hazelton B (2021). The Importance of Context and Organization Culture in the Understanding of Nurses' Barriers Against Research Utilization: A Systematic Review. Worldviews Evid Based Nurs, 18(2):111-117.
22. Tricco AC, Lillie E, Zarin W, et al (2018). PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med, 169(7):467-73.
23. Levac D, Colquhoun H, O'Brien KK (2010). Scoping studies: advancing the methodology. Implement Sci, 5:69.
24. Hong QN, Fàbregues S, Bartlett G, et al (2018). The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers. Education for Information, 34 (4):285-291.
25. Mahdian H (1992). The status of utilization of research finding in Iran. Rahyaft, 2(3). [In Persian]
26. Nilsson Kajermo K, Nordström G, Krusebrant A, et al (1998). Barriers to and facilitators of research utilization, as perceived by a group of registered nurses in Sweden. J Adv Nurs, 27(4):798-807.
27. Parahoo K (2000). Barriers to, and facilitators of, research utilization among nurses in Northern Ireland. J Adv Nurs, 31(1):89-98.
28. Craik J, Rappolt S (2003). Theory of research utilization enhancement: A model for occupational therapy. Can J Occup Ther, 70(5):266-75.
29. Hasanzdeh R (2005). Evaluating barriers and faciliators in theutilization of research findings by universities and executive organizations. J Educ, 20(4):39-.[In Persian]
30. Abedi A, Oreizi H, Shavakhi AR (2005). Meta-analysis of influential factors on application of research increment in ministry of education. Journal of Educational Innovations, 4(2):109-33. [In Persian]
31. Meijers JM, Janssen MA, Cummings GG, et al (2006). Assessing the relationships between contextual factors and research utilization in nursing: systematic literature review. J Adv Nurs, 55(5):622-35.
32. Thompson DR, Chau JP, Lopez V (2006). Barriers to, and facilitators of, research utilisation: a survey of Hong Kong registered nurses. Int J Evid Based Healthc, 4(2):77-82.
33. Mehrdad N, Salsali MA, Kazemnejad AN (2007). Nurses' attitudes toward research utilization in clinical practice. Hayat, 13(2):41-52. [In Persian]
34. Peterson JC, Rogers EM, Cunningham-Sabo L, et al (2007). A framework for research utilization applied to seven case studies. Am J Prev Med, 33(1 Suppl):S21-34.
35. Matin N (2007). The Extent of Utilizing Research Findings in the Educational System. Quart J Educ, 22(4).
36. Estabrooks CA, Scott S, Squires JE, et al (2008). Patterns of research utilization on patient care units. Implement Sci, 3:31. [In Persian]
37. Hasanzadeh R (2008). Barriers to the utilization of research in organizations and how confronting them. Farabi International Festival. Available from http://farabiaward.ir.
38. Elliott V, Wilson SE, Svensson J, et al (2009). Research utilisation in sonographic practice: Attitudes and barriers. Radiography, 15(3):187-95.
39. Amini K, Taghiloo G, Bagheri H, et al (2011). Nurses' Perceptions of Barriers to Nursing Research Utilization in Clinical Environment in Zanjan Hospitals, 2010. J Adv Med Biomed Res, 19(76):107-116. [In Persian]
40. Latifi S, Khalilpour A, Rabiee OL, et al (2012). Barriers to research utilization among clinical nurses. J Mazandaran Univ Med Sci, 22(89):87-95. [In Persian]
41. Ahmadi M, Rasoolzadeaghdam S, Mohammadifar Y (2012). The obstacles and solutions in using human sciences research. Interdisciplinary Studies in the Humanities, 4(2):17-34.
42. Rezaei A, Hosseini MA, Mehrdad N (2012). The influential factors in profiting the research evidences and results in clinical practice by rehabilitation practitioners. Journal of Rehabilitation, 13(3):50-60. [In Persian]
43. Braithwaite J, Marks D, Taylor N (2014). Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. Int J Qual Health Care, 26(3):321-9.
44. Mohammadpour A, Khosravan S, Mansourian MR, et al (2014). Nurses’ Opinion towards Barriers and Facilitators of Clinical Utilization of Research Results among nurses of teaching hospitals in gonabad 2013. J Med Edu Dev, 7(15):103-16. [In Persian]
45. Humphries S, Stafinski T, Mumtaz Z, et al (2014). Barriers and facilitators to evidence-use in program management: a systematic review of the literature. BMC Health Serv Res, 14:171.
46. Bashiri J, Gilvari A, F K (2015). The Application of the Results of Research Projects of the Agricultural Research, Education and Extension Organization as Viewed by the Researchers. Sciences and Techniques of Information Management, 1(1):47-68. [In Persian]
47. Eriksson L, Bergström A, Hoa DTP, et al (2017). Sustainability of knowledge implementation in a low-and middle-income context: experiences from a facilitation project in Vietnam targeting maternal and neonatal health. PLoS One, 12(8):e0182626.
48. Zamaanimanesh H, Musavi A’zam (2016). Survey of Teachers’ Perspectives on Barriers of Implementing the Research Findings to Education System. Educational and Scholastic studies, 5(1):99-133. [In Persian]
49. Wolfenden L, Reilly K, Kingsland M, et al (2019). Identifying opportunities to develop the science of implementation for community-based non-communicable disease prevention: a review of implementation trials. Prev Med, 118:279-285.
50. Selove R, Neil-Sztramko S, Leng J, et al (2020). Use of implementation science in tobacco control intervention studies in the USA between 2000 and 2020: a scoping review protocol. BMJ Open, 10(11):e038617.
51. Campione E, Wampler-Kuhn M, Fisher MI (2021). Translating evidence into practice through knowledge implementation. Rehabil Oncol, 39(2):103-10.
52. Schwartz SR, Smith J, Hoffmann C, et al (2021). Implementing implementation research: teaching implementation research to HIV researchers. Curr HIV/AIDS Rep, 18(3):186-97.
53. Dagne AH, Tebeje H, Demewozu M (2021). Research utilisation in clinical practice: the experience of nurses and midwives working in public hospitals. Reprod Health, 18(1):62.
54. Kumar A, Ray AB, Blanchard C (2022). Use of research evidence varied in efforts to expand specific pharmacist autonomous prescriptive authority: an evaluation and recommendations to increase research utilization. Health Res Policy Syst, 20(1):1.
55. Damba FU, Mtshali NG, Chimbari MJ (2022). Barriers and facilitators of translating health research findings into policy in sub-Saharan Africa: A Scoping Review. Palgrave Communications, 9(1):1-15.
56. Zhao J, Bai W, Zhang Q, et al (2022). Evidence-based practice implementation in healthcare in China: a living scoping review. Lancet Reg Health West Pac, 20:100355.
57. Hennink M, Stephenson R (2005). Using research to inform health policy: barriers and strategies in developing countries. J Health Commun, 10(2):163-80.
58. Rycroft‐Malone J, Harvey G, et al (2004). An exploration of the factors that influence the implementation of evidence into practice. J Clin Nurs, 13(8):913-24.
59. Gifford WA, Squires JE, Angus DE, et al (2018). Managerial leadership for research use in nursing and allied health care professions: a systematic review. Implement Sci, 13(1):127.
| Files | ||
| Issue | Vol 53 No 12 (2024) | |
| Section | Review Article(s) | |
| Keywords | ||
| Research finding utilization Implementation Scoping review Knowledge implementation | ||
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How to Cite
1.
Zareivenovel M, Nemati-Anaraki L, Asadzandi S. Barriers and Facilitators of Research Finding Utilization in Healthcare: A Scoping Review. Iran J Public Health. 2024;53(12):2646-2658.
