Barriers in Evidence Based Nursing Care at Tertiary Care Hospital


  • Nazia Jokhio Nursing instructor, College of nursing Sir CJ Institute of Psychiatry Hyderabad
  • Lal Khan Keerio Voice Principal of Community Midwifery School, Hala, District Matiari
  • Shazia Nursing instructor, College of nursing Sir CJ Institute of Psychiatry Hyderabad
  • Asif Ali Senior resident, College of nursing LUMHS Jamshoro
  • Khushboo Chandio Lecturer at peoples nursing School, LUMHS Jamshoro
  • Jeetendar Manager Physiotherapist, Institute of Physiotherapy and Rehabilitation Science LUMHS/ Jamshoro


Barriers, nursing care, tertiary care Hospital


Background: The integration of evidence-based nursing within clinical settings holds paramount importance. Nurses and midwives have a pivotal role in incorporating current evidence. Nevertheless, the presence of inadequate support and obstacles in applying evidence-based practice obstructs the utilization of modern evidence in making clinical decisions. 

Objective: To determine the barriers in evidence-based nursing (EBN) care at tertiary care Hospital

Methodology: This cross-sectional study was conducted at clinical area of Liaquat university of Medical and Health Science, from October 2019 to March 2020. All the registered nurses working at tertiary care Hospital, nurses age of >25 years and nurses willing to participate in the study were included. All participants were interviewed regarding their demographic characteristics as age, educational status, work experience and socioeconomic status. Further these nurses were interviewed regarding barriers in EBN at tertiary care hospital. A self-made questionnaire has been developed to collect the data. All the information was collected on predesigned Performa.

Results:  In this study total 184 study participants were studied; the most common age group was 25-35 years. Males were 39.7% and females were 60.3%.  46.2% cases had work experience <5 years, 51.1% had 6- 10 years and 2.7% had work experience of >10 years. According to the barriers in EBN there was lack of human sources, access to internet and rich library, time, knowledge, autonomy change practices, lack ability to hard work, lack incentives and motivation, heavy work load, no cooperation physicians, Individual’s aspects, residential status, patient assessments and from the organization.

Conclusion: It is concluded that, nursing staff are facing different types of difficulties including shortness of nursing staff and other lower staff, autonomy change practices, lack of proper knowledge according to require work, not proper updating programing and lack of incentives, unavailability of internet sources at hostels and Hospitals, many physicians not cooperative and scolding and insulting.