EBP Learning Module

Appraise, Apply, and Assess the Evidence

Barriers and enablers to evidence-based practice

Evidence-based practice (EBP) is dependent on more than just finding evidence. There are important factors that will influence the extent to which evidence is translated into practice. These factors are summarised below.

Ability to access and assess evidence	Introducing EBP is dependent on individuals possessing the ability to locate and appraise appropriate information to answer their clinical questions.
Local Environment	The environment may help or hinder the introduction of EBP, such as access to electronic clinical information, and the development of local policy. The suitability of the physical environment may affect the extent of change.
Workplace culture	Support for change, effective communication, positive staff attitudes, and well developed change management skills will influence the ability to change practice.
Barriers and enablers to EBP	Introducing EBP involves change. Various barriers and enablers might be encountered when attempting to change practice. Barriers and enablers to change can occur across different levels of healthcare and at different times.
Patient values, concerns and expectations	Patients may expect and request improved services or specific treatments as a result of increased knowledge about evidence-based healthcare. Patients may also refuse recommended treatments for social, cultural, or religious reasons.
Financial and human resources	Cost is always a consideration in any health service. New treatments may not be introduced for some time due to lack of funds or shortage of necessary resources.
Clinical skills	The skills of clinicians my enable or restrict the introduction of evidence-based care. Change may be delayed while new skills and knowledge are developed.