Information computer technology resources and skills are vital for effective implementation of evidence based practice in nephrology nursing

Abstract

ObjectiveThe ability of nurses to generate evidence, appraise and apply it in daily activities is a notable change and a catalyst that will ensure the uptake of EBP. The application of EBP is however a complex process that is impeded by many challenges including information computer technology. This article aims to explicate challenges of ICT that hinders implementation of EBP in Public Hospital nephrology units and describe recommendations that would facilitate its adoption. MethodsA qualitative, exploratory, and contextual design was followed, in which a total of 43 nephrology specialist nurses working in Gauteng Academic hospitals participated in the study on challenges faced by nephrology nurses regarding implementing EBP. Participants were divided into three groups identified as experts, nephrology specialist nurses and the leaders in the nephrology units. ResultsBoth organizational and human resource factors were identified to be impeding successful implementation of EBP. Challenges of infrastructure constraints and application of ICT skills were observed in hospitals. Internet provision was inconsistently applied and there was uneven allocation of computers. Training and development programs for ICT was absent. Human relations qualities such as resistance to adopt EBP, lack of ICT skills and resistance to change were found to be impacting on the delivery of EBP by nephrology nurses.