BARRIERS AND PERCEIVED NEEDS FOR
UNDERSTANDING AND USING RESEARCH AMONG
EMERGENCY NURSES
Authors: Garrett K. Chan, PhD, APRN, FPCN, FAEN, Susan Barnason, PhD, RN, APRN-CNS, CEN, CCRN,
Cynthia L. Dakin, PhD, RN, Gordon Gillespie, PhD, RN, CEN, FAEN, Mary C. Kamienski, PhD, APRN, FAEN,
Stephen Stapleton, PhD, RN, CEN, Jennifer Williams, MSN, RN, CEN, Altair Juarez, MPH, and Suling Li, PhD, RN,
San Francisco, CA
Earn Up to 11.0 Hours. See page 116.
Introduction: Nurses are involved in conducting research
and incorporating evidence into their practice. However,
barriers exist at the individual, unit, and organizational level
related to understanding, conducting, and evaluating the
evidence. The Emergency Nurses Association (ENA)
conducted a study to understand levels of education in
research, the extent of experience, and needs and barriers
to research at the individual and organizational levels in
emergency nursing.
Methods: A cross-sectional survey design was used to poll
members of the ENA. A 62-item survey instrument was
designed to assess five areas: 1) nurses’ research values,
skills, experience, and awareness; 2) organizational settings’
opportunities, barriers, and limitations to research; 3) nurses'
understanding and comprehension of research and evidence;
4) presentation and accessibility of research; and 5)
continuing educational topics to improve knowledge of the
research process.
Results: Respondents (n = 948) identified barriers at the
individual level that included lack of knowledge about critiquing
research studies and familiarity with the research process.
Barriers at the unit level included obtaining help from
administrators and other staff in starting a project or having
the authority to change practice. Barriers at the institution
level included lack of support systems such as protected time
to conduct research or implement changes in practice.
Discussion: Emergency nurses are highly motivated and
interested in learning more about conducting and utilizing
research to improve practice. Perceived personal, unit-based,
and organizational barriers were identified through this
research in an effort to highlight areas for improvement at
the local and national levels.
U
nderstanding and using nursing research comprise
an essential step in the process for research utili-
zation and implementation of evidence-based
practice. Nurses are more interested in conducting research
and incorporating evidence into their clinical practice. Fac-
tors contributing to this increased interest include the
need for nursing research activities to meet requirements
for Magnet recognition,
1
nursing interest in grounding
their practices in evidence shown to be beneficial, and
the testing of protocols developed to ensure or increase
Garrett K. Chan, Member, Loma Prieta Chapter, is Lead Advanced Practice
Nurse, Stanford Hospital & Clinics, and Associate Clinical Professor,
University of California, San Francisco, CA.
Susan Barnason, Member, Nebraska Chapter, is Professor of Nursing,
University of Nebraska Medical Center College of Nursing, Omaha, NE.
Cynthia L. Dakin, Member, Connecticut Chapter, is Associate Professor and
Director of Graduate Nursing Studies, Elms College, Chicopee, MA.
Gordon Gillespie, Member, Greater Cincinnati Chapter, is an Assistant
Professor, University of Cincinnati, Cincinnati, OH.
Mary C. Kamienski, Member, Northern New Jersey Chapter, is Assistant
Dean for Graduate Programs and Associate Professor, University of Medicine
& Dentistry of New Jersey, Piscataway, NJ.
Stephen Stapleton, Member, Illinois State Council, is an Assistant Professor at
the Mennonite College of Nursing, Illinois State University, Normal, IL.
Jennifer Williams, Member, Greater St. Louis Chapter, Clinical Nurse
Specialist Barnes-Jewish Hospital, St. Louis, MO.
Altair Juarez is Senior Research Associate, Emergency Nurses Association.
Suling Li is the Director of the Institute for Emergency Nursing Research,
Emergency Nurses Association.
For correspondence, write: Suling Li, RN, PhD, Department of Research,
Emergency Nurses Association, 915 Lee St, Des Plaines, IL 60016-6569;
E-mail: res@ena.org.
J Emerg Nurs 2011;37:24-31.
0099-1767/$36.00
Copyright © 2011 Emergency Nurses Association. Published by Elsevier Inc.
All rights reserved.
doi: 10.1016/j.jen.2009.11.016
RESEARCH
24 JOURNAL OF EMERGENCY NURSING VOLUME 37 • ISSUE 1 January 2011