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All Journal MAHESA : Malahayati Health Student Journal Malahayati International Journal of Nursing and Health Science
Pranata, Yodha
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Dentistry Health Professions Nursing Public Health

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From Theory to Practice: A Qualitative Scoping Review on Nurses' Barriers in Implementing Evidence-Based Practice in Hospitals Pranata, Yodha; Yuflih, Athaya Zafira; Saputra, Rizky Lukman; Mutiarasani, Ajani; Wiguna, Yutika; Hartati, Tita
MAHESA : Malahayati Health Student Journal Vol 5, No 7 (2025): Volume 5 Nomor 7 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i7.18886

Abstract

ABSTRACT Evidence-based practice (EBP) is essential for improving healthcare quality and clinical outcomes. However, nurses face significant barriers to implementing EBP in hospital settings, ranging from individual knowledge gaps to systemic challenges. Addressing these barriers is crucial for bridging the gap between research and practice. This scoping review aims to identify and synthesize qualitative evidence on the barriers nurses face in implementing EBP in hospitals and to provide actionable insights to guide policy and practice improvements. A qualitative scoping review was conducted using a systematic search strategy across four databases (Scopus, PubMed, EBSCOhost) based on the PCC framework. Articles were included if they employed a qualitative design, focused on nurses' experiences with EBP, and were available in full text. Nine articles meeting the inclusion criteria were analyzed thematically using the Braun and Clarke approach. Thematic analysis revealed key barriers to EBP implementation: Lack of Institutional and Managerial Support, Time Constraints in Implementing EBP, Lack of Access to Resources and Information, Knowledge and Training Gaps in EBP, Tradition-Based and Intuition-Based Practice Culture in EBP, Low Motivation and Self-Confidence in Implementing EBP, and Barriers in Language and Understanding of Scientific Evidence.  Overcoming barriers to EBP in nursing practice demands a multifaceted approach that combines policy support, resource allocation, and capacity building. These strategies are vital for fostering a culture of evidence-based care in hospital settings. Keywords: Evidence-Based Practice (EBP), EBP Implementation, Nursing Barriers, Healthcare Implementation
Refractory hyperglycemia in a geriatric patient with diabetic ketoacidosis: A critical care nursing case report Pranata, Yodha; Winara, Winara; Rizkianti, Intan; Maryam, Nina; Prawesti, Ayu
Malahayati International Journal of Nursing and Health Science Vol. 8 No. 7 (2025): Volume 8 Number 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v8i7.1005

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Background: Refractory hyperglycemia in diabetic ketoacidosis (DKA) presents a critical challenge in geriatric patients due to multifactorial physiological and clinical complexities. Early recognition and integrated management are essential, with critical care nursing as a pivotal component. Purpose: This case report aims to describe and analyze the multifactorial causes of refractory hyperglycemia in a geriatric DKA patient, highlighting the importance of early detection, comprehensive correction, and collaborative nursing roles. Method: A descriptive analytic approach was employed to examine the clinical course of a 75-year-old woman with DKA and persistent hyperglycemia. Data were collected from direct patient observation, systematic physical examinations, laboratory assessments, imaging, and multidisciplinary clinical records. Daily therapeutic interventions and patient responses were meticulously documented. Results: Persistent hyperglycemia resulted from several interacting factors: the impact of glucocorticoids on glycemic control, effects of severe pulmonary infection on insulin resistance, the role of electrolyte disturbances in exacerbating hyperglycemia, the relationship between heart failure and diuretic use, the impact of malnutrition and sarcopenia on insulin resistance, and the need for an integrated therapeutic approach. Each factor contributed to increased insulin resistance and complicated glycemic control. Conclusion: Optimal management of refractory hyperglycemia in elderly DKA patients requires early identification and simultaneous correction of underlying factors, supported by intensive critical care nursing and multidisciplinary collaboration.
The Impact of Virtual Reality Simulation Training on Nurses’ Competency in Disaster Management: A Scoping Review Pranata, Yodha; Winara, Winara; Susanti, Vera; Pratitis, Izzati Adha; Peni, Inggried Angelica Valentina Wiliyams; Maryam, Nina; Pamungkas, Sultan Muhammad Wahyu; Trisyani, Yanny
MAHESA : Malahayati Health Student Journal Vol 6, No 3 (2026): Volume 6 Nomor 3 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i3.21312

Abstract

ABSTRACT Nurses are pivotal in disaster management. Suboptimal preparedness impairs response, communication, and patient safety. Virtual Reality-based training can enhance clinical skills, readiness, and decision-making, yet logistical and cost challenges persist. This scoping review aims to map evidence on the impact of Virtual Reality Simulation (VRS) in enhancing nurses’ competency in disaster management. The methodology framework utilized in this scoping review followed Arksey and O'Malley's approach. Literature was systematically searched across PubMed, Scopus, and EBSCO using keywords: nurses, Virtual Reality Simulation Training, nurses’ competency, and disaster management. Inclusion criteria required English-language publications. All extracted data were systematically tabulated to facilitate comparative analysis and thematic synthesis. A total of 164 articles were identified, nine studies met the inclusion criteria and were selected for this scoping review. VR training consistently improved nurses’ disaster preparedness, response capabilities, knowledge, and satisfaction compared to traditional methods. Immersive VR enhances practical skills, decision-making, and engagement, despite challenges related to resources, infrastructure, and standardization. VR-based training enhances nurses’ disaster preparedness more effectively than conventional methods. Despite its benefits, the widespread adoption of this approach is hindered by infrastructure, resource demands, and technical limitations in developing realistic simulation environments. Keywords: Disaster Management, Disaster Preparedness, Nurse’s Competency, Simulation Training, Virtual Reality.
Co-Authors Hartati, Tita Maryam, Nina Mutiarasani, Ajani Pamungkas, Sultan Muhammad Wahyu Peni, Inggried Angelica Valentina Wiliyams Pratitis, Izzati Adha Priambodo, Ayu Prawesti Rizkianti, Intan Saputra, Rizky Lukman Susanti, Vera Wiguna, Yutika Winara, Winara Yanny Trisyani Yuflih, Athaya Zafira