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All Journal Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal MAHESA : Malahayati Health Student Journal Malahayati International Journal of Nursing and Health Science
Wiguna, Yutika
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Dentistry Education Health Professions Nursing Public Health Veterinary

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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
Impact of Nursing Interventions on Physical Recovery of Disaster Victims: A Scoping Review Wiguna, Yutika; Purwandi, Purwandi; Hartati, Tita; Satrio, Rizki Juniar Eko; Utami, Nisa; Sijabat, Pasuria Br; Indriati, Ririn; Trisyani, Yanny
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 15 No 3 (2025): Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal: Juli 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v15i3.3768

Abstract

Disasters, whether natural or human-induced, frequently lead to significant physical injuries and complex health conditions among affected populations. In such contexts, nurses serve as frontline responders who deliver critical care aimed at promoting physical recovery and preventing further complications. This scoping review explores and synthesizes existing literature on the impact of nursing interventions on the physical recovery of disaster victims. The review was conducted in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) guidelines. A systematic search was carried out in three major electronic databases PubMed, Scopus, and Web of Science targeting articles published between 2015 and 2025. The following Boolean search string was used: ((disasters) OR ("disaster victims") OR ("disaster survivors")) AND ((nurses) OR ("nursing intervention") OR ("nursing care")) AND (("physical recovery") OR ("wound healing") OR ("pain management") OR ("mobility improvement") OR ("quality of life")). Following the application of predefined inclusion and exclusion criteria, three studies were selected for the final synthesis. The findings reveal that nursing interventions such as wound care, pain management, infection control, physical rehabilitation, and health education play a vital role in enhancing the physical recovery of individuals affected by disasters. The success of these interventions is often shaped by factors including timeliness, cultural appropriateness, and interdisciplinary collaboration. In conclusion, this review underscores the essential contribution of nurses in disaster recovery efforts and highlights the need for continued development of evidence-based, culturally sensitive, and standardized nursing practices to optimize health outcomes in post-disaster settings.
Hydrotherapy as an evidence-based nursing intervention for managing type 2 diabetes mellitus: An integrative review Wiguna, Yutika; Nursiswati, Nursiswati; Ibrahim, Kusman
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 2 (2026): Volume 9 Number 2
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i2.2373

Abstract

Background: Type 2 diabetes mellitus (DM) is a major global health challenge. Effective management requires non pharmacological interventions in addition to medication. Hydrotherapy, a non invasive and affordable water-based therapy, shows promise in improving blood glucose, insulin sensitivity, and vascular function. This review identifies hydrotherapy interventions for type 2 DM and evaluates their clinical impact. Purpose: To analyze how to improve adherence in type 2 diabetes mellitus patients in implementing the five pillars of diabetes mellitus management. Method: This integrative reviews the size devidence on hydrotherapy for type 2 DM, guided by two questions: "what forms of hydrotherapy intervention are used in the management of type 2 diabetes mellitus?" and "What is the impact of hydrotherapy on clinical out comes for patients with type 2 diabetes mellitus?". The population, intervention, outcome (PIO) frame work was used. A systematic literature search was conducted across major electronic data bases (PubMed, Scopus, Web of Science, EBSCO host: Medline). Seventeen relevant studies were included after screening. Results: Hydrotherapy interventions include hot water baths/immersions, aquaticexercise, hot/cold compression, and oral water consumption. Aquatic exercise can lower HbA1c, fasting glucose, and insulin levels. Hot baths may reduce poor glycemic control and decrease fasting plasma glucose. The tests revealed animmediate decrease in blood glucose. Oral hydrotherapy improved the ankle brachial index. Hydrotherapy also improved quality of life, physical health and reduced stress. The benefits extend to lipid profiles and obesity , as well as blood flow, vascular function, pain, and mobility. Conclusion: Hydrotherapy is a potential complementary intervention for type 2 DM, offering benefits interms of glycemic control, vascular function, quality of life, and physical symptoms. Its non pharmacological, non invasive, afford able, and safe nature make sit a viable nursing option, especially in resource-limited are as. While nurses are crucial in its implementation, current studies have limitations interms of methodology, standardization, and long-term data. Further robust research is needed for widerad option.
Co-Authors Hartati, Tita Indriati, Ririn Kusman Ibrahim Mutiarasani, Ajani Nisa Utami, Nisa Nursiswati Pranata, Yodha Purwandi, Purwandi Saputra, Rizky Lukman Satrio, Rizki Juniar Eko Sijabat, Pasuria Br Yanny Trisyani Yuflih, Athaya Zafira