Vol. 6, Issue 3, Part A (2023)

Background: EBP is defined as the use of research evidence, clinical judgement and patient’s values and needs to improve patent’s quality of care and health. However, its is use across the world is relative to the countries healthcare system, culture of the people, and the amount of available resources.

Aim: The objectives of this study are to describe the hurdles to EBP implementation internationally and to compare the hurdles in different contexts in order to determine the approaches for the promotion of EBP crosswise for healthcare settings.

Methods: The literature review was done to establish the challenges to EBP primarily in cultural perspective, organization and resources. This study also assess the impact of education and policy in promoting or changing the nursing practice in high income countries and LMICs.

Results: Of the frameworks analysed, Remmer and Isenberg have listed some of the barriers to EBP adoption: access to literature, training, health system structures, and culture. High-income countries are favorably placed in terms of resources and policies while challenging constraints exist for LMICs. The strategies toward narrowing the research-practice divide are education, local protocols, and international coalition.

Conclusion: To eliminate disparities in utilization of EBP across the globe, solutions need to be fashioned out based on some challenges that are unique of regions. These provide knowledge and support for policy makers and managers of education and resource to advocate for evidence-based practice in healthcare systems worldwide.