Two relevant skills are important for making contribution in the clinical care in such scenarios. These are ability to examine the evidence in support of the proposed course of treatments and the ability to use the evidence in practice. However, extracting evidence from research is not easy so it can be used straightforward for clinical decision making. Although it is a commonly held idea that comprehending the research finding is what is necessary, but those who have tried this in practice know very well that finding a relevant evidence for facilitating decision making is not that easy (McDonnell, 2004). Usable evidence must support a proposed clinical activity and clinical intervention so the course of treatment can be modified. Familiarity with research process and research methods are two important requisites for a healthcare professional, and they should at the baseline be able to search the requisite information through a comprehensive, rigorous, and methodologically valid search ultimately assisting them to select and deliver the most effective care.
Stone and Rowles (2007) indicated that as far as nursing is concerned, most research has demonstrated that there are barriers to use research findings in practice, and the main reason is a gap of knowledge in research methods and deficiency in critical appraisal skills. A realistic, problem-based structured approach to find and evaluate research could solve the problem. Along with that, there must be approaches to have academic learning on research methodologies. Although there has been argument that evidence is lacking in all fields of nursing and in many cases review and implementation of evidence is not straightforward, it is clear that nurses most often do research for finding evidence with less than optimal methodological rigour. It has also been complained that the workload prevents the nurses to have adequate time to engage in research activity. Nursing as a profession is nascent, and lack of maturity of the science might have prevented practice guided by robust evidences from research (Stone and Rowles (2007).
Given these different views, it is necessary to find out the truth about nursing research, and consequently, doing a systemic literature review would be the best possible option with the focus question, what are the barriers of evidence based practice in nursing What could be the possible solutions
Based on these focus questions, there were a set of inclusion criteria developed for finding relevant articles for this review. The articles which were included were all on evidence based practice in nursing, which identified the barriers to implement a process of finding relevant literature, evaluating and extracting evidence, categorizing evidence, and applying them in practice. It was expected that there would be certain number of studies in each of these themes along or in combination. The literature available in the University database will only be included which were relatively recent published within the period of last 5 years in English language will be included. It was also expected that many of these studies will also focus on evidence based nursing in different specialities. Since specialty-oriented nursing research evidence may have specific pitfalls or positive points specific