Abstract
Background Research utilization is part of evidence-based practice referring to the process of reviewing and critiquing scientific research and applying the findings to one’s own clinical practice. Many studies on research utilization have been conducted with doctors and nurses, but to our knowledge, none have been investigated amongst pharmacists. Objective To assess research utilization and its barriers among pharmacists and identify potential influencing factors. Setting Malaysia. Methods This cross-sectional survey was administered online and by mail to a convenient sample of pharmacists working in hospitals, health clinics, and retail pharmacies in rural and urban areas. Main outcome measure Pharmacists’ research utilization knowledge, attitudes, and practices. Results Six hundred surveys were mailed to potential respondents, and 466 were returned (77.7% response rate). Twenty-eight respondents completed the survey online. The respondents’ research utilization knowledge, attitudes, and practices were found to be moderate. Research utilization was associated with respondents’ knowledge and attitude scores (P < 0.001). When factors related to research utilization were modelled, higher educational level was associated with higher level of research utilization (P < 0.001) while less involvement in journal clubs, more years of service (3–7 years and more than 7 years) were associated with low and moderate research utilization, respectively. The main reported barrier to research utilization was lack of sufficient authority to change patient care procedures. Conclusion Pharmacists’ research utilization knowledge, attitudes, and practices can be improved by encouraging pharmacists to pursue higher degrees, promoting active participation in institutions’ journal clubs, and introducing senior clinical pharmacist specialization.
Similar content being viewed by others
References
Estabrooks CA. The conceptual structure of research utilisation. Res Nurs Health. 1999;22(3):203–16.
Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn’t. BMJ. 1996;312(7023):71–2.
Porzsolt F, Ohletz A, Thim A, Gardner D, Ruatti H, Meier H, et al. Evidence-based decision making—the six step approach. Evid Based Med. 2003;8:165–6.
Van Mullem C, Burke LJ, Dohmeyer K, Farrell M, Harvey S, John L, et al. Strategic planning for research use in nursing practice. J Nurs Adm. 1999;29(12):38–45.
Melnyk BM, Gallagher-Ford L, Long LE, Fineout-Overholt E. The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews Evid Based Nurs. 2014;11(1):5–15.
Hodge M, Kochie LD, Larsen L, Santiago M. Clinician-implemented research utilisation in critical care. Am J Crit Care. 2003;12(4):361–6.
Lyons C, Brown T, Tseng MH, Casey J, McDonald R. Evidence-based practice and research utilisation: perceived research knowledge, attitudes, practices and barriers among Australian paediatric occupational therapists. Aust Occup Ther J. 2011;58(3):178–86.
Heighes PT, Doig GS. Intensive care specialists’ knowledge, attitudes, and professional use of published research evidence: a mail-out questionnaire survey of appropriate use of research evidence in clinical practice. J Crit Care. 2014;29(1):116–22.
Burkiewicz JS, Zgarrick DP. Evidence-based practice by pharmacists: utilisation and barriers. Ann Pharmacother. 2005;39(7):1214–9.
Eller LS, Kleber E, Wang SL. Research knowledge, attitudes and practices of health professionals. Nurs Outlook. 2003;51(4):165–70.
Pharmaceutical Services Negotiating Committee (PSNC). Medicines use review (MUR). http://psnc.org.uk/services-commissioning/advanced-services/murs/. Accessed 29 July 2016.
American Pharmacists Association. Medication Therapy Managament. https://www.pharmacist.com/medication-therapy-management-services. Accessed 29 July 2016.
Australian Government Department of Health. Medication Management Review. http://www.health.gov.au/internet/main/publishing.nsf/Content/medication_management_reviews.htm. Accessed 29 July 2016.
Nissen L. Pharmacist prescribing: what are the next steps? Am J Health Syst Pharm. 2011;68(24):2357–61.
American College of Clinical Pharmacy. Standards of practice for clinical pharmacists. Pharmacotherapy. 2014;34(8):794–7.
Funk SG, Champagne MT, Wiese RA, Tornquist EM. BARRIERS: the barriers to research utilisation scale. Appl Nurs Res. 1991;4(1):39–45.
Black AT, Balneaves LG, Garossino C, Puyat JH, Qian H. Promoting evidence-based practice through a research training program for point-of-care clinicians. J Nurs Adm. 2015;45(1):14–20.
Universiti Kebangsaan Malaysia. Faculty of pharmacy: courses. http://www.ukm.my/farmasi/index.php/en/courses. Accessed 10 July 2015.
Universiti Sains Malaysia. Master of pharmacy. 2013. http://www.pha.usm.my/index.php/programme/2013-02-14-03-03-21/master-of-pharmacy. Accessed 10 July 2015.
Universiti Teknologi MARA. Postgraduate. http://www.pharmacy.uitm.edu.my/v1/programmes/postgraduate.html. Accessed 10 July 2015.
Coomarasamy A, Khan KS. What is the evidence that postgraduate teaching in evidence based medicine changes anything? A systematic review. BMJ. 2004;329(7473):1017.
Knowles M. The modern practice of adult education: andragogy versus pedagogy. New York: Cambridge Adult Education; 1980.
Deenadayalan Y, Grimmer-Somers K, Prior M, Kumar S. How to run an effective journal club: a systematic review. J Eval Clin Pract. 2008;14(5):898–911.
Milbrandt EB, Vincent JL. Evidence-based medicine journal club. Crit Care. 2004;8:401–2.
Ministry of Health Malaysia Official Portal. Career development for pharmaceutical officers in Ministry of Health Malaysia e-Book, 2012. http://www.moh.gov.my/english.php/pages/view/65. Accessed 5 Feb 2016.
Carrion M, Woods P, Norman I. Barriers to research utilization among forensic mental health nurses. Int J Nurs Stud. 2004;41(6):613–9.
Oh EG. Research activities and perceptions of barriers to research utilization among critical care nurses in Korea. Intensive Crit Care Nurs. 2008;24(5):314–22.
Strickland RJ, O’Leary-Kelley C. Clinical nurse educators’ perceptions of research utilization: barriers and facilitators to change. J Nurses Staff Dev. 2009;25(4):164–71.
Tawfik MY, Mohamed NI, Moussa M. Barriers and facilitates of research utilization as perceived by nurses of Suez Canal University Hospital- Ismailia-Egypt. J Am Sci. 2014;10(2s):89–96.
Da Silva TM, Costa Lda C, Garcia AN, Costa LO. What do physical therapists think about evidence-based practice? a systematic review. Man Ther. 2015;20(3):388–401.
Armstrong D. Clinical autonomy, individual and collective: the problem of changing doctors’ behaviour. Soc Sci Med. 2002;55(10):1771–7.
Alqahtani AA. Organizational stress: causes and management. Int J Innov Bus. 2012;1(1):1–11.
Acknowledgements
We would like to thank our site-investigators Mrs. Farizan Abdul Ghaffar, Ms. Salmi Abd Razak, Mrs. Syahirah Zainudi, Mrs. Shamini A/P Rama, Mrs. Sharifah Sazlin Syed Zainuddin, Mrs. Siti Rahimah Ismail, and Mrs. Hamiza Aziz from the Malaysia Ministry of Health as well as others who helped us with the survey distribution and collection. We also wish to thank the Clinical Research Centre of the hospitals that provided administrative support for this research.
Funding
Funding for this study was provided by the Research Development Fund Faculty of Pharmacy, Universiti Kebangsaan Malaysia (DPP-2015-FFAR).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
The authors report no conflicts of interest in this work.
Rights and permissions
About this article
Cite this article
Tan, S.Y., Hatah, E. Knowledge, attitudes, practices, and barriers related to research utilization: a survey among pharmacists in Malaysia. Int J Clin Pharm 39, 450–458 (2017). https://doi.org/10.1007/s11096-017-0425-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11096-017-0425-7