Barriers to Nursing Research in a Lower Middle-Income Country.

Hello everyone!
Today I want to introduce you to a new committee member of the SIOP-Young Investigators,
she is Shenila Anwar, she is a nurse currently working in Pakistan.
She wrote about the Barriers to Nursing Research in a Lower Middle-Income Country.
I invite you to read this interesting blog.



The word research can make anyone running. Especially health care members who are involved
in direct patient care. But importance of research cannot be undermined. It is essential to have
research in order to improve quality of care by implementing evidence-based practices.
Considering facts and its significance the question arises, why are nurses not involved in
conducting research especially in lower middle-income countries where evidence-based
nursing research can change paradigm of care. There are few reasons mentioned below.
Education: Firstly, comes education, considering the curriculum of nursing research in lower
middle-income countries, there are no more than 2-3 credit hours for nursing students to study
about nursing research. That too is mostly taught rather than having an experience in performing
research. Furthermore, it’s also a perception that those individuals who have a masters or
doctoral degree can conduct research. Which eventually excludes majority of nurses from taking
step forward. Thus, resulting in limited knowledge and exposure and motivation to conduct
research.
Mentorship/Facilitation: Nursing is still developing in lower middle-income countries; we are in
infancy stage, although during last 3 decades nursing schools have been a boom for business
with minimal contribution to academia. There have been very limited resources in regards to
specialties. Specialization is still in conception phase. This results in a smaller number of
experience nurses who can mentor younger generation to conduct. Hence those who wish to
conduct research need to ask facilitation from other members of healthcare team mainly
Doctors, through which the nursing essence to research is distanced. There is also a lack of
moral support to those performing research resulting in burnout and mental stress.
Inadequate time: There isn’t just enough time, we have too much workload, these are the
common phrases nurses use when enquired about why they’re so distant from doing something
different. Nurses are overloaded with bedside work and documentation. Patient and nurses
ration varying from 15-40 patients per nurse ratio (varies from organization and specialties).
Once the shift is over nurses are so drained that they have no interest in doing anything.
Lack of Funding: Conducting research required money. LMIC nurses are not paid lucratively in
order to fund their own research. And no third parties are interest in paying nurses to carry out
their research. This is due to many reasons mainly the perception of nurses as subordinates of
doctors and health care system. For which financers prefer to put their money on Doctors,
pharmaceuticals or other research areas leaving the nurses with no financial support.

Hence nursing research is a dream for nurses in lower middle-income countries.
In order to overcome afore mentioned few barriers it is essential to get the words out by
educating nurses and their fellow health care team about significance of nursing research in
bringing out change in quality of care by adopting evidence-based practice into care.

Shenila Anwar

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