Theoretical Framework
Ideas from the transtheoretical model (TTM) and the social
transformation (ST) concept drawn from Paulo’s Freire’s (1972) theory
provide the framework for this study. The TTM’s concepts ofConsciousness Raising , Self-evaluation , andEnvironmental
Evaluation 17 assist in
investigating the beliefs and values nurses have, as well as the
barriers and facilitators they face when engaging in EBP. Meanwhile, ST,
which acknowledges that dialogue-as-humanization, as a collectivist act,
enables participants to self-disclose feelings, and share experiences in
their own words.18 This
latter process is intended both to have participants engage in ST
dialogues and to spur them into action. Framed by the TTM and ST, this
study aims to answer three questions: (a) What are Bolivian nurses’
beliefs and values pertaining to EBP? (b) What are the barriers and
facilitators that nurses identify when attempting to implement EBP? (c)
And lastly, what are the significant relationships between Bolivian
nurses’ professional and demographics characteristics and the
facilitators that allow the nurses to engage in EBP?