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?