Please reply to the following discussions with 100-150 each answer. thank you.
There are several barriers into implementing EBP. The two most often cited ones are lack of time and lack of support from health organization (Wallis, 2012). As Wallis (2012) further explained that resistance from nurse staff begins with the nurse managers and nurse leaders, which should not be the case if we want to implement EBP. Nurse leaders and managers are looked upon for support when it comes to making changes about practice, policies or procedures. They are supposed to be the role models and source for support (Wallis, 2012).
One of the strategies that can be utilized in order to overcome these barriers is to “strengthen beliefs about the benefits of EBP” (Melnyk, 2002). Education is an essential tool as this will help the nurse leaders and nurses to become more familiar as well as increase their knowledge about EBP, which can lead to viable support.
Another important strategy is to create a culture in which EBP is valued (Melnyk, 2002). If the staff understands and appreciate the value of the EBP, it makes it easier to implement it. In addition, administrative support and encouragement is another key element for success in implementing EBP (Melnyk, 2002).
Melnyk, B. (2002). Evidence-based practice. Strategies for overcoming barriers in implementing evidence-based practice. Pediatric Nursing, 28(2), 159-161
Wallis, L. (2012). Barriers to implementing evidence-based practice remain high for U.S. nurses. American Journal of Nursing, 112(12), 15. doi: 10.1097/01.NAJ.0000423491.98489.70
Evidence-based practice is an important skill to implement and utilize in our daily nursing practice and as nurses, being up to date with the most current research is one way to stay proactive in our career field. Evidence-based practice (EBP) in management is still in its infancy; however, lack of time and a limited understanding of scientific research are perceived as major barriers to the uptake and implementation of EBP in management (Barends, Villanueva, Rousseau, Briner, Jepsen, Houghton & ten Have, 2017). When a new policy or evidence-based practice is introduced at work, it takes time for all the staff and unit to get adjusted to and it requires time and patience from everyone involved as a team. For a new evidence-based practice to be initiated, that alone takes time to take into effect and actually see on the units. There must be a trial and error with the new implemented evidence-based practice that is introduced and to see complete effectiveness and compliance from all staff members, a long time is needed and goes into “perfecting” that certain skill or procedure.
Implementation of evidence and practice guidelines is influenced by knowledge, behaviors,and attitudes of administrators and clinicians, some of the current issues around use of EBP include lack of limitations with communication and disseminating findings…( Zimmerman, 2017). Lack of communication between healthcare professionals discourages implementing new evidence-based practices and many nurses are bound to not feel positive about the new guidelines being put into effect. Staff members want to be aware and be in the know of how successful and unsuccessful or the overall outcome of the practice is changing patient outcome. Lack of communication about certain findings makes staff members feel unmotivated.
As important as it is to implement new evidence-based practice in hospital settings, nurses and other staff members should be given the adequate training and time to fully understand and grasp the new practice guidelines to allow efficacy of the practices being carried out on the floor. Better communication amongst all healthcare professionals is an important necessity in order for everyone to cooperate as a team.
Barends, E., Villanueva, J., Rousseau, D. M., Briner, R. B., Jepsen, D. M., Houghton, E., & ten Have, S. (2017). Managerial attitudes and perceived barriers regarding evidence-based practice: An international survey. PLoS ONE, 12(10), 1–15.
I believe one the biggest challenges when facing evidence based practice changes is, time. When a practice change is identified, many hospitals and facilities require approval for the practice change to take effect. Often, groups and teams managing the project will attempt to gather information and data regarding why the practice change needs to occur. From there, the practice change is applied and then carried out in the unit. Hurdles and barriers based on the new practice change is not uncommon either. For example, resistance may be met by the staff members, thus requiring emphasis on education. Overall, the common theme is that it takes time. Practice changes do not happen over night, and research and evidence is needed to determine why a change needs to happen to begin with.
Practice changes cannot occur without the approval and support of administration. Many things are brought up to the members of the leadership team and are required to be presented in a very systematic fashion. Financial support may be required and if the hospital is facing budgets issues, practice changes may not occur as quickly. For example, in my current unit, we are facing budgeting changes and are faced with a less budget for this fiscal year. We are not able to freely purchase items and/or do things for the unit even though it is beneficial.
Ginex, P. (2018, May 30). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. Retrieved from https://voice.ons.org/news-and-views/overcome-barr…