WORLDVIEWS ON EVIDENCE-BASED NURSING, 12(1), 3–11. - org.lopes.idm.oclc.org/10.1111/wvn.12072 Long-term adoption of evidence based practice is required to improve and promote sustainable effective quality of health care to enhance patient outcomes (Koehn & Lehman, 2008). Some of the barriers include challenges in incorporating medical practice guidelines to enhance quality of care, difficulties in translating research into practice setting and dynamic changes in institutional culture (Pierson & Schuelke, 2009). There are two major barriers for implementation my EBP. Firstly, the shortage of staff, especially in COVID-19 crisis. Now, the attention and resources are focused on COVID-19. There is no rooms and times to spend on any EBP projects. Secondly, the lack of support from the top management. Having support from the administration from the beginning is a key factor in success. Administration may be able to inform you about other projects that used similar implementation techniques and how they worked. Also, administration plays a key role in developing an organizational culture that supports EBP. In addition, involving trained mentors who are familiar with the institutional culture would help in bringing the desired change to facilitate uptake of evidence based practice.
In the implementation process of my evidence based practice, the potential barriers that would hinder it from achieving the desired outcomes are lack of motivation among the nursing staff and institutional barriers. Lack of motivation among the nursing and other medical professionals is one of the major barriers. Some of the factors that could contribute to low motivation include lack of adequate nursing staff, thereby increasing the workload for the existing care teams (Pierson & Schuelke, 2009). Lack of incentives to implement evidence based practice is another factor that would cause low motivation among the nurses to implement and realize the desired changes. To enhance the motivation of the nurses, providing appropriate incentives and addressing the underlying issues is of critical importance (Koehn & Lehman, 2008). In this case, I would encourage multidisciplinary collaboration among the medical professionals in the healthcare institution to reduce work load and also to facilitate knowledge transfer, especially to the newly employed nurses. The second barrier that could undermine attainment of the anticipated change in the healthcare organization is inappropriate institutional culture, which does not support the practice. Inappropriate institutional culture includes failure to demand the best practice from the nurses, failure to provide necessary resources and failure to provide professional and educational advancement opportunities for nurses so that that they can enhance their skills on evidence based practice (Koehn & Lehman, 2008). To solve this barrier, involving the organization’s management as a key stakeholder during implementation of evidence based practice is of critical importance. In addition, involving trained mentors who are
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- Winter '18
- Tammy Gray
- Nursing, Hanrahan