Identification of champions that could influence others to perform in accordance with the objectives of change. Lastly, providing feedback and positive reinforcement would encourage and motivate doers of change and eventually hesitators would follow to perform, then would probably excel with the changed system. (Gesme & Wiseman, 2010) Reference Okeke, N. Barriers to Organizational Change. Gesme, D., & Wiseman, M. (2010). How to Implement Change in Practice. Retrieved from Reply | Quote & Reply Feb 19, 2018 10:15 PM 0 Like Katherine Leon 3 posts Re:Re:Topic 4 DQ 2 Hi August, I enjoyed reading your post. You brought up many great points. I do
agree that time is a major barrier when it comes to implementing evidence based practice. Evidence based decision making is much more time consuming than making decisions based off of already learned knowledge. Not only is the critical appraisal extremely time consuming but so is just the process of finding evidence and narrowing it down. Implementing an evidence based practice can take a lot of time that practitioner do not always have. Some strategies for overcoming the barrier of time are to anticipate FAQ clinical questions that can go through the first three evidence based practice steps so that when a patient presents recent best evidence is available and to use online databases with ready-appraised evidence. Barriers to EBP with strategies. (n.d.). Retrieved February 20, 2018, from Reply | Quote & Reply | Report Abuse Feb 19, 2018 09:20 PM 0 Like Katherine Leon 3 posts Re:Topic 4 DQ 2 Policy and professional expectations that health care workers will use the best available evidence in clinical decision making has been greatly intensified in recent years. Evidence based practice requires that the practitioner be able to access and identify evidence on all areas that are related to their clinical decision making. There are many barriers that affect health care workers when trying to implement an evidence based practice. One barrier is time. Evidence based decision making can be much more time consuming than just basing decisions on already learned knowledge. Searching for and appraising evidence is a lengthy process. The practitioner has to search databases to find support in answering their guided question. This can require the use of different databases and using different keywords when searching. Thousands of resources can come up and it is the responsibility of the practitioner to sort through and find what will best suit the question. Not only is this aspect time consuming but the appraisal process also requires a lot of time. It is necessary to determine each studies reliability, validity, and applicability before it is possible to use it toward the implementation of a new practice. All of this can take up a
lot of time that not all practitioners have.
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- Fall '18
- Health care provider, Evidence-based medicine, yolanda murphy, Kay Bedford, Mikaela Piekarski