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
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Feb 19, 2018 10:15 PM
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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
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Feb 19, 2018 09:20 PM
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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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