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While it would have been unquestionably beneficial to the patient and indeed to this nurse to be able to engage in a more meaningful, enlightened, and research-based discussion of her condition and methods for addressing it, this nurse simply did not have the time to devote to reading the latest research on diabetes care in addition to remaining prepared for all patients. The policies of the organization in which the nurse was functioning do not support the use of at-work time for engaging in reading, nor is there a substantial knowledge-sharing apparatus at work: the published and long-accepted guidelines for care remain largely unchanged not only from day-to-day but from year to year, as well.
Overcoming this barrier is fraught with practical difficulties, not the least of which are the financial pressures on the organization to perform as a volume operation -- the number of patients treated in a day rather than the quality of care the patients receive (so long as it is above a minimum threshold) determines the...
Nurses are not given the time to try to make care improvements through increased reviews of current research and literature, and the organization cannot adequately engage in such research reviews itself without additional funding -- which could only come from treating more patients, which would require greater levels of research in order to continue improving care. Engaging in coordinated and focused research during off-time and establishing a more regular and monitored knowledge sharing rpogram amongst the nursing and medical staff could greatly impact this situation, leading to greater levels of evidence-based practice.
References
Polit, D.F., & Beck, C.T. (2012). Nursing research: Generating and assessing evidence for nursing practice. Philadelphia, PA: Lippincott Williams & Wilkins.
Zeitz, K., & McCutcheon, H. (2003). Evidence-based practice: To be or not to be, this is the question! International Journal of Nursing Practice, 9(5), 272-9.
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