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Barriers To EBP Adoption In Nursing Essay

Nursing and Evidence-Based Practice

Evidence-based practice (EBP) is the foundation of nursing. EBP is what helps nurses to know that clinical decisions are grounded in the best available research evidence. It is what ensures that the quality of care and patient outcomes are as good as they possibly can be. EBP promotes clear, rational decision-making among nursing professionals. When decisions are made using EBP it is a much different situation than when they are made simply by appealing to tradition or authority. This paper looks at what EBP entails, the barriers to its implementation, the levels of evidence, and the additional sources of evidence necessary for informed clinical decisions.

1. What is Evidence-Based Practice (EBP)?

Evidence-based practice in nursing is a systematic approach to clinical decision-making that relies on knowing the best available research evidence, having a degree of clinical expertise, and aligning all that with patient preferences (Marino et al., 2020). It involves a conscientious use of current best evidence in making decisions about patient care. The goal of EBP is to improve patient outcomes by applying the most relevant and scientifically validated information available. This approach ensures that nursing care is efficient, effective, and aligned with the latest advancements in medical science.

The process of EBP begins with a clinical question and proceeds with the gathering of evidence through research and data...

The evidence has to be appraised for validity and reliability as well as generalizeability. This evidence, once it passes the appraisal process, can then be integrated into clinical practice. The outcome of this integration needs to be monitored, however, to make sure the application is effective and to see if it needs or can be improved in any way.

2. Barriers to EBP

Despite its benefits, there are several barriers that impede the widespread...

…level of evidencei.e., the bottom or base of the pyramid.

4. Other Sources of Evidence in Clinical Decision-Making

Research evidence is obviously important, but other sources of evidence also assist in clinical decision-making. For example, clinical expertise, i.e., the practical experience and skills of healthcare professionals, can be helpful in interpreting a situation and acting appropriately. Likewise, awareness of patient values can be just as vital in providing patient-centered care.

Information from quality improvement initiatives within healthcare organizations can also be a valuable source into effective practices. Plus, evidence-based guidelines developed by professional organizations can offer standardized recommendations for clinical situations.

Overall, evidence-based practice can improve nursing care as it offers the best available evidence, and can be combined with clinical expertise and patient preferences to support quality care. In spite of the barriers to its implementation, understanding the levels of evidence and considering additional sources of evidence can help with making…

Sources used in this document:

References

Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M.

(2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35-42.

Boltz, M., Capezuti, E., Zwicker, D., & Fulmer, T. T. (Eds.). (2020). Evidence-based geriatricnursing protocols for best practice. Springer Publishing Company.

Marino, M. A., Andrews, K., & Ward, J. (2020). Clinical decision making at thebedside. Nursing Clinics, 55(1), 29-37.

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