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Implementation of Evidence-Based Practice Project
Stakeholder Barriers
The use and promotion of evidence-based healthcare is faced with resistance. Nurses across the globe have continually faced obstacles to their effort to universally embrace the approach. The key players in the implementation of evidence-based practice include staff in hospitals. There are two major barriers that continue to impede the effort to change to the new healthcare practice. Cultural barriers alone, or accompanied with red tape in institutions, and the poor knowledge were picked out as the main stumbling blocks (Tacia, Biskupski, Pheley & Lehto, 2015). The willingness of the staff to embrace care tasks and roles that are meant for intervention determines the level and magnitude of the barriers. If the staffs are reluctant to accept such roles and duties, it would undermine the implementation of the intervention measures (Hanson et al., 2017).
Institutional and/or cultural barriers: Cultural issues in institutions and lack of the urge to foster change across the hospitals were noted by the members of the three groups as being major stumbling blocks. A practitioner among the nurses noted that the culture has made it a norm to be contented with the prevailing state of affairs and...
In the discussion by the nurses, it emerged that there is a tendency to fall back on what one is used to, as opposed to seeking to employ approaches that are based on evidence (Tacia et al., 2015).
Lack of knowledge: Nurses across the management strata expressed concern that a lot of nurses deployed for inpatient direct care had no knowledge of EBP. They also cannot tell the hallmarks of high-quality research (Tacia et al., 2015).
Interdisciplinary communication is pertinent to any attempt to address the barriers to the use of evidence-based practice. Other factors include mentorship, collaboration, and access to professional networks and activities. The Direct care nurses for inpatients pointed out that the management of the healthcare institutions needed to be the leaders in the adoption of EBP by facilitating further education for bedside nurses. There is also the need to incorporate support from physicians. Attending conferences, workshops and trainings are important in the implementation of EBP (Tacia et al., 2015). Central teams meant to see the implementation come through should be set up. They should be constituted by knowledgeable and respected clinical experts. They should help to identify resources that can be used…
References
Hanson, H., Warkentin, L., Wilson, R., Sandhu, N., Slaughter, S., &Khadaroo, R. (2017).Facilitators and barriers of change toward an elder-friendly surgical environment: perspectives of clinician stakeholder groups. BMC Health Serv Res, 17, 596.doi: 10.1186/s12913-017-2481-z
Jackson, G., Roumie, C., Rakley, S., Kravetz, J., Krishner, M., Monte, P.,… Bosworth, H. (2016). Linkage between theory?based measurement of organizational readiness for change and lessons learned conducting quality improvement–focused research. Learning Health Systems, 1(2). Retrieved from https://onlinelibrary.wiley.com/doi/full/10.1002/lrh2.10013
Tacia, L., Biskupski, K., Pheley, A., &Lehto, R. (2015).Identifying barriers to evidence-based practice adoption: A focus group study.Clinical Nursing Studies, 3(2).doi: 10.5430/cns.v3n2p90
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