NRS 493 Topic 1 DQ 1 & 2: The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

NRS 493 Topic 1 DQ 1 & 2: The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

NRS 493 Topic 1 DQ 1 & 2: The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

Topic 1 DQ 1

Assessment Description

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

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Topic 1 DQ 2

Assessment Description

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.

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NRS 493 Topic 1 DQ 1

The World Health Organization (WHO) has proposed that the enhancement of community health is contingent upon the provision of nursing services that are supported by evidence-based practice (EBP) (Cardoso et al., 2021). EBP is a methodology that involves utilizing the most reliable and up-to-date evidence to inform decision-making and deliver optimal care to patients based on scientific principles. The methodical application of EBP has the potential to augment healthcare safety and enhance patient outcomes. While EBP holds equal importance for community nurses (CNs) as it does for clinical nurses, the implementation of EBP in the field of community nursing is currently in its early stages. Communities, states, organizations, healthcare providers, public health professionals, and community leaders nationwide utilize evidence-based resources (EBRs) from Healthy People to bolster and enhance their respective endeavors (Perruchoud et al., 2021).

The adoption and effectiveness of EBP have encountered several challenges, impeding its advancement. Several challenges that individuals may encounter include a deficiency in knowledge and motivation (Kitson et al., 2021). Another obstacle that arises is the restricted accessibility of current, user-friendly computer networks and technologies. Nurses and other healthcare professionals continue to operate within healthcare settings that lack a conducive culture for the implementation and advancement of EBPs (Cardoso et al., 2021). Insufficient familiarity with EBP poses an additional obstacle to the attainment of established objectives. A significant obstacle to the widespread adoption of EBP in the medical field is the lack of motivation and interest among many healthcare professionals. In addition, the limited availability of computer resources and technologies has posed challenges in the implementation of EBP within the majority of healthcare systems.

To overcome these obstacles, it is crucial to establish interdisciplinary collaboration and communication, provide access to professional development opportunities and networks, offer mentorship and training, and foster supportive management practices that facilitate the implementation of evidence-based practice (Perruchoud et al., 2021). For nurses to effectively participate in the implementation of evidence-based practices, they must receive appropriate training and be sufficiently motivated. Healthcare organizations must ensure the provision of essential support and resources to facilitate the success and long-term viability of the process.

References

Cardoso, D., Couto, F., Cardoso, A. F., Bobrowicz-Campos, E., Santos, L., Rodrigues, R., Coutinho, V., Pinto, D., Ramis, M.-A., Rodrigues, M. A., & Apóstolo, J. (2021). The Effectiveness of an Evidence-Based Practice (EBP) Educational Program on Undergraduate Nursing Students’ EBP Knowledge and Skills: A Cluster Randomized Control Trial. International Journal of Environmental Research and Public Health, 18(1), 293. https://doi.org/10.3390/ijerph18010293

Cardoso, D., Rodrigues, M., Pereira, R., Parola, V., Coelho, A., Ferraz, L., Cardoso, M. L., Ramis, M.-A., & Apóstolo, J. (2021). Nursing educators and undergraduate nursing students’ beliefs and perceptions on evidence-based practice, evidence implementation, organizational readiness and culture: An exploratory cross-sectional study. Nurse Education in Practice, 54, 103122. https://doi.org/10.1016/j.nepr.2021.103122

Kitson, A. L., Harvey, G., Gifford, W., Hunter, S. C., Kelly, J., Cummings, G. G., Ehrenberg, A., Kislov, R., Pettersson, L., Wallin, L., & Wilson, P. (2021). How nursing leaders promote evidence‐based practice implementation at point‐of‐care: A four‐country exploratory study. Journal of Advanced Nursing, 77(5). https://doi.org/10.1111/jan.14773

Perruchoud, E., Fernandes, S., Verloo, H., & Pereira, F. (2021). Beliefs and implementation of evidence‐based practice among nurses in the nursing homes of a Swiss canton: An observational cross‐sectional study. Journal of Clinical Nursing, 30(21-22). https://doi.org/10.1111/jocn.15826

NRS 493 Topic 1 DQ 2

The primary challenge faced by our organization in addressing the implementation of evidence-based nursing practice pertains to the insufficient nursing workforce within the hospital. This scarcity of nurses hinders the delivery of qualitative care, thereby impeding the effective execution of evidence-based practices. Evidence-based practice (EBP) is highly receptive and accommodating towards change, a crucial attribute given the perpetual evolution of healthcare and disease (Melnyk et al., 2023). Evidence-based practice (EBP) involves the integration of empirical research findings, clinical expertise, and patient preferences to optimize treatment strategies and enhance patient outcomes. The nursing profession integrates evidence-based practice daily, employing a methodology akin to the scientific method.

The process of EBP commences with nurses formulating a research question aimed at identifying a solution to a particular problem (Looper et al., 2022). Subsequently, they proceed to collect relevant data and evidence about the patient’s medical condition, as well as their family history. The gathered information is then subjected to analysis to establish correlations or connections with various diseases and identify any discernible patterns. Finally, the nurses apply the acquired knowledge and insights to their clinical practice.

The initial stage in addressing this matter entails recognizing the presence of a challenge that impacts the implementation of evidence-based practice within the organization. The subsequent course of action entails soliciting feedback from the staff and personnel, encompassing clinicians, technicians, nurses, and other relevant stakeholders, regarding the challenges encountered within each unit (Tang & Hudson, 2019). This information will be subsequently cross-referenced to identify the most frequently reported issues, thereby prioritizing their resolution. The management team of the organization must develop and deliberate upon an appropriate and rational strategy for addressing the issue. This may involve organizing a job fair to augment the number of nurses or implementing measures to reduce the budget and admission of patients, thereby ensuring that the organization operates within its existing resource capacity (Leufer et al., 2021).

References

Leufer, T., Baghdadi, N. A., Almegewly, W., & Cleary-Holdforth, J. (2021). A pre-experimental pilot study exploring EBP Beliefs and EBP Implementation among post-graduate student nurses in Saudi Arabia. Nurse Education in Practice, 57, 103215. https://doi.org/10.1016/j.nepr.2021.103215

Looper, E., Gleason, P., & Newnam, D. K. (2022). Feasibility of a Mindfulness Education Module for Nurses: An Evidence-Based Practice Project, Executive Summary. Graduate Publications and Other Selected Works – Doctor of Nursing Practice (DNP). https://trace.tennessee.edu/dnp/56/

Melnyk, B. M., Hsieh, A. P., Messinger, J., Thomas, B., Connor, L., & Gallagher‐Ford, L. (2023). Budgetary investment in evidence‐based practice by chief nurses and stronger EBP cultures is associated with less nursing turnover and better patient outcomes. Worldviews on Evidence-Based Nursing, 20(2). https://doi.org/10.1111/wvn.12645

Tang, J. H-C., & Hudson, P. (2019). Evidence-Based Practice Guideline: Nurse Retention for Nurse Managers. Journal of Gerontological Nursing, 45(11), 11–19. https://doi.org/10.3928/00989134-20191011-03