The National Academy of Medicine (formerly the Institute of Medicine) championed the goal that 90% of clinical decisions will be evidence-based by 2020. A recent systematic review of the published literature indicates that evidence-based practice (EBP) implementation remains deficient despite an ongoing effort to increase implementation. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which the identified barriers may be addressed
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The National Academy of Medicine (formerly the Institute of Medicine)
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- Continuing Education Opportunities: Providing regular training on EBP principles and skills can enhance nurses' knowledge and skills.
Barrier 2: Lack of Knowledge and Skills
Challenge: Some nurses may lack the knowledge and skills to critically appraise research evidence and apply it to practice.
Strategies to Address the Barrier:
- Education and Training: Providing comprehensive education and training programs on EBP principles, research methods, and critical appraisal skills.
- Mentorship Programs: Pairing experienced nurses with less experienced nurses to provide guidance and support.
- Collaborative Learning: Creating opportunities for nurses to learn from each other and share best practices.
- Accessible Resources: Providing easy access to reliable sources of evidence, such as databases, journals, and online resources.
By addressing these barriers, healthcare organizations can create a culture of evidence-based practice, leading to improved patient outcomes and increased job satisfaction for nurses.
Sample Answer
Two Barriers to EBP Implementation and Solutions
Barrier 1: Lack of Time and Resources
Challenge: Nurses often face significant time constraints, making it difficult to find and critically appraise research evidence. Additionally, healthcare organizations may lack the necessary resources to support EBP implementation, such as adequate staffing, training, and technology.
Strategies to Address the Barrier:
- Time Management Strategies: Nurses can implement time-management strategies, such as prioritizing tasks and delegating responsibilities.
- Organizational Support: Healthcare organizations can allocate dedicated time for EBP activities, provide adequate staffing, and invest in technology to facilitate access to evidence.
- Evidence-Based Decision Support Tools: Implementing electronic health records (EHRs) with built-in evidence-based guidelines and alerts can streamline the process of accessing and applying evidence.
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