NUR 699 GC Week 4 Discussion 1

Obstacles/barriers to implementing EBP in nursing:

What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.

Obstacles/barriers to implementing EBP in nursing

NUR 699 GC Week 4 Assignment

Evidence-Based Practice Proposal – Section D: Solution Description

Details:

Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.
2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.
4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.
5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.

NUR 699 GC Week 5 Assignment 1

Evidence-Based Practice Proposal – Section E: Change Model

Details:

In 500-750 words (not including the title page and reference page), apply a change model to the implementation plan. Include the following:

1. Roger’s diffusion of innovation theory is a particularly good theoretical framework to apply to an EBP project. However, students may also choose to use change models, such as Duck’s change curve model or the transtheoretical model of behavioral change. Other conceptual models presented such as a utilization model (Stetler’s model) and EBP models (the Iowa model and ARCC model) can also be used as a framework for applying your evidence-based intervention in clinical practice.
2. Apply one of the above models and carry your implementation through each of the stages, phases, or steps identified in the chosen model.
3. In addition, create a conceptual model of the project. Although you will not be submitting the conceptual model you design in Topic 5 with the narrative, the conceptual model should be placed in the appendices for the final paper.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section E: Change Model” for your final submission. This will be a continuous process throughout the course for each section.

Obstacles to implementing EBP

The delivery of high-quality and consistent care services has been a very huge challenge in the current healthcare system. Evidence-based practice, however, as a problem-solving approach has helped in promoting the safety and quality of care based on valid evidence leading to improved patient satisfaction, reduced costs, and professional/individual development of nurses among other healthcare workers (Alatawi et al., 2020). However, several challenges have been reported which hinder the effective implementation of EBP such as fall interventions into clinical practice.

Barriers to EBP implementation in nursing have been categorized into two, human and organizational factors. Human factors include lack of enough time to read literature, lack of adequate knowledge and skills to use the new intervention, and lack of the required job experience to handle new technology utilized in EBP (Shayan et al., 2019). Potential organization factors include an inadequate number of nursing staff, heavy workload, and lack of resources.

Out of all these challenges, the most common is a lack of adequate knowledge and skills in the use of the EBP. Studies show that most nurses do not have the adequate knowledge required to integrate research findings into clinical decision-making. For instance, over the years, several fall prevention interventions have been proposed given their great effectiveness as reported by previous studies (Duncombe, 2018). However, nurses have been very reluctant to take their time and learn about these approaches and how they can help reduce fall incidences in the medical-surgical ward. As such, it is necessary to adequately educate nurses about the new intervention, and encourage them to utilize literature sources to expand their knowledge on how to use the EBP.

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.

Duncombe, D. C. (2018). A multi‐institutional study of the perceived barriers and facilitators to implementing evidence‐based practice. Journal of Clinical Nursing, 27(5-6), 1216-1226.

Shayan, S. J., Kiwanuka, F., & Nakaye, Z. (2019). Barriers associated with evidence‐based practice among nurses in low‐and middle‐income countries: A systematic review. Worldviews on Evidence‐Based Nursing, 16(1), 12-20.