BARRIERS TO ACHIEVING EVIDENCE-BASED PRACTICE IN NURSING 2
Running head: BARRIERS TO ACHIEVING EVIDENCE-BASED PRACTICE IN NURSING 1
Barriers to achieving evidence-based practice in nursing
Name
Institution
Introduction:
Evidence based practice in nursing is a way to critically use that is evidence that is scientifically proven so that a certain population can obtain quality health care (Funk S.G, Champagne M.T, Wiese R, Tomquist E. Barriers: the barriers to research utilisation scale. Appl Nurs Res. 1991). It starts with asking clinical questions, searching and finally appraising the evidence in a critical manner. Deeming medical and health care such a dynamic human discipline, there are barriers that hinder nurses from achieving the evidence based practice
Resistance to the culture adopted by the nurses of always performing a procedure in a certain manner every day which cites as a barrier to adopting evidence based practice. Changing this culture can be difficult. However if evidence practice is adopted to be the norm in medical care, it should become easier to overcome. Introducing a culture that supports inquiry and evidence based approach care can be of significant effect in medical care.
Insufficient time and resources as well as not understanding the statistical analysis, research findings, lack of sufficient evidence also creates a barrier in implementing this practice (Griffiths et al). The nurses therefore, so as to beat this barrier requires them to apply additional demands so as to credibly apply evidence practice to individual clients. They can achieve this through searching for related evidence, using their clinical judgment, and putting in place clients value and system resources. The nurses require to add in their basic skills by learning how to identify knowledge gap, formulate relevant questions, conduct an efficient literature search, apply rules of evidence to determine the validity of studies, apply the literature findings appropriately to the patient’s problem, and appropriately involve the patient in the clinical decision making (Guyatt GH, Haynes RB, Jaeschke RZ, Cook DJ, Green L, Naylor CD, Wilson MC, Richardson WS JAMA. 2000)
Conclusion
Compared to other disciplines, the health sector is facing major transition as a result of extensive research and development ongoing. Usually, a nurse plays a key role in delivering medical care. They need to embrace all the innovative techniques to provide best treatment they can possibly offer to their patients. Hospital management can provide training and give time off from work for nurses to learn how to implement the techniques. The hospitals too can encourage hiring nurses who have adopted the practice.
Reference(s)
Funk S.G, Champagne M.T, Wiese R, Tomquist E. Barriers to using research findings in practice: the clinicians perspective. Appl Nurs Res. 1991;4(2):90–5
Griffiths J.M, Closs S.J, Bryar R.M, Hostick T, Kelly S, Cooke J. Barriers to research implementation by community nurses. Br J Community Nurs. 2001;6(10):501–10
O’Connor S, Pettigrew C.M. The barriers perceived to prevent the successful implementation of evidence-based practice by speech and language therapists. Int J Lang Commun Disord. 2009;44(6):1018–35.