reply to both of these discussions 200 words with references

Adriana

If Evidence-Based Practice (EBP) was utilized by nurses, there would be more opportunity to grow, and less error would occur. However, there are many barriers in EBP being implemented in the nursing field. Some barriers in implementing EBP in nursing is that nurses feel that they have no authority in changing patient care, they also report that publications are slow to be disseminated, and that there is too little time at the clinical site to implement EBP (Labrague et al. 2019).

Nurses may feel that they can not change patient care or have any authority, but the role of the nurse is important, and much can be done to promote EBP. I believe that management plays a big role in EBP and that if they encourage change, more nurses would be more willing to speak up and promote new skills and care that is supported through research. µrse managers have a particular influential role on the implementation of evidence-based practice in terms of providing a supportive culture and environment(Bianchi, 2018). If managers in health care facilities create a work environment that is open to new ideas like those in EBP, nurses will be more encouraged to speak up and realize that they can make a difference in patient care.
natalie

Some barriers of EBP included: The nursing student does not feel she/he has enough authority to change patient care procedures, research reports/ articles are not published fast enough, there is insufficient time on the nursing education/training to implement new ideas, the amount of research information is overwhelming, physicians will not cooperate with implementation, the nursing student feels results are not generalizable to own setting, the facilities are inadequate for implementation, the relevant literature is not compiled in one place, hospital is not supportive of implementation (Labrague et al., 2019).

More than half of the participants agreed that 56% and 57% of barriers to implementation of evidence-based practice are related to organizational and individual aspects, respectively. The list of five common barriers to implementation of evidence-based practice (EBP) by organizational and individual aspects is presented. The lack of human resources (shortage of nurse) (78.3%), lack of internet access at work (72.2%), and heavy workload (70.0%) are the most important organizational barriers. The most important individual barriers to implementation of EBP are lack of time to read literature (83.7%), lack of ability to work with computer (68.8%), and insufficient proficiency in English language (62.0%). There was a statistical and significant correlation between age, educational level, job experience, employment status, and barriers to implementation of evidence-based practice experienced by nurses associated with organizational aspects. With regard to barriers to implementation of evidence-based practice experienced by nurses associated with individual aspects, only educational level was significant (P = 0.017). The three individual barriers most often encountered are lack of time to read literature, lack of ability to work with computer, and insufficient proficiency in English language (Khammarnia et al., 2015).

Nurses identify administrative support as necessary for research utilization and simultaneously recognize a lack of administrative support as a barrier to EBP implementation. All in all, I believe that nurses should continue to strengthen their abilities to work with computers, learn about new advancements in their job experiences, and understand their responsibility in delegation to lessen workload (Kueny et al., 2015).

A workplace culture that provides clear communication of EBP goals or regulatory changes, direct contact with CEOs, and clear expectations supported NMs in their promotion of EBP on their units. HPU NMs described a structure that included nursing-specific committees, allowing nurses to drive change and EBP from within the unit. NMs from HPUs were more likely to articulate internal resources, such as quality-monitoring departments, as critical to the implementation of EBP on their units. Workplace culture, structure, unit-level resources, availability of institutional resources, and institutional prioritization and expectation of EBP implementation supported NMs in their implementation of EBP in the clinical environment (Kueny et al., 2015). Nurses should also use the implementation of evidenced based practiced to multiple cultures, and not limit the practices to a single culture.

References

Khammarnia, M., Haj Mohammadi, M., Amani, Z., Rezaeian, S., & Setoodehzadeh, F. (2015). Barriers to implementation of evidence based practice in zahedan teaching hospitals, iran, 2014. Nursing research and practice, 2015, 357140. https://doi.org/10.1155/2015/357140

Kueny, A., Shever, L. L., Lehan Mackin, M., & Titler, M. G. (2015). Facilitating the implementation of evidence- based practice through contextual support and nursing leadership. Journal of healthcare leadership, 7, 29ù. https://doi.org/10.2147/JHL.S45077

Labrague, L. J., McEnroe-Petitte, D., D’Souza, M. S., Cecily, H. S. J., Fronda, D. C., Edet, O. B., Ibebuike, J. E., Venkatesan, L., Almazan, J. U., Al Amri, M., Mirafuentes, E. C., Cayaban, A. R. R., Al Yahyaei, A., & Bin Jumah, J. A. (2019). A Multicountry Study on Nursing Students’ Self-Perceived Competence and Barriers to Evidence-Based Practice. Worldviews on evidence-based nursing, 16(3), 236´6. https://doi.org/10.1111/wvn.12364

Reply