Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

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Case Study – Unit 3: Steps Four and Five: Moving from Evidence to Sustainable Practice

This paper aims at examining a case study that explores on the importance of evidence-based practice. The paper will further aid in understanding the key concepts of evidence-based practice, including its necessary conditions and its applicability to the case study presented. Moreover, the paper will clarify the differences between leadership and management, examining their individual functions within the framework of evidence-based practices. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

Evidence based medicine is a concept that was first utilized in the in the field of healthcare in the early 1990s. It has since been broadened to include other disciplines of health, thereby impacting the emergence of the term evidence-based practice (EBP). In the field of nursing, the implementation of evidence-based practice encompasses research evidence integration, as well as the values and preferences of the patients. As such, EBP refers to a long-lasting problem-solving method in healthcare that combines the most reliable evidence from well-conducted studies, with the preferences of patients or families and the expertise of clinicians, which includes internal evidence obtained from patient data (Saunders et al., 2019). There are various core competencies that have been developed with an aim of providing health professionals with a basic structure for the implementation of EBP, with different sets of core competencies for nurses and advanced nurses. These differences between these core competencies are as discussed below. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

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All nurses possess a variety of skills and practices that are considered essential competencies. The first competence is evaluation of clinical practices with an aim of enhancing the quality of care delivered to patients. They are also expected to express clinical issues through the use of internal evidence, done by actively engaging in development of clinical questions in the form of PICOT format (Alatawi et al., 2020). Nurses are also expected to take the role of conducting searches for external evidence in order to address specific clinical inquiries. Moreover, they contribute to the critical evaluation of both pre-appraised evidence and published research studies hence assessing their reliability and applicability to clinical practice. Nurses are also involved in the assessment and evidence integration, thereby determining its validity and relevance to clinical practice. Gathering practice data in a systematic manner is also a crucial competence for all nurses that allows well-informed clinical decisions throughout the care process of individuals, groups, and populations (Alatawi et al., 2020). The inclusion of evidence from both external and internal sources lacks prioritization in the process of planning changes for EBP. As such, nurses are required to make changes to their practice by considering a variety of evidence, clinical expertise, and patient preferences. The objective is to enhance care procedures and patient results. Additionally, nurses assess the results of evidence-based decisions and changes in practice for individuals, groups, and populations in order to establish best methods, which is another competence for all nurses (Saunders et al., 2019). They are also responsible for distributing evidence-based best practices to improve the quality of care and the patient outcomes. Finally, nurses actively engage in initiatives that aim at maintaining a culture that promotes evidence-based practice. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

In addition to their regular duties, advanced practice nurses on the other hand systematically perform comprehensive searches for external evidence to effectively address clinical inquiries. They actively participate in the critical assessment of relevant pre-evaluated evidence and original research, with main emphasis being on evaluating and combining information. Advanced practice nurses also incorporate external evidence from nursing and related disciplines along with internal evidence when making decisions regarding patient care (Albarqouni et al., 2018). Furthermore, they take on leadership roles to guide the interdisciplinary teams towards utilizing a common evidence, making clinical judgments and implementing changes in practice to improve the well-being of individuals, groups, and populations. These professionals actively contribute to the creation of internal evidence by participating in outcomes management and implementing EBP projects. Their goal is to effectively incorporate the most effective practices. Advanced practice nurses also take part in evaluation of procedures and results obtained from evidence-based clinical decisions, create evidence-based policies and protocols, and actively collaborate with other healthcare professionals in generating external evidence (Williams et al., 2020). They play the role of mentors, guidance provision to other people and colleagues in the process of evidence-based decision-making and the implementation of strategies to maintain cultures that prioritize evidence-based practice. Nevertheless, they convey important information concerning the most convincing evidence to policymakers. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

Proficiency in core competencies is essential for advanced practice nurses to successfully implement the process of EBP. In the concept of this case study, there are key competencies that are vital. One essential competence that best aligns with this case study is having an ability to lead interdisciplinary teams while utilizing gathered evidence to initiate clinical decisions and drive changes in practice (Alqahtani et al., 2020). As such the long-term goal is improvement of the health of individuals and the population at large. It is a core competence that is directly in line with the main objective of our team. Our team’s objective is to meet the requirements and carry out a quality improvement initiative based on the available evidence. The aim of this initiative is tackling the issue of advanced practice providers failing to create care plans for cancer survivors and failing to refer them to the local cancer survivorship program. This competency is considered appropriate for the team’s ambitions towards implementing changes that will have a positive influence on the health and well-being of cancer survivors. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

The Model for Improvement framework is strategic approach designed to fasten improvements in the healthcare system through creating, evaluating, and implementing changes that impact more quality or improved outcomes. Through the use of this model, our team has been able to develop a plan of intervening in cases of cancer survivorship care related needs. The aim is to enhance knowledge as well as boosting the number of people referred to the Sunshine cancer survivorship clinic, while also focusing on creating cancer survivorship care plans. Our Objective Statement for this quality improvement project clearly defines its purpose. In order to assess its progress, there are certain specific objectives that we have formulated, such as achieving a 25% rise in referrals from providers at the Thoracic Cancer Centre to the Sunshine survivorship clinic, as well as implementing cancer survivorship care interventions for new patients. Our team has also determined the best measures of facilitating these enhancements, which include creating sample care plans for healthcare professionals and providing a referral guide with compulsory criteria for patient referrals to the Sunshine survivorship clinic. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

EBP use in healthcare ensures that quality care is delivered to patients through embracing the expertise, proficiency, and experience of healthcare providers, fostering collaborative decision-making, and effectively managing time. Both nurse leaders and nurse managers play a vital role towards establishing a culture that embraces EBP in a healthcare environment. The ability of a person having influence can briefly be used to describe the term leadership. As such, all nurses have the potential of assuming leadership roles, since they work through offering guidance to patients in their process of recovery (Albarqouni et al., 2018). As such, leaders should actively engage with their team members towards establishing shared objectives that they collectively aspire to accomplish together (Alqahtani et al., 2020). Management refers to a group of individuals who control and oversee the activities of their subordinates. Management comprises a team of individuals who possess leadership qualities. Managers ought to exhibit behaviors that others can emulate and have a crucial role in implementing practices that are supported by research. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

Leaders and managers must have an in-depth understanding of EBP implementation, where they engage in promoting their adoption within their organization. If leaders or managers fail to sufficiently educate their staff on these practices or fail to remain open to new evidence, it could lead to a harm of patients. Research has revealed that lack of knowledge, guidance, support, and leadership skills from management is a major barrier towards a successful implementation of EBP (Williams et al., 2020). Hence, it is essential for leaders and managers to be diligently responsible by staying well-informed about the most recent advancements in evidence-based practices.

In a recap, the analysis of the case study “Moving from Evidence to Sustainable Practice” shows the direct application of changes using the Model for Improvement framework. Through the use of such framework that relies on evidence, there is incorporation of vital competencies in healthcare, thus enabling care to be delivered in a manner that is quality, streamlined, impactful, and empathetic. As future leaders or managers, we have a mandate to act as exemplary figures, through consistently promoting EBPs and actively seeking opportunities to stay updated with the latest and most efficient approaches to benefit our patients. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

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), 35-42. doi: 10.11648/j.ajns.20200901.16

Albarqouni, L., Hoffmann, T., Straus, S., Olsen, N. R., Young, T., Ilic, D., … & Glasziou, P. (2018). Core competencies in evidence-based practice for health professionals: consensus statement based on a systematic review and Delphi survey. JAMA network open, 1(2), e180281-e180281. doi:10.1001/jamanetworkopen.2018.0281

Alqahtani, N., Oh, K. M., Kitsantas, P., & Rodan, M. (2020). Nurses’ evidence‐based practice knowledge, attitudes and implementation: A cross‐sectional study. Journal of clinical nursing, 29(1-2), 274-283.https://doi.org/10.1111/jocn.15097 Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

Saunders, H., Gallagher‐Ford, L., Kvist, T., & Vehviläinen‐Julkunen, K. (2019). Practicing healthcare professionals’ evidence‐based practice competencies: An overview of systematic reviews. Worldviews on Evidence‐Based Nursing, 16(3), 176-185. https://doi.org/10.1111/wvn.12363

Williams, N. J., Wolk, C. B., Becker-Haimes, E. M., & Beidas, R. S. (2020). Testing a theory of strategic implementation leadership, implementation climate, and clinicians’ use of evidence-based practice: a 5-year panel analysis. Implementation Science, 15, 1-15. https://doi.org/10.1186/s13012-020-0970-7

Review the case study: Unit 3: Steps Four and Five: Moving from Evidence to Sustainable Practice. See Case Study, Unit 3 Steps Four and Five: Moving from Evidence to Sustainable PracticeDownload Case Study, Unit 3 Steps Four and Five: Moving from Evidence to Sustainable Practice
Conduct a search for recent (within the last 5 years) research focused on EBP methods. The research should provide evidence to support the use of evidence-based practices to improve outcomes and/or efficiencies.
Identify and select 3 peer-reviewed research articles from your research.

The Assignment: (1,500 words, not including the title and reference page) Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay

Synthesize the case study in 1,500 words (about 2- to 3-pages) paper. Format your Assignment using APA 7th edition. Be sure to address the following:
Identify and include at least 3 peer-reviewed research articles, citing each in APA format.
-Include an introduction explaining the purpose of the paper.
-Address/Answer the following questions:
1.Discuss the difference between the EBP competencies for all practicing nurses and the EBP competencies for advanced practice nurses.
2.Which of these competencies apply to your project team?
3.Now that your team has used the EBP process to identify best practices and improve outcomes, use the Model for Improvement as a framework and outline your team’s plan to address the quality improvement part of the project. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay
4.What is the difference between leadership and management?
5.What role do management and leadership have in sustaining an EBP culture?

In your conclusion, synthesize the findings from the 3 peer-reviewed research articles.
Use APA format and include a title page and reference page. Barriers of Implementing Evidence-Based Practice in Nursing Profession Essay