Evidence-based practice (EBP) in nursing refers to the use of patient experiences, clinical expertise, and the best available research evidence by nurses in making healthcare decisions (Mohsen, Safaan, & Okby, 2016). There is a myriad of barriers that may adversely affect the adoption, implementation, and sustenance of evidence-based change proposal in healthcare or clinical setting. According to Shifaza, Evans, and Bradley (2014), the factors that affect and influence the implementation of EBP change proposal are usually organizational, individual, and communicational in nature.
Thus, the organizational factors that may prevent my EBP change proposal from continuing to have the same desired results after some time include time constraints, lack of support for the implementation of research, inadequate facilities, and insufficient authority. These factors affect the implementation of change proposal from within institutions in that they lead to the less enabling environment to instigate change.
Moreover, the implementation of EBP change proposal within the clinical settings may be frustrated and influenced by individual factors such as negative attitude, lack of awareness about research findings, and poor knowledge about methods of conducting clinical research (Shifaza, Evans, & Bradley, 2014). Additionally, individual factors like unfamiliarity with the language used in research, lack of in change implementation, lack of evaluation skills, and inadequate critical appraisal skills may also prevent my EBP change proposal from producing the desired results.
Furthermore, the EBP change proposal implementation may be affected by communicational factors such as lack of understanding of statistical analyses, lack of awareness of variant research, and lack of physical accessibility of research materials that can facilitate change sustenance (Shifaza, Evans, & Bradley, 2014). These barriers adversely affect t the quality of research that informs EBP proposal thus affecting implantation.
Some of the strategies for overcoming these barriers include seeking peer and managerial support, undergoing training on effective EBP change proposal adoption, recognition, encouragement, and support from the administration and management, the adoption of a reward system to promote innovativeness (Mohsen, Safaan, & Okby, 2016). Support from the management and colleagues can help facilitate change implementation by providing the necessary morale and resources. Rewarding those engaged in the EBP implementation may also help encourage innovative practice in research and development thus facilitating change. Another strategy would be the establishment of research training programs.
In summary, therefore, whereas the implementation of EBP change proposal in nursing can be affected by various by organizational, individual, and communicational barriers, it may be facilitated through the adoption of the right strategies that promote the new clinical practice.
Mohsen, M.M., Safaan, N.A., & Okby, O.M. (2016). Nurses perceptions and barriers toadoption of evidence-based practice in primary care: Bridging the gap. American Journal of Nursing Research, 4 (2), 25-53. doi: 10.12691/ajnr-4-2-1
Shifaza, F., Evans, D., & Bradley, H. (2014). Nurses perceptions of barriers and facilitators to implement EBP in the Maldives. Advances in Nursing, 2014. Retrieved from https://www.hindawi.com/journals/anurs/2014/698604/
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