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Reply1
Re: Topic 1 DQ 2
Topic 1 DQ 2
The inclusion of evidence-based practice provides nurses with
the scientific research and experience to make a comprehensive
decision. The practice enables the nurses to re-evaluate the risks
and only adopt the best mechanism to ensure an improved
patient outcome. Patients are also able to receive the best
available outcomes. It is very advisable to move the nursing
practice to be evidence-based to ensure that there is patient-
centered care that is safe, inclusive, and effective. However,
there have been barriers towards this progress since only 15%
of U.S practice is evidence-based. One of the barriers which
have led to lagging behind in adopting evidence-based practice
is nurse shortage. Evidence-based practice requires massive
documentation and research together with increased testing and
experience. This requires a large human resource which is not
available due to nurse shortage across the united states (Stavor
et al., 2017). This has acted as a barrier towards the goal of
moving practice to evidence-based. The government should
employ more nurses and also dedicate some of the workforces
specifically to matters to do with shifting traditional caregiving
to EBP.
The second barrier is unsupportive administration. Research
indicates that over 70% of nurses know about evidence-based
practice, but the barriers to the practice in a clinical setting
make it hard for them to adopt it. To move practice to EBP
requires active collaboration from all stakeholders and more so
from the administration of the healthcare setting. However,
most administrations have been termed as unsupportive for the
move due to the challenges of resources involved in the move.
EPB presents a huge cost in the beginning due to its data
requirements. However, it is able to reduce the cost of
healthcare by 35% after its implementation. Lack of support
from the management makes it hard to move nursing practice to
EBP in a clinical setting since it’s a collaborative activity that
requires dedicated and goal-oriented leadership (Duncombe,
2018). Policies and regulations should be created which force
the push to enable the administration of various healthcare to
have no otherwise but to comply in the shift.
References
Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017).
Improving the use of evidence-based practice and research
utilization through the identification of barriers to
implementation in a critical access hospital.
JONA: The Journal of Nursing Administration
,
47
(1), 56-61.
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.
Reply 2
aur
1 posts
Re: Topic 1 DQ 2
As unprecedented development in the diagnosis, treatment, and
long-term management of disease bring Americans closer than
ever to the promise of personalized health care, we are faced
with similarly unprecedented challenges to identify and deliver
the care most appropriate for individual needs and conditions.
Care that is important is often not delivered. Care that is
delivered is often not important. In part, this is due to our
failure to apply the evidence we have about the medical care
that is most effective a failure related to shortfalls in provider
knowledge and accountability, inadequate care coordination and
support, lack of insurance, poorly aligned payment incentives,
and misplaced patient expectations. Increasingly, it is also a
result of out limited capacity for timely generation of evidence
on the relative effectiveness, efficiency, and safety of available
and emerging interventions. Improving the value of the return
on our healthcare investment is a vital imperative that will
require much greater capacity to evaluate high priority clinical
interventions, stronger links between clinical research and
practice, and reorientation of the incentives to apply new
insights. We must quicken out efforts to position evidence
development and application as natural outgrowth of clinical
care to foster health care that learns. “ Evidence-based nursing
practice is a process created by the gathering, interpretation,
and incorporation of legitimate, significant, and applicable
research. The purpose of EBP is to use the data produced by
scientific research in clinical practice.” ( Manal Hamed
Mahmoud, 2019)
Reference: https://sciendo.com/article/10.2478/FON-2019-0019
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Reply1Re Topic 1 DQ 2Topic 1 DQ 2The inclusion of e.docx

  • 1. Reply1 Re: Topic 1 DQ 2 Topic 1 DQ 2 The inclusion of evidence-based practice provides nurses with the scientific research and experience to make a comprehensive decision. The practice enables the nurses to re-evaluate the risks and only adopt the best mechanism to ensure an improved patient outcome. Patients are also able to receive the best available outcomes. It is very advisable to move the nursing practice to be evidence-based to ensure that there is patient- centered care that is safe, inclusive, and effective. However, there have been barriers towards this progress since only 15% of U.S practice is evidence-based. One of the barriers which have led to lagging behind in adopting evidence-based practice is nurse shortage. Evidence-based practice requires massive documentation and research together with increased testing and experience. This requires a large human resource which is not available due to nurse shortage across the united states (Stavor et al., 2017). This has acted as a barrier towards the goal of moving practice to evidence-based. The government should employ more nurses and also dedicate some of the workforces specifically to matters to do with shifting traditional caregiving to EBP. The second barrier is unsupportive administration. Research indicates that over 70% of nurses know about evidence-based practice, but the barriers to the practice in a clinical setting make it hard for them to adopt it. To move practice to EBP requires active collaboration from all stakeholders and more so from the administration of the healthcare setting. However,
  • 2. most administrations have been termed as unsupportive for the move due to the challenges of resources involved in the move. EPB presents a huge cost in the beginning due to its data requirements. However, it is able to reduce the cost of healthcare by 35% after its implementation. Lack of support from the management makes it hard to move nursing practice to EBP in a clinical setting since it’s a collaborative activity that requires dedicated and goal-oriented leadership (Duncombe, 2018). Policies and regulations should be created which force the push to enable the administration of various healthcare to have no otherwise but to comply in the shift. References Stavor, D. C., Zedreck-Gonzalez, J., & Hoffmann, R. L. (2017). Improving the use of evidence-based practice and research utilization through the identification of barriers to implementation in a critical access hospital. JONA: The Journal of Nursing Administration , 47 (1), 56-61. 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. Reply 2 aur 1 posts Re: Topic 1 DQ 2
  • 3. As unprecedented development in the diagnosis, treatment, and long-term management of disease bring Americans closer than ever to the promise of personalized health care, we are faced with similarly unprecedented challenges to identify and deliver the care most appropriate for individual needs and conditions. Care that is important is often not delivered. Care that is delivered is often not important. In part, this is due to our failure to apply the evidence we have about the medical care that is most effective a failure related to shortfalls in provider knowledge and accountability, inadequate care coordination and support, lack of insurance, poorly aligned payment incentives, and misplaced patient expectations. Increasingly, it is also a result of out limited capacity for timely generation of evidence on the relative effectiveness, efficiency, and safety of available and emerging interventions. Improving the value of the return on our healthcare investment is a vital imperative that will require much greater capacity to evaluate high priority clinical interventions, stronger links between clinical research and practice, and reorientation of the incentives to apply new insights. We must quicken out efforts to position evidence development and application as natural outgrowth of clinical care to foster health care that learns. “ Evidence-based nursing practice is a process created by the gathering, interpretation, and incorporation of legitimate, significant, and applicable research. The purpose of EBP is to use the data produced by scientific research in clinical practice.” ( Manal Hamed Mahmoud, 2019) Reference: https://sciendo.com/article/10.2478/FON-2019-0019