What are some of the obstacles or barriers to implementing EBP (evid.pdf

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What are some of the obstacles or barriers to implementing EBP (evidenced based practices) in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information. Solution Ans: Obstacles or barriers to implementing EBP (evidenced based practices) in nursing includes (1) Evidence might have a limited role in decision-making processes; (2) aspects other than quality of care steer the evidence-based practice agenda; (3) some health care providers benefit less from evidence-based practice than others and (4) there is a lack of competences to put the evidence-based principles in practice. Policy makers might consider health care system characteristics from and strategies developed or suggested by others to respond to country-specific obstacles. Examples include but are not limited to; (a) providing incentives for patient-centred care coordination and patient communication, (b) supporting practitioners interested in applying research-related activities, (c) considering direct access systems and interprofessional learning to respond to the demand for autonomous decision-making from satellite professional groups, (d) systematically involving allied health professionals in important governmental advisory boards, (e) considering pharmaceutical companies perceived as \'the enemy\' an ally in filling in research gaps, (f) embedding the evaluation of evidence-based knowledge and skills in examinations (g) moving from (in)formative learning to transformative learning and (h) organizing high quality catch-up programs for those who missed out on evidence-based medicine in their curriculum..

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Chapter 7. The Evidence for Evidence-Based Practice Implementation Marita G. Titler Background Overview of Evidence-Based Practice Evidence-based health care practices are available for a number of conditions such as asthma, heart failure, and diabetes. However, these practices are not always implemented in care delivery, and variation in practices abound.1–4 Traditionally, patient safety research has focused on data analyses to identify patient safety issues and to demonstrate that a new practice will lead to improved quality and patient safety.5 Much less research attention has been paid to how to implement practices. Yet, only by putting into practice what is learned from research will care be made safer.5 Implementing evidence-based safety practices are difficult and need strategies that address the complexity of systems of care, individual practitioners, senior leadership, and— ultimately—changing health care cultures to be evidence-based safety practice environments.5 Nursing has a rich history of using research in practice, pioneered by Florence Nightingale.6– 9 Although during the early and mid-1900s, few nurses contributed to this foundation initiated by Nightingale,10 the nursing profession has more recently provided major leadership for improving care through application of research findings in practice.11 Evidence-based practice (EBP) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and patient values to guide health care decisions.12–15 Best evidence includes empirical evidence from randomized controlled trials; evidence from other scientific methods such as descriptive and qualitative research; as well as use of information from case reports, scientific principles, and expert opinion. When enough research evidence is available, the practice should be guided by research evidence in conjunction with clinical expertise and patient values. In some cases, however, a sufficient research base may not be available, and health care decisionmaking is derived principally from nonresearch evidence sources such as expert opinion and scientific principles.16 As more research is done in a specific area, the research evidence must be incorporated into the EBP.15 Models of Evidence-Based Practice Multiple models of EBP are available and have been used in a variety of clinical settings.16–36 Although review of these models is beyond the scope of this chapter, common elements of these models are selecting a practice topic (e.g., discharge instructions for individuals with heart failure), critique and syntheses of evidence, implementation, evaluation of the impact on patient care and provider performance, and consideration of the context/setting in which the practice is implemented.15, 17 The learning that occurs during the process of translating research into practice is valuable information to capture and feed back into the process, so that.

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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 c.

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Assignment 4 Training Strategy Miatta Teasley Capella University NHS-FPX6004 Health Care Law and Policy Professor Georgena Wiley June 17, 2022 Assignment 4 Training Strategy For a leading medical centre such as Mercy Medical Center, it is essential to have a sound policy and practice standards for the control of drug errors. The nursing staff of the medical centre who will be responsible for implementing the policy on managing medication errors must have a comprehensive understanding of the strategies specified in the policy for it to be appropriately implemented. A staff training program will ensure that the necessary information and skills for implementing the policy guidelines are effectively disseminated. The training curriculum outlined in this study will be administered to a pilot group of 20 pediatric nursing staff members at the medical facility. Promoting the Buy-In of Nurses According to Ruddy et al. (2016), technological advances are required for a significant change in medical practice but are not sufficient. When practitioners are modified, systemic alterations in practice occur. According to a study by French-Bravo et al., nurses felt that effective communication with nurse supervisors boosted their support for organizational objectives (2020). Utilizing a range of communication and persuasion techniques, nurse supervisors forged close bonds with nurses. In addition to email, huddles, and staff meetings, nurse managers used data in the form of statistics, facts, and patient feedback comments to explain the rationale for change. In addition to serving as role models for nurses, nurse supervisors influence unit culture by demonstrating characteristics such as approachability and attentiveness. In addition, nurse managers contributed to change by fostering employee engagement and management support through tactics such as listening to nurses' challenges and assisting them individually and as a team. Nurse managers support a staff-led decision-making strategy by supporting employees in comprehending unit objectives, empowering them to drive unit work, and enhancing manager-facilitated peer communication (French-Bravo et al., 2020). Promoting nurse buy-in to the implementation of policy and practice standards will rely heavily on nurse managers, head nurses, and other nursing leadership members. Early Indicators of Success Early prediction of policy performance is facilitated by structural indicators, process indicators, and outcome indicators. Structural factors emphasize organizational challenges such as the availability and proper operation of equipment such as automated dispensing machines. Process indicators are concerned with the process of providing care. The efficiency of prescription management and the efficiency of diagnosis management are two process indicators that quantify the policy's success. The purpose of outcome indicators is to accomplish a particular objective. A reduction in readmissions, a decre.

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Diabetes Management Policy Proposal Miatta Teasley Capella University NHS-FPX6004 Health Care Law and Policy Professor Georgena Wiley May 19, 2022 Click to edit Master title style Click to edit Master title style Hello and welcome to today's presentation on drug error regulatory policy proposals. This presentation is intended to provide you, your stakeholders, with all pertinent information regarding the need for an institutional policy to reduce medication errors in medical centers. We will also go over the scope of the recommendations, strategies for addressing medication errors, and stakeholder involvement in putting these strategies into action. Policy Proposal Diabetes Management 2 Click to edit Master title style Click to edit Master title style This proposal revolves around creating and implementing strategies that will help Med’s caregivers be able to improve on patient care regarding diabetes. Presentation Outline Policy on Managing Medication Errors Need for a Policy Scope of Policy Strategies to Resolve Mediation Errors Role of the Hospital Staff Positive impact on Working Conditions Issues in the Application of Strategies Alterative Perspectives on Mitigating Medication Errors Stakeholder Participation 3 Click to edit Master title style Click to edit Master title style The presentation highlights key functions in any policy implementation process. The steps this presentation takes appear in the order as indicated here. We will start y looking at Policy on Managing Medication Errors then Need for a Policy followed by Strategies to Resolve Mediation Errors. Then the Role of the Hospital Staff and the Positive impact on Working Conditions. Also, we will look at Issues in the Application of Strategies and the Alterative Perspectives on Mitigating Medication Errors and finally, Stakeholder Participation Policy on Managing Medication Errors 4 Health practitioners should create and advance engaging policies Many Healthcare departments require modernization Healthcare policies should be adjusted to meet defined benchmarks Key stakeholders are vital for successful implementation of proposed policies Click to edit Master title style Click to edit Master title style When advocating for organizational regulation changes about federal, state, or local health care guidelines or rules and regulations, healthcare practitioners should be able to create and advance an engaging and logical policy and guideline parameters that will provide a segment, a group, or an entire institution to correct and shed light on issues of accomplishment and execute developments in the quality and safety of medical management. Despite being recognized as one of the greatest health insurance carriers for people over 65, several departments need to be modernized. The most pr.

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