NUR 699 Week 4 Discussions 1, 2 Papers

NUR 699 Week 4 Discussions 1, 2 Papers

NUR699

NUR 699 GC Week 4 Discussion 1

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

 

NUR 699 GC Week 4 Discussion 2

Conducting research projects while ensuring the protection of human subjects is necessary. What are some methods to protect personal rights of someone in one of the groups that is labeled as vulnerable? Justify your rationale.

NUR 699 GC Week 4 Assignment

Evidence-Based Practice Proposal – Section D: Solution Description

Details:

Write a paper of 500-750 words (not including the title page and reference page) paper for your proposed evidence-based practice project solution. Address the following criteria:

1. Proposed Solution: (a) Describe the proposed solution (or intervention) for the problem and the way(s) in which it is consistent with current evidence. Heavily reference and provide substantial evidence for your solution or intervention. (b) Consider if the intervention may be unrealistic in your setting, too costly, or there is a lack of appropriate training available to deliver the intervention. If the intervention is unrealistic, you may need to go back and make changes to your PICOT before continuing.
2. Organization Culture: Explain the way(s) in which the proposed solution is consistent with the organization or community culture and resources.
3. Expected Outcomes: Explain the expected outcomes of the project. The outcomes should flow from the PICOT.
4. Method to Achieve Outcomes: Develop an outline of how the outcomes will be achieved. List any specific barriers that will need to be assessed and eliminated. Make sure to mention any assumptions or limitations which may need to be addressed.
5. Outcome Impact: Describe the impact the outcomes will have on one or all of the following indicators: quality care improvement, patient-centered quality care, efficiency of processes, environmental changes, and/or professional expertise.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section D: Solution Description” for your final submission. This will be a continuous process throughout the course for each section.

NUR 699 Week 4 Discussions 1, 2 Papers

ADDITIONAL INFORMATION;

What are some of the obstacles or barriers to implementing EBP in nursing?

Introduction

One of the biggest challenges for implementing evidence-based practice (EBP) in nursing is overcoming the barriers that impede its implementation. These include organizational barriers, such as a lack of resources and expertise needed to implement EBP; individual barriers, such as nurses’ lack of training in research methods; cultural values and beliefs influencing clinicians’ interpretation of evidence; and gaps or inconsistencies in the evidence base.

EBP requires a great deal of time and effort.

EBP is a time-consuming process. To use evidence-based practice successfully, you must first locate the evidence and then read it. You’ll need to apply the evidence in your practice, which means making changes or taking steps toward implementing new ideas.

The time required to implement EBP can be daunting, especially if you’re new to this type of work and don’t have many resources at your disposal (such as staff).

Nurses are not trained in research methods.

Nurses are not trained in research methods.

Nursing is a fast-paced, stressful profession and there simply isn’t enough time spent on academics to teach students research methods. In fact, many programs don’t even teach the basics of how to conduct an experiment or analyze data. This can make it difficult for nurses to understand what they’re reading if they aren’t already familiar with these concepts and practices first hand. Additionally, nursing education does not include many opportunities for hands-on experience with experiments or case studies; instead most graduates leave school with little more than an understanding of how to take notes during class lectures (which isn’t necessarily helpful).

Inappropriate use of research evidence can be problematic.

The misuse of research evidence is not uncommon. It can be done by nurses and other health care professionals, as well as patients. Inappropriate use of research evidence can be problematic in that it may lead you to make decisions based on false or incomplete information about your patients and their health care needs, which could affect their outcomes (e.g., higher mortality rates).

It’s important to recognize when you are using information from research studies appropriately because some people misinterpret what they read or hear about how best to treat certain conditions like heart failure or pneumonia because they have no experience with those diseases themselves; therefore they do not understand how effective certain treatments would be at treating these diseases effectively without putting themselves at risk for complications such as death due to an overdose of medicine prescribed by doctors who trained under outdated guidelines set forth decades ago before EBP became widely accepted practice throughout our country’s healthcare industry today!

Cultural values and beliefs can influence the way clinicians interpret evidence.

Cultural values and beliefs can influence the way clinicians interpret evidence. For example, in some cultures, it is more common to use a holistic approach to care that includes physical and mental health. This type of approach may be less effective than an evidence-based practice model because it does not take into account all aspects of patient care. In addition, culture affects what is considered normal or abnormal behavior for different groups within society for example:

• A person who has epilepsy might expect someone else with epilepsy to have seizures every day or multiple times per week; however, if you don’t have any symptoms then this could seem completely normal (or even good) behavior!

• If someone comes home after being away from work due to sickness but hasn’t had any other symptoms during their absence then they’re probably fine – but if there’s been no change in behavior then this could mean something else is going wrong!

The evidence base will always contain gaps and inconsistencies.

The evidence base will always contain gaps and inconsistencies. This is a reality of any medical practice, but it’s especially true in nursing. The reason for this is simple: in health care there are many factors that affect what happens to patients (or clients), so research studies can be difficult to conduct and interpret. It’s also common for researchers to have competing interests or agendas related to their work; this can lead them to publish results that support their own beliefs rather than those of truth or science as a whole.

These issues mean that we should always be skeptical about what we read in the literature on EBP approaches like Nurse-Family Partnership or Nurse-led Primary Care Models there may not be enough evidence out there yet!

Clinical decisions may need to be made in the absence of evidence or when evidence is limited or conflicting.

Clinical decisions may need to be made in the absence of evidence or when evidence is limited or conflicting. Nurses often have to make clinical judgments based on their own experience, values, and beliefs.

Nurses must also be able to recognize when there are gaps in their knowledge or when they need further information about a particular topic. For example, if you want your patient’s opinion about whether he should get a blood test for anemia you could ask him directly about this issue but it would be more efficient for you as a clinician if you had some idea what type of test might be appropriate for this patient population before asking him his opinion.

Evidence may not reflect local contexts and conditions.

Evidence may not reflect local contexts and conditions.

In the context of nursing, evidence is a term used to describe information that has been evaluated in a systematic manner with the purpose of providing a basis for making decisions or recommendations. Evidence may be drawn from research studies or other sources of data, such as clinical trials (research investigations involving human volunteers). However, there are many challenges associated with gathering relevant evidence for practice settings—such as variation across populations based on geographic location; culture; setting/contextual expectations; health system affiliations; etc.—that may result in inconsistent results across studies when compared across different regions or countries (i.e., if there has been no prior research conducted in your country).

Challenges may arise with availability of resources to implement research-based practice change.

There may be challenges with the availability of resources to implement research-based practice change. Resources may be limited, misallocated, wasted or diverted to other activities. In addition, resources may be unavailable due to competing demands on their time and energy.

There may be organizational barriers that prevent implementation of new practice innovations.

• Cultural barriers.

• Organizational barriers to implementation of new practice innovations.

In addition to the above barriers, there may be organizational barriers that prevent implementation of new practice innovations. These include:

• Organizational culture and structure that do not promote innovation or change (e.g., lack of leadership support, resources, infrastructure).

• Staff training and education issues related to the use of EBP principles in nursing care delivery (e.g., staff skills shortage; lack of information on how best use evidence-based practices).

Conclusion

The challenges of implementing EBP in nursing are not insurmountable and can be overcome with the right leadership, resources and training. To summarize, we have identified four main barriers that prevent nursing organizations from implementing effective changes in practice: lack of research-based evidence, cultural values and beliefs as well as resource shortages. We hope this article has provided a clear framework for developing new strategies to overcome these issues within your organization.