Organizational issues and solutions to evidence based nursing practice

This article covers Organizational issues and solutions to evidence based nursing practice.

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Sample Question-Organizational issues and solutions to evidence based nursing practice

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.

Sample Answer

Evidence based practice in nursing involves the application of knowledge obtained from  various credible sources after critically evaluating the information and then using it to make informed decision  on the most effective intervention to use to enhance  patients outcomes (Goodman, 2013). For this reason, evidence based care is regarded as the golden standard for delivering competent and patient centered care to clients.  In spite of its benefits adoption of evidence based practice in healthcare system remains low. This attributed to various factors, which include cost implications, ethical issues, shortage of relevant professionals and lack of a harmonized curriculum in nurse education to promote adoption of evidence based practice in the workplace. (Organizational issues and solutions to evidence based nursing practice)

In my organization, the main issue in addressing a solution to evidence based nursing practice is about organization policy.  Every healthcare institution has its own policies in regard to provision of care to patients.  In my organization, healthcare professionals are required to follow the already established procedures and interventions. This usually places nurses at an ethical and professional dilemma especially when it comes to application of evidence based practice in healthcare. The overall impact of the organizational policy is that it discourages nurses from applying evidence based practice approaches. (Organizational issues and solutions to evidence based nursing practice)

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To address the issue, it is important for the organization to modify its policy to ensure that nurses feel empowered to apply evidence based practice in their clinical duties. However, it is important to ensure that the patient safety is not compromised in the process. Patient safety in this regard can be enhanced by ensuring that nurses are adequately trained and skilled in evidence based practice. This can be done by encouraging nurses to participate in lifelong learning and enrolment in higher education programs, including BSN and doctoral studies. This will improve their ability to apply research in nursing practice, as required of evidence based practice.(Organizational issues and solutions to evidence based nursing practice)  

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FAQs

What are the organizational barriers to evidence-based practice?

Organizational challenges related to evidence-based practice encompass several aspects:

Reluctance towards Change: Numerous institutions exhibit a resistance to adapt and may adhere to conventional methods, posing difficulties in embracing novel evidence-based approaches.(Organizational issues and solutions to evidence based nursing practice)  

Resource Limitations: The implementation of evidence-based practices frequently necessitates financial and human resources for training, research, and technological infrastructure, which some entities may find challenging to allocate.

Cultural and Leadership Influence: The culture and leadership within an organization can significantly impact the endorsement or hindrance of evidence-based practices. Absence of support from leaders or an organizational culture that doesn’t prioritize research-driven decision-making can serve as impediments.(Organizational issues and solutions to evidence based nursing practice)  

Information Handling: The effective application of evidence-based practice relies on the accessibility and availability of current research and data, a task that may be formidable for organizations to oversee and incorporate into their decision-making procedures.

What are the issues associated with evidence-based practice?

Evidence-based practice (EBP) presents several concerns. Firstly, it often relies heavily on research findings, which may not consistently align with individual patient situations due to variations in patient demographics and clinical contexts. Secondly, there can be a delay in incorporating new evidence into clinical practice, leading to outdated procedures. Thirdly, there is a potential for bias in evidence selection and interpretation, along with possible conflicts of interest among researchers and clinicians. Lastly, EBP can be time-intensive, posing challenges for healthcare professionals in staying updated with the latest research and implementing practice modifications.(Organizational issues and solutions to evidence based nursing practice)  

What do you think could be challenges to applying evidence-based practice in nursing care?

Applying evidence-based practices in nursing care may encounter certain hurdles. Firstly, the accessibility and reliability of current research can be limited, making it challenging for nurses to stay informed about the latest evidence. Secondly, the fast-paced and demanding nature of the clinical environment leaves minimal room for nurses to search for and critically assess research findings. Thirdly, the necessity to tailor care to each patient’s unique needs can occasionally clash with standardized evidence-based guidelines. Lastly, resistance to change and a lack of institutional support can impede the adoption of evidence-based practices within nursing teams. Overcoming these obstacles necessitates ongoing education, resources, and a culture that values the incorporation of evidence into nursing care.(Organizational issues and solutions to evidence based nursing practice)