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The Institute Of Medicine Has Stated A Goal That 90 Of Practice Be Ev

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

Sample Paper For Above instruction

Achieving a goal where 90% of nursing practice is evidence-based by 2020 presents significant challenges, especially considering the current rate is around 15%. Two prominent barriers that hinder the progress toward this goal are the lack of access to current evidence and resistance to change within the nursing profession. Addressing these barriers requires targeted strategies that promote knowledge dissemination and foster a culture of continuous improvement.

Barrier 1: Limited Access to Current Evidence

One major obstacle in implementing evidence-based practice (EBP) in nursing is limited access to up-to-date research and evidence. Many nurses, especially those working in resource-constrained settings, may find it difficult to access current journals, research articles, or databases necessary to inform their clinical decisions. Lack of institutional subscriptions and high costs of accessing scientific journals further exacerbate this issue. Without accessible and easy-to-navigate sources of evidence, nurses may rely on outdated practices or clinical experience alone, which impedes the adoption of EBP.

To mitigate this barrier, healthcare institutions can invest in digital library subscriptions and promote open-access journals. Furthermore, organizations can implement institutional EBP resources, such as sorted evidence summaries or clinical guidelines, that are readily available to nursing staff. Education and training can also help nurses develop skills to efficiently search for and appraise evidence, thus empowering them to incorporate the latest research into their practice.

Barrier 2: Resistance to Change and Cultural Barriers

Another significant barrier is resistance to change among nursing staff and healthcare providers. Many nurses may be accustomed to traditional practices or skeptical of new evidence that challenges established routines. Additionally, organizational culture can influence the willingness to adopt new practices, especially if leadership does not actively promote EBP or if there is fear of increased workload associated with implementing change.

Addressing resistance requires fostering a culture that values innovation and continuous improvement. Leadership plays a vital role in modeling EBP, providing ongoing education, and recognizing efforts to integrate evidence into practice. Engaging nurses in the decision-making process and demonstrating the positive outcomes of evidence-based interventions can also increase acceptance. Creating a supportive environment that encourages inquiry and provides time for staff to review and apply new evidence is essential for overcoming this barrier.

Conclusion and Recommendations

Overcoming these barriers involves multifaceted approaches. Healthcare organizations should prioritize providing easy access to current evidence and cultivating a culture receptive to change. Strategies such as integrating evidence-based protocols into electronic health records, offering regular training sessions, and creating mentorship programs can enhance the adoption of EBP. Ultimately, these efforts contribute to improving patient outcomes, ensuring safe and effective nursing care aligned with national health goals.

References

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