What Are Some Obstacles Or Barriers To Implementation

Two Topics1what Are Some Of The Obstacles Or Barriers To Implementing

Identify some of the obstacles or barriers to implementing Evidence-Based Practice (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. In 300 words with references.

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. In 300 words with references.

Paper For Above instruction

Implementing Evidence-Based Practice (EBP) in nursing is essential for enhancing patient outcomes, improving care quality, and promoting clinical excellence. However, several obstacles impede the seamless integration of EBP into everyday nursing practices. Understanding these barriers is crucial for developing strategies to overcome them and facilitate evidence-based advancements in healthcare.

One significant barrier is the insufficient time available for nurses to review and implement new evidence. Nursing staff often contend with high patient loads and administrative duties, leaving limited opportunities for engaging with current research findings (Melnyk & Fineout-Overholt, 2015). This lack of time hinders their ability to critically appraise evidence and apply it effectively. Additionally, a deficit in organizational support and leadership can hamper EBP initiatives. When hospital administrators or nurse managers do not prioritize or allocate resources to EBP, nursing staff may lack the motivation or authority to initiate changes (Wing et al., 2019). Leadership encouragement and institutional culture are fundamental to fostering an environment conducive to EBP (Cowan et al., 2020). Another barrier involves the limited access to current research articles, which can be due to the high costs of journal subscriptions or inadequate technological resources within healthcare settings. Without access to up-to-date evidence, nurses may rely on outdated practices, negatively affecting patient care (Brown et al., 2018). Moreover, resistance to change among nurses and other healthcare professionals contributes to slow EBP adoption. Some practitioners may prefer traditional practices or feel uncertain about the evidence quality, leading to reluctance in altering established routines (Pignata et al., 2019). To address these obstacles, strategic initiatives like providing ongoing education, fostering leadership support, and investing in technological resources are needed. Creating a supportive organizational culture that values evidence-based care will ultimately promote successful EBP implementation and improve patient outcomes.

References

• Brown, C., Smith, J., & Lee, A. (2018). Barriers to evidence-based practice implementation in nursing. Journal of Nursing Management, 26(4), 454–461.
• Cowan, D. T., et al. (2020). Leadership and organizational culture in promoting evidence-based practice. Journal of Clinical Nursing, 29(1-2), 19-29.
• Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice. Wolters Kluwer Health.
• Pignata, S., et al. (2019). Resistance to change in healthcare settings: Overcoming barriers to evidence-based practice. Nursing Outlook, 67(5), 467-473.
• Wing, L., et al. (2019). Organizational factors influencing evidence-based practice adoption in nursing. Journal of Nursing Administration, 49(4), 183-188.

Research projects involving human subjects require strict protections to safeguard personal rights, especially for vulnerable groups who may face increased risks or have limited capacity to provide informed consent. Ensuring their protection necessitates specific ethical and procedural methods.

One essential method is obtaining informed consent through a process that emphasizes clarity, comprehension, and voluntariness. For vulnerable populations, such as children, individuals with cognitive impairments, or economically disadvantaged groups, consent discussions should be tailored to ensure genuine understanding. For example, using simplified language or visual aids improves comprehension and respects their autonomy (Schulz & Grady, 2019). Furthermore, Institutional Review Boards (IRBs) play a pivotal role in reviewing research protocols to ensure ethical standards are maintained, including assessing risks, benefits, and consent procedures. The IRB's oversight helps ensure that studies do not exploit or harm vulnerable groups and that appropriate safeguards are in place (Hood, 2017). An additional protective measure involves implementing a Data Safety Monitoring Board (DSMB), which continually reviews study data for adverse events, ensuring participant safety throughout the research process. Researchers must also guarantee confidentiality and anonymity by de-identifying data and restricting access codes, thereby reducing potential harms related to privacy breaches (Kilbey et al., 2018). For vulnerable populations with diminished decision-making capacity, proxy consent or assent—depending on the case—is necessary and ethically justified. These consent processes emphasize respecting individuals' rights while acknowledging their specific vulnerabilities. Overall, ethical research involving vulnerable groups necessitates meticulous planning, transparent communication, ongoing oversight, and adherence to regulatory standards to protect personal rights effectively.

References

• Hood, S. (2017). Ethical considerations in research with vulnerable populations. Nursing Ethics, 24(5), 632-641.
• Hood, S. (2017). Ethical considerations in research with vulnerable populations. Nursing Ethics, 24(5), 632-641.
• Kilbey, B., et al. (2018). Privacy and confidentiality in health research. Journal of Empirical Research, 16(3), 220-231.
• Schulz, K. F., & Grady, C. (2019). Informed consent in vulnerable populations. New England Journal of Medicine, 380(3), 268-273.