After thoroughly and critically analyzing the evidence, the nurses develop a working plan to apply and implement the findings into a clinical practice. Establishing a policy of change should include the identification of strategies and techniques to gain cooperation as well as the evaluating outcomes. The change model to the EBP project is decided upon the evaluation of the evidence gathered. The change agent and the various facilitators to be implemented must develop as well as test the improvement. All the steps of the EBP require some preliminary planning and research. The questions to be addressed are; is the proposed change innovative and practical, is the evidence and deductions transferable, is the organization ready for a change, are all the outcomes reached measurable and finally, is it possible to implement the EBP successfully within the organization? If the selected change models are agreeable, they are performed through the appropriate channels. The implementation of evidence based practice is usually considered an improvement and do not require the approval of the hospital Review board (Hall & Roussel, 2016). The quality care committee is responsible for overseeing the process of upgrading, protocol, and changes in the policy. It has the mandate of reviewing and approving the proposed implementation of the evidence-based practice via initial planning. The implementation process involves assessing the feasibility of the recommended change. The stakeholders in the health sector will experience the improved outcomes from the implementation of the results of the EBP project through the improvement of the overall issue of the patient in a hospital facility.
Translation of the Results
An advanced practice nurse should provide a clear and well-organized vision regarding the interpretation and implementation of the results to the members of the specialty track. The results that are gathered should be interpreted and analyzed according to the principles that guide the EBP. The implementation of the EBP provides for safer and more cost-effective care with the patient-specific interventions. To accomplish these, the organizations should employ a strategy to gain cooperation from all the individuals responsible for implementing the EBP. The successful implementation, therefore, requires organizational change. The most crucial plan for the EBP implementation is making sure of the support of the organization as well as management. This helps in eliminating the constraints and allowing for budgeting and funding for education and incentives, and also provides the needed encouragement and persuasion as the organization comes up with its opinion about the EBP implementation.
Nurses cite the desire for clearly written research reports and also exposure to the case studies where EBP resulted in observable improved outcomes. Providing the appropriate education and the needed tools for EBP implementation as well as ensuring access to the evidence will reinforce and assist the providers in understanding the benefits. Psychosocial support is a crucial strategy, which means nurses are enabled and motivated to perform the desired change. These goals are accomplished through proper education, clear-cut expectations, reinforcement, acknowledgment, and rewards. Another similar strategy is role modeling nursing practice. This is done by demonstrating commitment and supporting the cause for advancing the EBP, while performing or educating staff about the desired change
Healthcare providers have reported many barriers to implementing EBP. Nurses can be skeptical, especially if they have muddles, fears, or anxiety that hinder them from having a clear vision when implementing change. Individual barriers are lack of competence of nurses and managers concerning the implementation of EBP approaches, lack of academic skills, and the inability to apply research to practice as evidenced by the sizeable research-practice gap that exists in the profession. Overwhelming workloads may also leave nurses drained, lacking motivation, confidence, awareness, and time. Various research state that barriers to EBP implementation and adherence are often related to individual attitudes. Some restrictions are associated with a specific organization. However, nurses should overcome the other organizational obstacles. Examples include administrative constraints such as a lack of funding for various skill development, lack of support from the management and the administration. There are workplace barriers that involve accessing multiple journals and evidence to support the EBP, peer pressure to continue highly held traditional practices, client demands for the widely prescribed treatment, and the massive patient loads preventing learning and EBP implementation (Harding, Porter, HorneThompson, Donley & Taylor, 2014).
Nursing professionals may face environmental barriers in the implementation of the EBP. EBP can be affected by various government policies and may also be controlled by the laws and legislation. Occasionally organizations have such a fast-moving culture of change; it leaves the nurses too overwhelmed to cope. There are communication barriers in all aspect of life. The implementation of the EBP can be affected by the lack of suitable collaboration and communication between all levels of provider that are involved including managers, researchers, nurses, educators, and administrators. Communication barriers occur in the educational programs as well as in training for the EBP, the interpretation of the research findings and publications as well as presentations (Harding et al 2014). These issues can be complicated with the addition of the multidisciplinary involvement requiring another level of communication to be successful.
The elements of the EBP in totality supports this practice change. The implemented change would include the variables of interest discussed previously in the literature review and pilot plan. A self-reflection is that the benefits of an intervention change may have the potential to support the EBP and the nursing practice. Contrary to the various misperceptions nurses have about EBP; it usually does not take away from the clinical expertise. EBP integrates the very best care with research evidence, patients personal needs, their preferences, and circumstances. It also allows exceptions in clinical approach and resource constraints. EBP is also used as a problem-solving technique in clinical care via taking away decisions based on custom, ritual authority or opinion.
Hall, H. R., & Roussel, L. A. (2016). Evidence-based practice. Jones & Bartlett Publishers.
Harding, K. E., Porter, J., HorneThompson, A., Donley, E., & Taylor, N. F. (2014). Not enough time or a low priority? Barriers to evidencebased practice for allied health clinicians. Journal of Continuing Education in the Health Professions, 34(4), 224-231.
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