Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

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It is crucial that 90% of nursing practice by 2020 be evidence-based in order to improve the quality and patient care. There are many obstacles that prevent nursing practice from reaching this goal. These barriers can be overcome by implementing the following strategies:

  1. Insufficient time: Lacking sufficient time can be a major barrier to evidence-based medicine (EBP). Many nurses struggle with keeping up with their workload. This leaves little time or none to conduct research and analyze evidence-based practice.

This issue can be addressed by healthcare providers who provide access to resources and information that enable nurses to use evidence-based practice. Access to guidelines and electronic databases can be provided. This will allow nurses quick and easy access to relevant information. It is important that nurses are encouraged to participate in continuing education and training. This will allow them to rapidly evaluate and apply evidence-based practices to their work.

  1. Resistance to Change. Another barrier to EBP implementation can be resistance to change. Nursing staff may resist changing or adapting to new techniques, particularly if they’ve been using the same methods for years.

Healthcare organizations need to promote continuous quality improvement and EBP as an integral part the nursing profession in order to address this problem. It is important for nurses to be encouraged and supported in sharing their knowledge and experiences with other health professionals and colleagues. It could be done through the creation of interprofessional teams, staff meetings and quality improvement programs. Also, it is important for healthcare providers to develop and implement procedures and policies that support EBP. This includes guidelines regarding the application of evidence-based practice in clinical settings.

These are the questions that can be used to evaluate nursing performance using an appreciative inquiry framework.

  1. Which nursing practice are you most proud of? How have they helped patients achieve better outcomes?
  2. What can I do to build upon my strengths as an nurse and incorporate evidence-based practice into my clinical decision making?
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