Questions and Topics We Can Help You To Answer:
Paper Instructions:

Reply to classmates' post, at least 125 words each and 1 scholarly reference within last 5 years for each. 

DQ1: 

Common barriers to EBP implementation include inadequate knowledge and skills, weak beliefs about the value of EBP, poor attitudes toward EBP, lack of EBP mentors, social and organizational influences, and economic restrictions (Melnyk, Fineout-Overholt). Inadequate knowledge and skills is an obstacle that no one is comfortable with admitting. Most often as a leader you so not know what knowledge and skills staff lacks until an issue arise and you have to question why a task was performed or education was given in a particular way. For example, a patient presented to dialysis on the last treatment day of the week with a clotted access. The RN involved completed the access referral request faxed information to vascular center and sent patient home with instruction to await a call from access center on Monday. Patient daughter called the unit on the following Monday to inform us that patient expired over the weekend. After investigation the patient missed the 2nd treatment of the week and 3rd due to clotted access. RN never called to discuss clotted access with nephrologist and to inform last time patient received treatment. The process should have been for RN to call and consult MD with present scenario and await orders. No education was provided to the patient that if he felt ill, short of breath or chest pain to go to the nearest emergency room immediately. This is an issue that need address so another peer would not make the same mistake


DQ2

Evidence-based practice (EBP) is essential for nurses because research shows that nursing practice that is based on evidence improves patient outcomes (Mathieson, Grande & Luker, 2018). Although nurses recognize the importance of utilizing evidence, studies have shown there are various obstacles and barriers they encounter that can hinder the implementation of EBP. One of the most common barriers reported by nurses is limited time and knowledge of EBP (Mathieson, Grande & Luker, 2018).

Nurses repeatedly report that lack of time created by issues such as staffing shortages and heavy workloads are significant barriers to researching and using EBP (Mathieson, Grande & Luker, 2018). Lack of time also creates difficulties for implementing new EBPs or making practice changes based on new evidence. This is further compounded by the fact that there is a vast amount of evidence to review because medicine is constantly evolving which makes it very challenging, if not impossible, to keep up with all of the latest research. Additionally, many nurses have limited access, knowledge or skill in researching evidence (Mathieson, Grande & Luker, 2018). They may be unfamiliar with how to efficiently and effectively use research databases or have limited access to reputable databases because of factors such as cost or technology restrictions.