Question 1

            According to the modern research, evidence-based practices have been perceived as being one of the best means that can been utilized for the purpose of enhancing health care delivery, cost reduction, patient and family satisfaction, and professional development. The reason for that is because it has been realized that organizational and individual barriers are the main obstacles that has the ability of hampering the implementation of these practices that can in return be harmful to healthcare provision (Herbert, 2009). 

            As much as endotracheal suctioning practices of nurses is concerned, the main objective of its management authority entails ensuring that they have some of the organizational and individual barriers that have the potential of impacting the utilization of EBP. In order to be in the position of understanding the impacts that this has to an healthcare organization and its stakeholders, it is important to take into account   individual perceptions, the absence of familiarity with this protocol, the general lack of access to data required for EBP, personal decisions, the presence of insufficient information, resistance to change, and so on. 

            Taking into account the importance of the critical appraisals skill program (CASP), the truth is that some of the perceived clinical barriers are ultimately associated with the various means that are used for the purpose of supporting healthcare operations.  This implies that in order to be in the position of enhancing the equitable delivery of healthcare in any department, it is important for physicians to ensure that they have recognized organizational and individual barriers that has the potential of hampering the implementation of RNs and RTTs (Rosanne, 2019).

                                                            Question 2

            The general absence of adequate information is one of the factors that have been medically identified as being one of the ways that compels clinicians to change their health care ways. The reason for that is because; the majority of healthcare organizations do not have standardized clinical implementation strategies that are more effective in transforming research findings. With endotracheal suctioning practices of nurses, it means that world health care organizations should have the ability of indentifying effective means that can be used for the purpose of reducing existing barriers. The reason for that is because they are the ones that have the potential of minimizing the obstacles of evidence practice gaps (Rosanne, 2019).

            On the hand, the enablers and the barrier of EBP are some of the clinical factors that have the ability of determining healthcare practices that has the ability of facilitating or preventing therapeutic improvement. Due to the fact that such barriers can exist in multiple levels, the truth is that some clinical guidelines needs to be identified as one of the resourceful means of assisting physicians, patients, and their families to come to a clear conclusion regarding their health care requirements. The same reasoning is the one that has the potential of indentifying some of the available medical interventions that can be tailored or generalized for improving the services of their organization (Herbert, 2009). 

            Consequently, some of the procedures that are used by the intensive care mainly take into account the suctioning of individual’s secretions. Regardless of that, the general absence of clarity concerning the RNs and RRTs practices is the one that contributes to unsafe and inappropriate clinical procedures. The end result of that is that it minimizes health care outcomes as well as increasing the likelihood of receiving poor patient outcomes (Rosanne, 2019). Therefore, it is important for physicians to understand the side effects of these procedures.

                                                            References

Herbert, R. (2009). Practical evidence-based physiotherapy. Edinburgh: Elsevier Butterworth Heinemann.

Rosanne Leddy, J. (2019). Endotracheal suctioning practices of nurses and respiratory therapists: How well do they align with clinical practice guidelines?. [online] PubMed Central (PMC). Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530836/ [Accessed 14 Mar. 2019].