Models and Barriers Assignment
Evidence-based practice is critical in the healthcare system. It helps to improve the quality of patient care and nursing practice (Alatawi et al., 2020). It is not only the responsibility of nurses and doctors but also of administrators. There are, however, numerous barriers to implementing evidence-based practice. My place of employment is a small community hospital. OakBend Medical Center is Fort Bend County’s only non-profit organization. This paper will go over the obstacles I’ve encountered, how I’d overcome them, and the model that might work in my institute of practice.
Obstacles encountered
Some of the barriers to using evidence-based practice are related to human and organizational factors (Houser, 2011). I have encountered two human factors in my hospital: a lack of knowledge about evidence-based practice and negative attitudes toward research and evidence-based practice. Prior to beginning my MSN program, I was skeptical of research and evidence-based practice. I was uninterested in research because I didn’t understand its significance. Furthermore, I was able to put what I learned into practice after enrolling in theory and research classes. In fact, I realized that a large portion of my nursing practice was founded on theory and research. In addition, many of the nurses I work with are unmotivated when it comes to evidence-based practice. Their negative attitudes toward research are due to a lack of time and administration support. They believe that research is unimportant in nursing. Overall, I’ve found that nurses in my hospital are resistant to change or new ideas.
Despite the fact that our hospital’s goal is to provide patient-centered medicine, many organizational barriers prevent the implementation of evidence-based practice. These include a lack of administrative support or incentives, as well as demanding workloads that leave little time for research (Houser, 2011). For example, our hospital has a geriatric medical unit called Acute Care for the Elderly (ACE). It was developed in response to research showing that early ambulation can reduce hospital stays. Patients on this unit are encouraged to get up and walk around at least twice a day, as well as eat in the dining room with other patients.
Nurses in this unit are underpaid and overworked. Furthermore, they do not receive an orientation that includes research to support the claim that patients on the unit spend less time in the hospital. As a result, they have been unable to establish the evidence-based practice that the administration attempted to implement. The administration does not provide bonuses or even lunch to employees to motivate them. Nurses on this unit are frequently understaffed and must perform extra duties such as ambulating their 5-6 patients and assisting them to the dining area. The nurses are overburdened and have little time for research.
Overcoming Obstacles
Nurses are the foundation of our hospital. To overcome organizational barriers, the hospital should first mandate that all nurses be properly trained.
References
Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review. American Journal of Nursing Science, 9(1), 35. https://doi.org/10.11648/j.ajns.20200901.16
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Question 
This assignment is designed to help you identify evidence-based practice models and barriers and will be graded according to the Guidelines and Rubric for Models and Barriers below.
Models and Barriers Assignment
Subtitle or Section:
- Cite specific examples of barriers or potential barriers you have encountered specific to EBP in your particular institution.
- How might you begin to overcome those barriers? List 4 ways.
- Identify a model you think might work in your institution. Why?
- Please refer to the Rubric below for more details of what is expected under each criterion.
View RubricModels and BarriersModels and BarriersCriteriaRatingsPtsExamplesview longer description30 to >0 ptsFull MarksAt least 2 specific examples of models and barriers specific to the implementation of EBP in your institution are cited0 ptsNo Marks2 specific examples models and barriers specific to the implementation of EBP in your institution are not cited/ 30 ptsOvercomeview longer description30 to >0 ptsFull Marks4 ways to overcome barriers stated in criterion 1 are listed0 ptsNo MarksLess than 4 ways to overcome barriers stated in criterion 1 are not listed/ 30 ptsModelview longer description30 to >0 ptsFull MarksOne model of EBP is identified that can be implemented in your institution and an explanation of why it could be implemented in your institution is clearly stated.0 ptsNo MarksOne model of EBP is NOT identified that can be implemented in your institution and an explanation of why it could be implemented in your institution is NOT clearly stated./ 30 ptsAPAview longer description10 to >0 ptsFull Marks1 point for each APA error0 ptsNo MarksAPA is not used at all/ 10 ptsTotal Points: 0