Evidence Based Nursing
How Do Barriers or Facilitators of Evidence-Based Practice Appear in Work Settings?
Anurse must be able to evaluate clinical guidelines, levels ofevidence, formulate questions, evaluate research, and assess practice(Tacia, Biskupski, Pheley, & Lehto, 2015). However, some barriershinder the adoption of evidence-based practice (EBP). Researchconducted by Tacia et al., (2015) to examine the attitudes andbeliefs of nurses in EBP indicated that cultural barrier was one ofthe challenges affecting nurses in the workplace. Moreover, nurseslack the basic knowledge of EBP. Another barrier is the lack ofmotivation that hinders nurses from improving themselves to provideprofessional care. Nurses lack time to understand EBP because theyare tied up with many duties and implementing EBP requires a lot oftime.
What are the ways in which Quality Improvement Processes can be evaluated over Time to ensure they are still working as Intended?
Someof the strategies used for evaluating quality improvement in healthcare include Lean, the Institute for Healthcare Improvement (IHI)Model for Improvement, Baldrige Quality Award Criteria, and the SixSigma. The Lean emphasizes on eliminating waste and redundancy in thehealth care setting. The IHI identifies measures of success andsystematically tests them in rapid cycles. The Six Sigma aims atreducing causes of defects and variability in the business process.The Baldrige Award Criteria promotes the culture of continuedexcellence by a group-based self-assessment (National LearningConsortium, 2013).
What are the Arguments for why Nurses are Key Members of Evidence-Based Practice Teams? Are there any Arguments to be made against Nurses?
Nursesare responsible for providing safe patient care and making seriousclinical decisions. EBP ensures clinical expertise and patientadvocacy are used in the health care delivery (Tacia, Biskupski,Pheley, & Lehto, 2015) for this case, it is evident that nursesplay a fundamental role in participating in EBP practice teams.Currently, arguments against nurses involved in evidence-basedpractice teams are not in existence however, nurses are recommendedto ensure patient safety and manage the ethical dilemmas that existin the organization.
NationalLearning Consortium. (2013). Continuous quality improvement (CQI)strategies to optimize your practice. Health Information TechnologyResearch Center (HITRC).
Tacia,L., Biskupski, K., Pheley, A., & Lehto, R. H. (2015). Identifyingbarriers to evidence-based practice adoption: A focus group study.Clinical Nursing Studies, 3(2), 90-96. doi:10.5430/cns.v3n2p90
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