There are several barriers or obstacles to implementing evidence based practice into clinical practice in the healthcare workplace environment. Nurses are overworked and have extremely demanding daily routines as it is with just medication administration, interventions, care planning, patient and family education and social issues that often present themselves. (Melnyk, 2002).Nurses may see implementation of new practice that has been incorporated due to EBP as an additional task and change to routine. Nursing staff can become resistant to accepting new practice because they feel it will require additional training and education, which would serve as a further demand on an already strained schedule (Melnyk, 2002). Additionally, nursing staff may feel that there is a significant lack of communication between policy makers and practice change agents and what is the actual transition to care of their patients. This is in part due to a lack of knowledge about why things are being implemented. Nurses may feel intimidated to ask questions of superiors because of fear of appearing uneducated or possibly argumentative about adopting new policy.
Overcoming obstacles to implementing EBP is a joint effort from nursing administration, physicians and change agents within the clinical setting. Through adequate education sessions and group discussions barriers can be revealed that may have not even been considered previously and pave a way for change to occur and development of action plans that translate into real changes in patient care.
Original Question: What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer.
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