Nursing  Reply 1 and 2 ,150 words each one by 05/28/2021 at 6:00 pm ,please add references and citations

Reply1What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue.Evidence-based practice (EBP), a problem-solving approach to patient care based on the best available and reliable evidence, improves care quality, lowers costs, and allows nurses and other health professionals to grow personally and professionally.Person as well as organizational barriers to EBP implementation exist. EBP is a consistency of nursing practice. The main issue my organization in addressing related to evidence-based nursing practice is the fact that many nurses hardly want a cahnge in the way they work and handle patient care.As a result, familiarity with EBP is advised.One of the most significant obstacles to EBP adoption is a lack of awareness about how to use evidence-based practices(Wallis,2012). Some nurses have been shown to lack the skills necessary to incorporate research results into their practices. According to the findings of the study, there is little evidence that most nurses, especially inexperienced nurses, have knowledge of how to incorporate EBP in their practice. We need to include EBP concepts in entry-level education to encourage critical thinking, inspire potential research interest, and further develop the available body of knowledge in our increasing clinical practice (Manspeaker & Van, 2011). Today’s students are tomorrow’s clinicians; we need to include EBP concepts in entry-level education to promote critical thinking, inspire potential research interest, and further develop the available body of knowledge in our growing clinical practice (Manspeaker & Van, 2011).ReferenceManspeaker, S., & Van Lunen, B. (2011). Overcoming barriers to implementation of evidence-based practice concepts in athletic training education: perceptions of select educators. Journal of athletic training, 46(5), 514–522. https://doi.org/10.4085/1062-6050-46.5.514Wallis L, 2012. Barriers to implementing evidence-based practice remain high for U.S. nurses: getting past “we’ve always done it this way” is crucial. Am J Nurs. . doi: 10.1097/01.NAJ.0000423491.98489.70. PMID: 23190655.Reply 22 postsRe: Topic 2 DQ 2Evidence-Based Practice (EBP) in nursing involves the application of knowledge obtained from various credible sources after critically evaluating the information and then using it to make informed decision on the most effective intervention to use to enhance patients’ outcomes (Goodman, 2013). For this reason, Evidence-Based Practice (EBP) is regarded as the golden standard for delivering competent and patient centered care to clients. Despite its benefits adoption of Evidence-Based Practice in healthcare system remains low. In the facility that I work, the main issue that emerged in the process of addressing a solution to Evidence-Based Practice (EBP) was resistance to change. Notably, many of the nurses and even some of the organizational leaders had issues with incorporating Evidence-Based Practice (EBP) to different operations in the facility. In their view, things had always been done in a certain way and given that they were working, there was no need to make a change (Mahmoud & Abdelrasol, 2019). Additionally, addressing a solution to Evidence-Based Practice (EBP) meant that there would be a change in the organizational culture at the facility. That was met with a lot of resistance due to the fear of the unknown, for example, how would the patients react to the change? In addition to that, there were concerns about an increase in workload for the healthcare professionals at the facility. That is because they had to research the evidence, appraise it, and finally proceed with the implementation. All that made nurses and other professionals resist the process of addressing a solution to Evidence-Based Practice (EBP).Given that, the first step to solving the problem mentioned above is through stakeholder engagement. It will mean having meetings with nurses and other professionals addressing their fears about the use of Evidence-Based Practice (EBP). That will create trust, and hence the nurses will be more receptive to the use of Evidence-Based Practice (EBP). Additionally, it will help in collecting the views of nurses about Evidence-Based Practice (EBP) and incorporating them in the process of implementation. That will make Evidence-Based Practice (EBP) have the capability to address the unique problems at the facility. After getting the buy-in from the nurses, then it will be easier to proceed with the process of addressing a solution to Evidence-Based Practice (EBP).ReferencesGoodman, K. W. (2013). Ethics and Evidence-Based Medicine: Fallibility and Responsibility in Clinical Science. New York: Cambridge University Press.Mahmoud, M. H., & Abdelrasol, Z. F. (2019). Obstacles in employing evidence-based practice by nurses in their clinical settings: A descriptive study. Frontiers of Nursing, 6(2), 123-133. doi:10.2478/fon-2019-0019

 
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