NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed

Grand Canyon University NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed                            

Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed                          

The introduction for the Grand Canyon University NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed  is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed                          

After the introduction, move into the main part of the NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed                          

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed                            

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed

Re: Topic 1 DQ 2

Evidence-based practice (EBP) has become the new approach to care delivery in the healthcare sector. Liu et al. (2019), regarded EBP as the care practice that entails searching current literature and trends on a given healthcare issue and evaluating the highest quality findings or solutions to implement hence improving care delivery, patient experience, and outcome. At the same time, the Institute of Medicine has stated that the goal is to attain 90% and above practice in nursing EBP by 2020; only 15% has been achieved in the United States. Evidence-based practices have been linked with quality care, knowledge acquisition and generation, and improved patient outcomes. However, adopting the EBP into practice is not a straightforward case. This essay discusses challenges or barriers holding nursing practice from achieving the 90% goal of evidence-based practice and strategies to address the challenges

The barriers to the Adoption of EBP in Nursing Practice

EBP has been identified as the method to obtain the highest level of care for patients (Thoele et al., 2020). Barriers to EBP adoption can be organizational or individual-based. One barrier is the lack of adequate resources to facilitate evidence-based research, limiting nurses from actively participating in generating evidence or knowledge to be used in care delivery. Lack of resources resulted in research inaccessibility, hence was difficult to collect data and make effective statistical analyses. This obstacle has limited nurses and care providers to the old and traditional care practices, curtailing the research of modern or evidence-based care practices.

Secondly, lack of time, knowledge, and resistance to change. Nurses have been recognized as the key players in the health sector. Nurse shortage in the country has subjected the available ones to be busy with their care delivery work. Time limitations have often limited nurses’ indulgence in implementing EBP. More so, limited knowledge about the EBP process has also limited its adoption into nursing practice. Concerning limited knowledge and time, healthcare professionals have resisted the notion of change, ‘citing it has always been done this way,’ an obstacle to organizational culture change towards EBP.

Strategies to Address the Barriers

Despite the barriers to adopting and utilizing evidence-based practices in nursing, it has become inevitable to ignore the EBP paradigm (Mahmoud & Abdelrasol, 2019). Healthcare organizations have been forced to assimilate into the EBP practices slowly. One approach to foster the adoption of EBP is an organizational investment into evidence-based support tools such as research centers and libraries, enabling nurses to participate in the research process actively. Financial support can be aligned with administration support. In addition to the provision of needed tools, the administration support fosters positive culture change within an organization, resulting in a higher acceptance rate for evidence-based practices.

The second approach is through nurse training and collaboration approach to adopting EBP. According to Mathieson et al. (2018), culture change success is determined by the collaboration input among the various stakeholders. Nurses’ training allows or motivates them to learn the application of the new evidence. It helps them link their practice to the best or quality patient care and experience. Collaboration and engaging the stakeholders help build trust and motivate nurses and other caregivers to learn and adopt evidence-based practices.

In conclusion, EBP is changing the way care delivery is done. However, this has not been an easy case as it needs planning resources, perseverance, and stakeholders’ willingness to adopt the change. Lack of resources, limited time knowledge, and time and resistance to change has curtailed the rate of EBP adoption; measures such as collaboration among stakeholders, worker training, and administration indulgence have helped revert the trend towards successful adoption and utilization of EBP in nursing practices.

References

Liu, Y., Zupan, N. J., Swearingen, R., Jacobson, N., Carlson, J. N., Mahoney, J. E., Klein, R., Bjelland, T. D., & Smith, M. A. (2019). Identification of barriers, facilitators and system-based implementation strategies to increase teleophthalmology use for diabetic eye screening in a rural US primary care clinic: A qualitative study. BMJ Open, 9(2) http://dx.doi.org/10.1136/bmjopen-2018-022594

Mahmoud, M. H., & Abdelrasol, Z. F. M. (2019). Obstacles in employing evidence-based practice by nurses in their clinical settings: a descriptive study. Frontiers of Nursing, 6(2), 123–133. https://doi.org/10.2478/fon-2019-0019

Mathieson, A., Grande, G., & Luker, K. (2018). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. Primary Health Care Research & Development, 20. https://doi.org/10.1017/s1463423618000488

Thoele, K., Ferren, M., Moffat, L., Keen, A., & Newhouse, R. (2020). Development and use of a toolkit to facilitate implementation of an evidence-based intervention: A descriptive case study. Implementation Science Communications, 1, 1-12. http://dx.doi.org/10.1186/s43058-020-00081-x

Sample Answer 2 for NRS 493 Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed

Evidence-based practice (EBP) is a problem-solving manner for the delivery of health care, incorporating the best evidence from studies and patient care information with clinician competence, and patient preferences and beliefs. When supporting organizational culture while delivering care, the best quality of care and highest patient outcomes can be accomplished (Stillwell, 2010). A good way to implement EBP consequently is to give nurses the knowledge and skills necessary to integrate EBP into an organization. Nurses need to acquire the spirit of inquiry and supporting culture to fully implement EBP. The spirit of inquiry leads to developing the clinical question. This makes it possible to find an answer more quickly and efficiently contributing to the improvement of the nursing process and positive patient outcomes (Stillwell, 2010). The clinical question is specific and relevant to the clinical issue, determining which interventions are more effective to get the best outcomes. An example of a clinical question might be ” In a gerontology dementia people unit, how do the elderly who walk around holding baby dolls compare with elderly who walk without baby dolls in one year in a long-term care unit?”. Other examples would be: “In elderly people predisposed to develop cardiovascular disease, how does a regular diet without restrictions compared with diet salt and fat restrictions affect the risk of developing symptoms within one month?”, “In elderly people, how does hourly rounding compare with no rounding affect influence fall rates in each hour”. Background question:” What is the best way to prevent falls?”, “When does the effect of short-acting insulin Humalog peak?”. Using PICOT structure when formulating clinical structure helps to clarify patient population, intervention interest, comparison intervention, outcomes of interest, and the time it takes for the intervention to accomplish the outcome, guiding to search for evidence. A well-formulated PICOT question contributes to the best evidence-based to inform practice will be efficiently and quickly developed. The barrier to implementing EBP might be the lack of implementation of a rapid response team addressing issues of interest in cardiac arrest of patients. Developing a searchable question in a clinic determines a helpful answer in finding strategies of evidence to answer the clinical question (Stillwell, 2010). Nurses adhere to accepted standards of practice and professional performance using evidence-based intervention and the translation of research into practice. EBP approach determines improving patient outcomes, however, studies reflected that health professionals do not always use the evidence to direct their practice. Barriers for nurses to integrating EBP in clinical community settings include difficulty to access the evidence and apply evidence due to lack of time, heavy workload, lack of knowledge about English, lack of confidence, or technological issues. Nursing educators have a significant role in translating research into practice, ensuring nursing students access to information, understanding, and application of EBP. The teaching strategy is an effective integration of EBP ideas in clinical practice, this resolution decreases the barriers in human resources (lack of knowledge and skills) and increases EBP efficacy in nursing students. Cultivating inquiry, asking clinical questions per PICOT format, searching for evidence critically appraising evidence, selecting findings, integrating evidence in practice, and evaluating the outcome are strategies used to address impediments of EBP implementations in the practice of nursing and academic nursing education. Teaching nurses the process and skills to access, appraise, and apply evidence practice is significant in professional nursing for improving the population’s health status and patient outcomes (Andiwatir, 2019).

References:

Andiwatir. (2019). Letter to the Editor: Evidence-based practice for nursing profession: Barriers and teaching strategies solutions. International Journal of Nursing Sciences. https://www-ncbi-nlm-nih-gov.lopes.idm.oclc.org/pmc/articles/PMC6608662/

Stillwell. (2010). Evidence-Based Practice, Step by Step: Asking the Clinical. . . : AJN The American Journal of Nursing. American Journal of Nursing. https://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_Step_by_Step__Asking_the.28.aspx