Assignment: Barriers to Implementing Evidence-Based Practice among Primary Healthcare Nurses

Assignment: Barriers to Implementing Evidence-Based Practice among Primary Healthcare Nurses

Assignment: Barriers to Implementing Evidence-Based Practice among Primary Healthcare Nurses

Models and Barriers Paper

Evidence-based practice (EBP) is considered a model to solve problems in clinical practice by integrating the most relevant or appropriate evidence with clinician’s expertise and patient preferences and values to offer better care, respond to clinical questions and situations and help in making effective decisions. However, to implement EBP as an aspect of quality improvement process in a clinical setting, providers and organization use models like the plan-do-study-act (PDSA) (AHRQ, 2020). At the core of the PDSA model is to enhance quality care through continuous improvement of processes and systems.

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The implementation of EBP interventions may encounter barriers in clinical settings as one would use the PDSA model to attain continual quality improvement. These barriers include organizational and leadership support, effective training of staff to implement the new approaches, availability of sufficient resources in the organization, and ineffective communication among the staff and organizational leadership (Coury et al., 2018). Further, change resistance is a phenomenon that impacts many EBP projects since those in organizations are keen on maintaining the status quo.

Overcoming these barriers is essential to attaining the goals of quality improvement projects or interventions. The first way to overcome the barriers is to involve all stakeholders in the EBP project. Secondly, effective communication is essential as it will ensure that all understand the goals of the project. Thirdly, role modeling among colleagues will be critical in ensuring that they embrace the project. Fourthly, using effective change models like the PDSA would allow one to implement the project based on the steps that it contains.

The PDSA model is a change approach that entails planning where one analyzes the situation and the need for change as well as goals to be attained. This entails involving all stakeholders, communicate the need for changes and their benefits, and required resources. The second part is doing that entails implementing the changes while the third part is checking or studying the change through evaluation of the overall performance (Coury et al., 2018). The last part is to act which implies making the changes part of the organizational processes and operations. The implication is that the use of the PDCA model is critical to attainment of positive outcomes for an organization that may have barriers to change implementating

References

Agency for Healthcare Research and Quality (AHRQ) (2020). Plan-Do-Study-Act (PDSA)

Directions and Examples. https://www.ahrq.gov/health-literacy/improve/precautions/tool2b.html

Coury, J., Schneider, J. L., Rivelli, J. S., Petrik, A. F., Seibel, E., D’Agostini, B., … & Coronado,

10. D. (2018). Applying the Plan-Do-Study-Act (PDSA) approach to a large pragmatic study involving safety net clinics. BMC health services research, 17(1), 1-10. DOI: https://doi.org/10.1186/s12913-017-2364-3

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A widely used one is the Plan, Do, Check, Act (PDCA) cycle that has 4 stages:

Plan: Determine goals for a process and needed changes to achieve them

Do: Implement the changes

Check: Evaluate the results in terms of performance

Act: Standardize and stabilize the change or begin the cycle again, depending on the results.

This assignment is designed to help you identify the PDCA evidence-based practice model and barriers.
Instructions:
Cite specific examples of barriers you have encountered or potential barriers in your particular institution.
How might you begin to overcome those barriers? List 4 ways.
Discuss how you would use the PDCA model in your institution. Why?
Use APA format- no more than 2 pages excluding title page and reference page