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Evidence Based Practice In Nursing

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It is no secret that a multitude of barriers exists as to why evidence-based practice (EBP) initiatives are difficult to integrate into the actual clinical environment (Melnyk & Fineout-Overholt, 2015). One is convinced that there is hope to overcome perhaps one of the most resistant and persistent barriers, that is, the opposition of nurses to the notion of “change” to implement new practices that are supported by EBP. One’s hope arises from the fact that the education/knowledge base of the nursing staff (in the current environment) varies tremendously. There is a mix of education that ranges from associate nurses (now working to obtain their bachelor’s degree) to masters prepare nurses. Also, the experience mix is varied from new nurse graduates …show more content…
Although EBP has validated that early sepsis recognition, thus earlier initiation of treatment delivers the best patient outcomes (Schmidt & Mandel, 2016), nurses are still not identifying those patients promptly or at all. The plausible cause is that the nurses’ resistance to “change” intensifies by the notion that the ED is a busy place to work. Patients come at an early stage of sepsis (sometimes difficult to recognize) but other times patient are highly acute (too busy to fully partake in addition to having another patient …show more content…
Hockenberry, Brown and Rodgers, (2015) speak about prioritizing EBP initiatives and perhaps starting with small steps. Many of these processes already exist, the overall awareness that sepsis kills; that early treatment provides best outcomes; triage nurses; and sepsis protocols, including order sets. The only new process will include the dedicated staff performing the job and at the same time educating other staff, therefore, “exposing staff to evidence-based information.” (Hockenberry, Brown, & Rodgers, 2015, p. 211). Administrators should understand that it might take adding staff to the budget. Again, expense comes as a price of the implementation of EBP (Hockenberry, Brown, & Rodgers,

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