The use of evidence-based practice (EBP) in America stands at 15% while projections by the Healthy People organization state that the statistic should stand at 90% 2020. In the U.S., there are number of barriers to the full actualization of EBP. Jordan, Bowers and Morton (2016) noted some of the challenges as resistance to change, lack of managerial support for implementation of EBP, as well as poor facilitation. For factors specific to the U.S., Correa-de-Araujo (2016) explained that nurses face numerous limitations in the healthcare sector thereby leading to decreased support for both education and career development. other factors cited were such as prejudice against the nursing practice, and reduction in the workforce which relates to low nurse-to-patient ration. Barends et al. (2017) conducted a review of EBP challenges across countries. The authors noted that practitioner constraints such as perceived benefits of scientific evidence, personal skills, social norms surrounding the working environment, and contextual factors (resources and time constraints) undermine full implementation of EBP.
A closer review of the challenges mentioned demonstrates that the U.S. should change its attitude towards nursing as a practice that does demand any advancement on the part of nurses (Correa-de-Araujo, 2016). A change in perspective will promote acceptance or nursing as a profession that can be improved through EBP. While that is the case, the education system in America should present nursing as a beneficial field both professionally and socially. This will increase the number of nurses hence allowing for effective use of EBP at work. Practitioner constrains are largely about resistance to change which can be addressed through exposing medical professionals to the benefits of using EBP. Campaigning for implementation of this particular practice will push individuals towards integrating it into their practice. These measures will lead to countrywide adoption of EBP in America’s healthcare sector.
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References
Barends E, Villanueva J, Rousseau DM, Briner RB, Jepsen DM, Houghton E, et al. (2017) Managerial attitudes and perceived barriers regarding evidence-based practice: An international survey. PLoS ONE 12 (10). https://doi.org/10.1371/journal.pone.0184594
Correa-de-Araujo, R. (2016). Evidence-Based Practice in the United States: Challenges, Progress, and Future Directions. Health Care for Women International , 37 (1), 2–22. http://doi.org/10.1080/07399332.2015.1102269
Jordan, P. J., Bowers, C. A., & Morton, D. (2016). Barriers to implementing evidence-based practice in a private intensive care unit in the Eastern Cape. Southern African Journal of Critical Care,32 (2), 50. doi:10.7196/sajcc.2016.v32i2.253
