Evidence-based practice is a problem resolution and conscientious tactic towards clinical practice which incorporates the most outstanding evidence from well-modeled studies, patients’ preferences and values, plus physician’s expertise in decision making concerning a patient’s care. However, no set-in place typical method presents on the way these aspects can get considered in clinical policymaking occurrence. Moreover, there are some ranking hierarchies and systems of evidence which rate the worth or strength of evidence established from studies or research reports ( Horntvedt et al., 2018 ). Therefore, knowing evidence-based practice and evidence levels is essential for every clinician as they require to be confident on how much emphasis they must practice, study, report alert or clinical practice procedure when making decisions concerning care for a patient.
Implementation of EBP impacts not only personal attributes but also other issues relating to the context of the organization like workload and resources, responsibility and even culture. Thus, to become effective in EBP promotion, clinicians require support in confronting interpersonal, organizational, and other personal factors which come in the process of trying to avail themselves and their whole potential. Therefore, an organizational context and culture that support EBP must incorporate care which is based on evidence within their strategic plan, mission, vision and philosophy which must get communicated and visible all through the organization. An additional relevant factor is the establishment of a vital mass of trained professionals in EBP who can work together with the clinicians in the use of the best practices. However, assessment of their knowledge is essential plus skills that aid them in overcoming obstacles within the scheme to consistently use the EBP by care continuity ( Wallis, 2012 ). Administrators and leaders have a critical role in the implementation of the EBP programs not only through having support towards the care based on evidence plus developing infrastructure for them but also modeling of the evidence-based practices decisions ( Jordan et al., 2016 ). Finally, independent of the contexts and conditions in the nursing practice, development of nursing as a profession and a discipline must shift from the subjective homogenous exercise to adopting models which integrate the best evidence present for the practice. The clinicians must look for ways to adjust through such scenarios. Thus, research has been identified as a useful tool in detecting barriers and chances for implementation of EBP.
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References
Horntvedt, M. E. T., Nordsteien, A., Fermann, T., & Severinsson, E. (2018). Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC medical education , 18 (1), 172.
Jordan, P., Bowers, C., & 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), 50-54.
Wallis, L. (2012). Barriers to implementing evidence-based practice remain high for US nurses. AJN The American Journal of Nursing , 112 (12), 15.
