Assignment NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project
Sample Answer for Assignment: NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project Included After Question
NUR 590 Week 5 DQs
Description
Week 5 DQ 2 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. This could range from support of the evidence-based project proposal to communication gaps. How could you address these problems?
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A Sample Answer For the Assignment: Assignment: NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project
Title: Assignment: NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project
Our goal was to identify barriers and facilitators to the implementation of evidence-based practices from the perspectives of multiple
stakeholders in a large publicly funded mental health system. We completed 56 interviews with three stakeholder groups: treatment developers (n = 7), agency administrators (n = 33), and system leadership (n = 16). The three stakeholder groups converged on the importance of inner (e.g., agency competing resources and demands, therapist educational background) and outer context (e.g., funding) factors as barriers to implementation. Potential threats to implementation and sustainability included the fiscal landscape of community mental health clinics and an evolving workforce. Intervention characteristics were rarely endorsed as barriers. Inner context, outer context, and intervention characteristics were all seen as important facilitators. All stakeholders endorsed the importance of coordinated collaboration across stakeholder groups within the system to successfully implement evidence-based practices.
Keywords: Policy, Evidence-Based Practices, Implementation
Evidence-based practices (EBPs; American Psychological Association Presidential Task Force on Evidence-Based Practice, 2006; Institute of Medicine Committee on the Quality of Health Care in America, 2001; Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996) for individuals with psychiatric disorders are not widely available in community settings (American Psychological Association, 2009). Implementation of EBPs in the community poses a major challenge for the behavioral health field and results of efforts to implement EBPs have had some disappointing results (McHugh & Barlow, 2010). Understanding the perspectives of stakeholders involved in the implementation process can provide a richer and more nuanced understanding of how best to implement EBPs in future efforts.
A Sample Answer 2 For the Assignment: Assignment: NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project
Title: Assignment: NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project
Barriers to Implementing EBP
Improving health outcomes depend, largely, on the approaches used to make positive changes in health care processes. The role of the evidence-based practice (EBP) technique is critical since it solves problems by integrating well-designed evidence with patient preferences and health professionals’ expertise (Alatawi et al., 2020). As a tedious process, it is vital to ensure that barriers to implementation are identified and addressed appropriately. Typical barriers to implementing EBP in nursing include lack of time and resources, uncertainty or lack of knowledge, and resistance to change.
In current health practice, nurses are usually busy. The same case applies to stakeholders and health care administrators who should be initiating and supporting change-centered processes. As a barrier, lack of time to implement EBP is common due to the busy working schedules of nurses. Ginex (2018) further explained that lack of knowledge about the EBP process includes insufficient comprehension of critiquing and appraising literature. Resistance makes EBP implementation challenging due to the lack of a culture that supports change. As Mathieson et al. (2019) suggested, EBP implementation success depends on whether nurses deem it useful or not. In this case, chances of resistance are high in situations where nurses are uncomfortable with change or do not deem it useful in impacting patient care positively.
Among these barriers, the most likely to impact my project is the lack of time and resources. My EBP project is on educating parents and children on reducing screen time and increasing physical activity to reduce childhood obesity. The project requires team support from nurses and stakeholders, and their busy schedules could affect their commitment. It also requires substantial resource facilitation in terms of education materials and trainers. Due to such barriers, the implementation might take longer. Some changes might be prompted, such as reducing the volume of training materials or the number of trainees due to resource constraints.
References
Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35-42. doi: 10.11648/j.ajns.20200901.16
Ginex, P. K. (2018, May 30). Overcome barriers to applying an evidence-based process for practice change. ONSVOICE. https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change
Mathieson, A., Grande, G., & Luker, K. (2019). 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, e6. https://doi.org/10.1017/S1463423618000488
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Important information for writing discussion questions and participation
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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource