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Assignment: NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project
Assignment NUR 590 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project
NUR 590 Week 5 DQs
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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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.