NRS 493 Topic 4 DQ 1 Why is understanding the health care system at the local level important to consider when planning an EBP implementation?
NRS 493 Topic 4 DQ 1 Why is understanding the health care system at the local level important to consider when planning an EBP implementation?
Topic 4 DQ 1
May 9-11, 2022
Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course preceptor that you will take into consideration for your own change project.
Sharia Jones
Posted Date
May 14, 2022, 3:43 PM
Replies to Sharia Jones
Several factors are critical to the implementation of EBP. 3 critical components to implementation is the strategy or “intervention” being used, barriers and facilitators (factors that influence the implementation of evidence in clinical practice) and the desired outcomes of the implementation (Correa, Lugo-Aguirre-Acevedo, Contreras, et. Al, 2020). To decide these factors a needs assessment should be conducted for the facility, as well as the community or population being served. Proper understanding of healthcare systems at a local level is vital when planning an EBP implementation because it requires various resources from the local level, including skilled human resources essential to providing leadership and the necessary competence. The importance of an in-depth understanding of the available human capital at the local level. These include the presence of adequate medical personnel such as nurses, physicians and other professionals necessary for successful implementation of EBP at the local level. Secondly, the organizational structure of the healthcare system at the local level plays a critical role in promoting the implementation of EBP successfully. Organizational factors include providing continuous education on EBP not only one time and providing opportunity for staff to improve their skills. Organizational support is essential in EBP implementation (Sindi, Hamouda & Bankhar, 2017).
References
Correa, V. C., Lugo-Agudelo, L. H., Aguirre-Acevedo, D. C., Contreras, J., Borrero, A., Patiño-Lugo, D. F., & Valencia, D. (2020). Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview. Health research policy and systems, 18(1), 74. https://doi.org/10.1186/s12961-020-00588-8
Sindi, N. A., Hamouda, G. M., & Bankhar, M. (2017). Factors Affecting Implementation of Evidence Based Practice as Perceived by Nurses’. IOSR Journal of Nursing and Health Science, 06(04), 53–57. doi: 10.9790/1959-0604025357
Ayda Nahorai
replied toSharia Jones
May 15, 2022, 7:04 PM
- Replies to Sharia Jones
Hi Sharia
The importance of an in-depth understanding of the available human capital at the local level includes adequate medical personnel such as nurses, physicians, and other professionals necessary to implement EBP at the local level successfully. Empirical evidence indicates that the willingness of an organization’s leadership to implement evidence-based practice promotes the availability of other critical resources such as funding, training opportunities, and adequate human resources (Green & Tones, 2009). In this regard, it is essential to understand the leadership of the healthcare system at the local level to determine its willingness to implement EBP. Thirdly, understanding the healthcare system’s culture at the local level is essential to consider when planning and implementing EBP. Some critical aspects of culture include the organizational norms, such as policies applied in human resources management and traditions of the local communities in which the healthcare system is based. Cultural factors play an essential role in influencing the successful implementation of EBP because it influences the cooperation of the stakeholders in the process (Green & Tones, 2009).
Reference
Bonham, C., Sommerfeld,D., Willging, C., & Aarons, G.(2014). Organizational factors influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies. Psychiatry Journal, 2014, doi:10.1155/2014/802983.
Green, J.,& Tones, K.(2009). Towards a secure evidence base for health promotion. Journal of Public Health Medicine, 21(2):133-139.
- Stacy Moore
replied toSharia Jones
May 15, 2022, 8:21 PM
- Replies to Sharia Jones
Hello Sharia,
It is essential to take into account the requirements and preparedness of the population in addition to the resources that are at one’s

disposal. Any implementation will typically need overcoming obstacles in some fashion. When planning the implementation of an evidence-based practice (EBP), it is critical to have a solid understanding of the local health care system at the level at which it operates. This is because the implementation must cater to the requirements of the population being served. There is a wide variety of available frameworks for incorporating EBP into healthcare systems; however, not all frameworks will be applicable to every healthcare system. In order for the implementation process to be successful and sustainable, it requires the active participation of stakeholders such as consumers, clinicians, healthcare administrators, leaders, and policymakers (Kilbourne, et al., 2019).
References:
Kilbourne, A. M., Goodrich, D. E., Miake-Lye, I., Braganza, M. Z., & Bowersox, N. W. (2019). Quality Enhancement Research Initiative Implementation Roadmap: Toward Sustainability of Evidence-based Practices in a Learning Health System. Medical care, 57 Suppl 10 Suppl 3(10 Suppl 3), S286–S293. https://doi.org/10.1097/MLR.0000000000001144
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Also Check Out: NRS 493 Capstone Change Project Topics