NUR 590 Topic 5 Discussion Question 1

Sample Answer for NUR 590 Topic 5 Discussion Question 1 Included After Question

NUR 590 Topic 5 Discussion Question 1

Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. What strategies can you implement to gain stakeholder support for the project implementation. Provide a suggestion you would give to a colleague who is struggling with obtaining stakeholder support.


A Sample Answer For the Assignment: NUR 590 Topic 5 Discussion Question 1

Title: NUR 590 Topic 5 Discussion Question 1

Cohesive Collaboration is important to the survival of and success of an organization. Implementation plans can face numerous challenges as a result of lack of knowledge of the problems hurting an organization. This lack of knowledge is common in many organizations were leaders and management are disconnected from day to day operations that help to run the organization. When a person rises through the ranks of the organization into a leadership role they have knowledge of and experience that other managers lack if they hired from the outside. The person who rises through the ranks has more understanding of the how the organization works, the weakness that exist, the organizations strength and how the organization needs to function in order to survive. Where there is s disconnect between stakeholders in higher positions and those working the day to day operations, noting will get done.

Some of the things that one might experience during the implementation phase are resistance and timing. “Lack of time is often cited as a barrier to implementing EBP. In addition, uncertainty or lack of knowledge about the EBP process is also a barrier, which includes critiquing and appraising the literature related to the clinical problem being addressed” (Ginex, 2018). In busy hospitals lack of time to study and understand new changes and policies can be a barrier. On time of this, resistance to change can also be a barrier. In there is already a flow that nurses are accustomed to even if it is chaotic, having to change that flow requires learning something new or changing ones workflow habits and that can cause resistance to change.

NUR 590 Topic 5 Discussion Question 1
NUR 590 Topic 5 Discussion Question 1


The one suggestion I would give to a fellow colleague would be for them to ask questions, slow down the pace in order for them to understand the new policy and give themselves time to become accustom to it and to always remember that it will take them time to learn something new before they can master it.


NUR 590 Topic 5 Discussion Question 1 Reference:


Ginex, P. (2018). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. Retrieved from

Stakeholders are the people involved in carrying out the process under review or individuals who become affected with the change in practice (“John Hopkins Nursing”, 2021). It is important to determine the potential stakeholder barriers that will be encountered in order to address them accordingly. The two stakeholder barriers that can be experienced are resistance to change and lack of authority. Physicians, who are one of the main stakeholders, are perceived to be the least supportive in EBP implementation (Jordan et al., 2021). Without their support, it can make the implementation process difficult. Resistance of practitioners to change from traditional practices to newer concepts introduced in EBP can be a barrier to the implementation process (Jordan et al., 2021). Moreover, some staff nurses feel that they lack authority to make changes in their unit or they do not have the “power” to implement the EBP project. One study suggested that majority of the nurses in a private ICU reported that they lacked the authority to change practice in order to facilitate the implementation of EBP (Jordan et al., 2021).

There are several strategies to gain stakeholder support. First, the support of physicians for the implementation of EBP should be encouraged (Jordan et al., 2021). It is important to keep an open communication between the researcher and physicians. Explaining the goals and benefits of the EBP project in improving patient care can help gain their support. Second, it is recommended to carefully identify individual barriers versus organizational barriers at an early stage (Jordan et al., 2021). Lastly, identifying your stakeholders as well as engaging them early in the EBP process is important because stakeholder buy-in is important for its successful implementation (“John Hopkins Nursing”, 2021). The goal is to gain their trust and confidence and gain as much support as possible for the successful project implementation.

Click here to ORDER an A++ paper from our MASTERS and DOCTORATE WRITERS: NUR 590 Topic 5 Discussion Question 1

NUR 590 Topic 5 Discussion Question 1 References


Jordan, P., Bowers, C., Cur, M. & Morton, D. (2016). Barriers to implementing evidence-based practice in a

private intensive care unit in the eastern cape. SAJCC, 32(2). DOI:10.7196/SAJCC.2016.v32i2.253


“John Hopkins Nursing”. (2021). Upstate Medical University.

Stakeholders are vital to the implementation process as support supplied can hinder the potential outcomes and results of the research or interventions. Two stakeholder barriers I believe I would encounter during the implementation process for my project would be staff engagement and organizational allowance for collaboration.

Staff engagement from a nursing perspective can be difficult as education about nutrition (specifically types of diets) may be unfamiliar and uncomfortable. Although nutrition within an acute setting from a nursing perspective can be seen from meals and nutrition deficits. Expecting nursing to utilize nutrition education within an acute setting may be inappropriate as the focus of patient care and safety would be the priority, engaging them on nutrition education would demand them to switch their focus and may decrease patient outcomes. Nurses may not be motivated to participate in interventions if it does not directly affect acute care outcomes within this setting. This is why education may be promoted as a nursing education intervention as a preparation for post-acute health and wellness and the intervention should be made to address nursing at a community health or public health perspective (Leung, Trevena, & Waters, 2016).


Organizational tolerance of implementing research internally can be difficult as well because most organizations would not want to provide resources to interventions that would not benefit both the patient and organization. This would mean that there is less likeliness to provide resources within the organization and the researcher must acquire and obtain information and deploy internal interventions on their own accord. There is also the chance of declination of approval to implement interventions because the organization may not want to sacrifice work time of the education or nutrition staff on an intervention that may not have significant outcomes to care in the long term (Williams. Candon, Stewart, Byeon, Bewtra, Buttenheim, Zentgraf, Comeau, Shoyinka & Beidas, 2021).


A decent suggestion to a colleague who is struggling with stakeholders would be to understand and present what may become of the outcomes and provide enough evidence that says that supporting the intervention can be part of a greater investment to the care provided. This may help increase stakeholder’s confidence in supporting an intervention.


NUR 590 Topic 5 Discussion Question 1 References:

Williams. N, Candon, M., Stewart, R., Byeon, V., Bewtra, M., Buttenheim, A., Zentgraf, K., Comeau, C., Shoyinka, S., & Beidas, R. (2021). Community stakeholder preferences for evidence-based practice implementation strategies in behavioral health: a best-worst scaling choice experiment. BMC Psychiatry21(1), 1–12.


Leung, K., Trevena, L., & Waters, D. (2016). Development of a competency framework for evidence-based practice in nursing. Nurse Education Today39, 189–196.

When in a leadership role, leaders need to develop relationships with stakeholders. Engaging with stakeholders will build trust and develop learning systems for evidence-based projects. Stakeholders can also help define outcome metrics. Having buy-in from the beginning will aid in the planning of a more substantial project and execution approach. The two stakeholder barriers that one may experience during the implementation phase of the evidence paste project are resources and participation. Limited financial and personnel resources and competing goals might provide significant difficulties (Murphy et al., 2021). Financial assistance, space, and training were all limited, as was access to mental health treatment. Investing in and exploiting established local experience and capabilities can assist in resolving. The difficulty in obtaining active involvement from stakeholders and differing expectations about the nature of participation was recognized as obstacles, whereas possibilities for meaningful participation and empowerment were identified as drives (Ginex, 2019). Participants address the implications of working with and educating providers in the context of failing healthcare delivery systems, complicated socioeconomic settings, and management and organizational hurdles in the medical sector.

Ginex, P. (2019). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. ONS Voice.

Murphy, J., Qureshi, O., Endale, T., Esponda, G. M., Pathare, S., Eaton, J., De Silva, M., & Ryan, G. (2021). Barriers and drivers to stakeholder engagement in global mental health projects. International Journal of Mental Health Systems15(1).

Two stakeholder barriers that I think I will encounter are staff engagement with the project and lack of staff time. For the staff engagement barrier, I would first need to start by making sure the staff understood the reason behind the project. I would need to create a vision and understanding of how the project can improve patient outcomes by using examples of real clinical scenarios (Melnyk & Fineout-Overholt, 2019).I would utilize the unit-based nursing council to help with the education of colleagues and identification of project champions (Melnyk & Fineout-Overholt, 2019). This is important because a top-down approach is not successful because it leads to a lack of ownership from front line staff (Mathieson et al., 2019). The project champions would also be utilized to conduct audits and provide feedback.

For the lack of time barrier, it is important to start with organizational support of the project (DeNisco, 2021). Being a Magnet organization and an HRO there is always support over EBP (Evidence Based Practice) projects and quality improvement projects. I would need to set aside uninterrupted time for the unit-based council/champions to learn about the project and educate colleagues. The education would be done during change of shift nursing huddles to save time verses doing it during the work shift. As a NM I may need to wait to implement the project when the unit is better staffed. I am actively hiring and training new nurses in the unit. Once the nurses are trained and on their own this will allow for sufficient staff to implement the project. The project involves patient and family engagement, and the RN (Registered Nurse) needs to be able to educate the importance of CAUTI (Catheter Associated Urinary Tract Infection) prevention. This is not something that should be rushed.



DeNisco, S.M. (Ed.). (2021). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning.

Matheson, 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 and Development, 20 doi:10.1017/S1463423618000488

Melnyk, B.M. & Fineout-Overholt, E. (2019). Evidence-Based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer, Inc

Lopes Write Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

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

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

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