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Barriers That Might Inhibit the Implementation Of Evidence-Based Practice In Your Clinical Environment

Qn 1



Mayo Clinic Business Development proposal

Develop an offer for the targeted markets, as much customized or standardized as you see fit, understanding factors that affect demand for foreign health clinic services in Middle East and Latin America. Provide examples/extracts from the survey to show equivalence and differences across Middle East and Latin America to justify your choices.



Qn 2

Consider a recent clinical experience in which you were providing care for a patient.
Determine the extent to which the care that you provided was based on evidence and research findings or supported only by your organization’s standard procedures.

How do you know if the tasks were based on research?
What questions have you thought about in a particular area of care such as a procedure or policy?


Review Chapter 2, pages 31–34 on “Asking Well worded Clinical Questions” in Polit & Beck and consult the resource from the Walden Student Center for Success: Clinical Question Anatomy & examples of PICOT questions (found in this week’s Learning Resources). Formulate your background questions and PICOT question.


Reflect on the barriers that might inhibit the implementation of evidence-based practice in your clinical environment.


Review the article “Adopting Evidence-Based Practice in Clinical Decision Making” in this week’s Learning Resources. Select one of the barriers described that is evident in your organization and formulate a plan for overcoming this barrier.


Post an evaluation of the use, or lack thereof, of EBP in a recent clinical experience. Identify which aspects of the care delivered, if any, were based on evidence and provide your rationale. List your background questions and PICOT question about this nursing topic.

Critique how the policies, procedures, and culture in your organization may hinder or support the adoption of evidence-based practices. Identify the barrier you selected from the article and explain how this barrier could be overcome within your organization.

Evidenced Based Practice In Geriatric Psych Unit

            A recent clinical experience where I applied evidence based practice was during the assessing of geriatric depression for an older adult patient. In order to intervene on the patient’s condition, I used the six levels (I-IV) of evidence to assess the condition of the patient. The assessment parameters and care parameters of the condition were evidence based. This involved identifying the risk factors for the condition.

[blur] I then used the Geriatric Depression Scale-Short Form (GDS-SF) tool to assess the condition (Mansbach, Mace & Clark 2015). The process involved collaboration of the patient and a close relative to provide material information as required by evidence based guidelines on the case. The rationale for using evidence based assessment of the condition was to determine the severity of the condition and the possible treatment approach. This also enabled me to identify the possible nursing intervention for the condition as well as providing an accurate diagnosis of the condition. [/blur]

PICOT Question: In older adults, is treating with non-pharmacological depression approach more resourceful than to treating with pharmacologic approach.

            [blur] Organization culture and climate are critical factors to adoption of evidence-based practices. In my organization, the culture supports application of evidence based practice. The culture of my organization is based on providing high level services to the patients for the best possible outcome. Connectively, evidence based practice facilitates favorable patient outcome (Aarons & Sawitzky, 2006). Physicians in my organization are hence self-motivated to adopt evidence-based practices. [/blur]

[blur] On the other hand, the organization’s policies encourage evidence-based practices to enhance care for the patient as the overall goal is to provide high quality care to the patients. One major barrier of adopting evidence based practice is limited time and resources to conduct research and interpret research findings. In my organization, this barrier can be overcome through allocating more resources towards evidence based practice (Majid et al, 2011). This can be through advanced training of the nurses on evidence based practice and acquisition of advanced technology equipments to aid in analyzing and interpreting data. [/blur]

References

Aarons, G. A., & Sawitzky, A. C. (2006). Organizational culture and climate and mental health provider attitudes toward evidence-based practice. Psychological services3(1), 61.

Karlin, B. E., & Cross, G. (2014). From the laboratory to the therapy room: national dissemination and implementation of evidence-based psychotherapies in the US Department of Veterans Affairs Health Care System. American Psychologist69(1), 19.

Majid, S., Foo, S., Luyt, B., Zhang, X., Theng, Y. L., Chang, Y. K., & Mokhtar, I. A. (2011). Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge and barriers.

Mansbach, W. E., Mace, R. A., & Clark, K. M. (2015). The Brief Anxiety and Depression Scale (BADS): a new instrument for detecting anxiety and depression in long-term care residents. International Psychogeriatrics27(04), 673-681.

Barriers That Might Inhibit the Implementation Of Evidence-Based Practice In Your Clinical Environment

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