The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to Healthy People 2030, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

Managing Barriers to EBP Implementation

The Institute of Medicine (IOM) emphasizes on increasing the use of evidence in clinical care. The institute seeks to expand the use of the evidence to 90% by 2020, and while this objective is important in terms of advancing the quality of care, the U.S. lags behind this target. Currently, the evidence-based practice (EBP) in the country stands at 15%, and one can attribute this to a number of key challenges which hamper the efforts of EBP implementation. A significant number of the medical practitioners have limited time to review the current studies, and this is particularly the case in the emergency settings. The inadequate availability of the health workers is among the factors that seem to exacerbate this problem (Bahadori et al., 2016). Another impediment to the IOM’s agenda is the resistance to change. Providers may find it difficult to adopt new methods of delivering medical care, and introducing a new initiative such as the use of EBP can cause resistance among caregivers.

A number of measures can help in limiting the chances of occurrence of the barriers. Allocating more time to providers so that they can get enough time to review the evidence, for instance, provides an effective solution for managing the time constraints which hamper the implementation of the evidence. By allocating more time to the research, healthcare practitioners can get ample time to gather literature and conduct the search with focus on applying the search findings in clinical situations. Because health workers may resist a new model of care delivery, it is imperative to focus on involving them in all aspects of the EBP implementation (Mathieson, Grande, & Luker, 2019). It is equally important to communicate to them the benefits of the EBP to patients and the healthcare staff.

References

Bahadori, M., Raadabadi, M., Ravangard, R., & Mahaki, B. (2016). The barriers to the application of the research findings from the nurses’ perspective: A case study in a teaching hospital. Journal of education and health promotion, 5, 14. Doi: https://doi.org/10.4103/2277-9531.184553.

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. Doi:https://doi.org/10.1017/S1463423618000488.

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