The healthcare system has increasingly focused on the delivery of high quality and consistent services. Evidence-based practice (EBP), which is the integration of external clinical evidence to clinician expertise, is one of the strategies used to improve health care delivery. EPB has shown to improve quality, reduce costs, and encourages the development of nurses and related workers (Khammarnia et al., 2015). Despite the promotion of EBP today, many hospitals in the United States have not yet integrated the model in their systems due to barriers like culture resistance and lack of knowledge.
Culture resistance and lack of knowledge are two major factors that undermine the implementation of EBP. Hospitals and practitioners still cling on the traditional procedures that did not consider the best available clinical evidence. In a focus group study that aimed to identify the barriers to EPB by Tacia et al. et al., participants reported that their hospital cultures do not demand best practices from nurses and that the systems undermine the importance of EBP (2015). In the same study, participants felt that most of inpatient direct care nurses lacked the basic knowledge of EBP. These nurses may be unable to recognize the procedures that reflect high quality research (Tacia et al., 2015). Respondents felt that even though they can easily “google” information, it is hard to tell the information that is supported by good research.
Resistance from practitioners and administrations and lack of knowledge greatly impact the adoption of EBP in the United States. Hospitals need to cultivate cultures that promote EBP and provide the nurses and other healthcare nurses with the right resources to gain knowledge on EBP. The administration may inform the workers about other projects that utilized similar implementation strategies that worked in order to avoid resistance (Ginex, 2018). Ginex establishes that changing a behavior requires “persistence, perseverance, and willingness to be open to new options along the way” (2018). Additionally, hospitals can offer training to enhance learning of EBP among the nurses and other workers in the system.
Ginex, P.K. (2018, May 30). Overcome barriers to applying an Evidence Based process for practice change. ONSVoice. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change
Khammarnia, M., Mohammadi, M.H., Amany, Z., Rezaeian, S. & Setoodehzadeh, F. (2015, March 18). Barriers to implementation of Evidence Based Practice in Zahedan Teaching Hospitals, Iran, 2014. Nursing Research and Practice. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4381851/
Tacia, L., Biskupski, K., Pheley, A. & Lehto, R.H. (2015, Feb 4). Identifying barriers to evidence-based practice adoption: A focus group study. Clinical Nursing Studies, 3(4). Retrieved from http://www.sciedupress.com/journal/index.php/cns/article/viewFile/6179/3843