Answer 2 for NUR 550 Identify a quality initiative from your workplace A Quality Improvement Initiative and Barriers to Implementation

The identified quality improvement initiative is evidence-based practice (EBP). EBP connotes an insightful and cautious utilization of the best available evidence alongside patients’ preferences and values and also the clinical expertise to inform patient care decisions and delivery (Dagne & Beshah, 2021). EBP is credited for the positive impacts on the healthcare system including the promotion of safe and quality care and reduction in healthcare costs. Barriers linked to the implementation of EBP can be categorized into individual and organizational barriers. Individual barriers include heavy workload in nursing practice leading to inadequate time to adopt and implement EBP. Other barriers include poor understanding and inability to analyze literature, lack of interest among nurses to read the literature, poor critical analytical skills, and computer illiteracy. Organizational barriers include heavy work burden on the existing nursing workforce, inadequate vital resources for implementation, and lack of management support (Dagne & Beshah, 2021). Moreover, the acceptance and application of EBP in the healthcare industry is an expanding research area. As a result, this area is marred with inconsistent terminologies and poor application of theory, which is a significant challenge during EBP implementation.

Translation of research into practice is also characterized by massive barriers. The first barrier is difficulty in introducing and sustaining evidence alongside EBP protocols in the face of conflicting healthcare priorities. Also, translating research into practice is contextually inconsistent, which makes it hard to enhance research translation into practice (Dang et al., 2021). Other factors that cause barriers to translating research into practice include poor evidence-based directives, poor structures for training and continuing education, unfavorable organization traditions and policies, lack of inspiration among nurses, and resistance to change.

References

Dagne, A. H., & Beshah, M. H. (2021). Implementation of evidence-based practice: The experience of nurses and midwives. PloS one, 16(8), e0256600. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0256600

Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines. Sigma Theta Tau.