Extra Ideas of Overcoming Emerging Barriers
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January 27, 2021
Extra Ideas of Overcoming Emerging Barriers
Response to PaGil
Inadequacy of understanding of EBP is a challenge that can be solved in different ways. First, since the target audience is majorly healthcare professionals, well-summarized findings can be shared through different media like websites and emails while attaching references that support the evidence. Similarly, a well-published paper can be printed and shared with each person for their personal review. Through feedback, the less understood segments can be further elaborated, and suggestions for change can also be considered. Additionally, there is a need to be brief in the presentation by covering a maximum of two topics with key data supporting evidence being mentioned regularly. The use of illustrations, e.g., graphs, tables, or pie charts, is important in quickly elaborating information (Andermann et al., 2016). Secondly, hiring consultants who have specialized in training of implementation of evidence can help teach the healthcare teams of the relevance of EBP suggested and help in the implementation of the evidence. Prevention of change resistance requires support by the administration in training and financial input and incorporation of small changes to prevent exhaustion of the care professionals involved (Williams and Cullens, 2016). The absence of mentors’ problems can be handled by enhancing inter-facility collaboration to utilize the well-experienced care professionals in the facility to implement the EBP. This helps to increase the number of available mentors, thus assisting in training and instilling required skills during the implementation of EBP (Wallen et al., 2010). It is also possible to have the team enroll for any available course that teaches on applying the identified intervention. Administrative support comes with creating a positive culture with the executive staffers (Mathieson et al., 2019). This helps them to consider your options and give priority while knowing the beneficial aspects of its implementation. All these ideas target to eliminate barriers to the utilization of the ARCC Model.
Extra Ideas of Overcoming Emerging Barriers
As stated, time constraints are one of the key barriers when utilizing JHEBP Model. This is managed by ensuring early preparation and summarizing the evidence before the presentation. There is a need to emphasize the benefits of the implementation and the expected outcome when presenting. This will allow quick delivery of information and give enough time for staff participation during meetings. Similarly, to counter the lack of support from leaders, one must identify the key stakeholders, book, and make a good presentation to convince them how the evidence will promote the quality of care and improve patient outcomes while reducing care costs. This will help win the leadership and have them work towards the implementation of the EBP. On the other hand, working with key stakeholders and the leadership team will reveal other projects that utilized the same models and the outcomes. With this, one will easily predict the expected outcome of implementing the EBP. The acquired information will be used to set up a good organizational structure or ride on the existing one (Brownson et al., 2018; Williams and Cullens, 2016). Communication in the JHEBP Model can be enhanced by ensuring that a team is set up. A representative is selected from each department who will help coordinate events during dissemination and implementation. Similarly, by working with the leadership team, staff should be notified of an incentive to the departments that successfully utilizes the EBP. This should also involve other stakeholders like the shareholders and NGOs who will fund the incentive schemes (Williams and Cullens, 2016).
Response to EMCOL
The barrier of the low number of mentors can be handled by inviting the retired, experienced, and willing care professionals to help in mentorship during the application of the ARCC and Iowa Models. The good thing about this is that these people will be ready to give back to their former facilities and transform novice practitioners into experts while promoting the implementation of the EBP. Similarly, they will have enough time to interact with staff with their current retirement state and guide them accordingly. Furthermore, with the widespread use of electronic media, a set of mentors globally can be identified and requested to virtually mentor the staff, with frequent sponsored visits for physical interactions (Hoover et al., 2020). Hiring a specialized team or secluding a set of professionals from the staff who will only focus on performing evidence searches and evaluating practice changes will help solve the time constraints. This is so because they will select the appropriate time when the patient flow is low to disseminate and implement the evidence while collecting data for analysis (Brownson et al., 2018). Similarly, an agreement can be set up with the staff members to have them utilize a few hours after their shift to implement the EBP, and a reward is given for every active participation. This helps solve the time constraint issue in both models, i.e., ARCC and Iowa model.
Extra Ideas of Overcoming Emerging Barriers
References
Andermann, A., Pang, T., Newton, J. N., Davis, A., & Panisset, U. (2016). Evidence for Health II: Overcoming barriers to using evidence in policy and practice. Health research policy and systems, 14, 17. https://doi.org/10.1186/s12961-016-0086-3
Brownson, R. C., Eyler, A. A., Harris, J. K., Moore, J. B., & Tabak, R. G. (2018). Getting the Word Out: New Approaches for Disseminating Public Health Science. Journal of public health management and practice : JPHMP, 24(2), 102–111. https://doi.org/10.1097/PHH.0000000000000673
Derman, R. J., & Jaeger, F. J. (2018). Overcoming challenges to dissemination and implementation of research findings in under-resourced countries. Reproductive health, 15(Suppl 1), 86. https://doi.org/10.1186/s12978-018-0538-z
Hoover, J., Koon, A. D., Rosser, E. N., & Rao, K. D. (2020). Mentoring the working nurse: a scoping review. Human resources for health, 18(1), 52. https://doi.org/10.1186/s12960-020-00491-x
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. https://doi.org/10.1017/S1463423618000488
Wallen, G. R., Mitchell, S. A., Melnyk, B., Fineout-Overholt, E., Miller-Davis, C., Yates, J., & Hastings, C. (2010). Implementing evidence-based practice: effectiveness of a structured multifaceted mentorship programme. Journal of advanced nursing, 66(12), 2761–2771. https://doi.org/10.1111/j.1365-2648.2010.05442.x
Williams, J. L., & Cullen, L. (2016). Evidence Into Practice: Disseminating an Evidence- Based Practice Project as a Poster. Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 31(5), 440–444. https://doi.org/10.1016/j.jopan.2016.07.002
Question
DiscussionResponseM5W9 -offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.
Extra Ideas of Overcoming Emerging Barriers