Sustaining EBP Perspectives

SUSTAINING EBP… 1
Sustaining EBP Perspectives
LaShelle R. Melton
Jacksonville State University
Evidence-Based Practice and Quality Improvement
NU708
Arlinda Wormely, DNP, MPA, FNP-BC
November 18, 2020

SUSTAINING EBP… 2
Evidence-based practice (EBP) is a problem-solving approach to delivering health care
that incorporates the best available current evidence, clinician’s expertise, patient values, and
preferences (Oguh, 2020). If healthcare providers routinely provided medical services consistent
with the latest scientific evidence, patients could benefit from implementing clinical guidelines.
Two parts are essential to progress the quality of healthcare: improvement of evidence-based
medicine, which reinforces the clinicians’ skills and identifies the clinical actions leading to
better medical services, and evidence-based management, which recognizes the hospital
strategies, organization, and management practices to provide evidence-based medical services
(Hasanpoor et al. 2020). The paper aims to review methods that implement evidence into
practice and contribute to the sustainability of EBP in the clinical setting.
The dissemination and adoption of research into clinical practice in health care settings is
a complex and challenging process. Clinical champions have been increasingly used in health
care to facilitate the implementation and adoption of evidence-based practice and overcome
organizational barriers. A clinical champion's utilization to motivate staff to implement evidence-
based practice in these settings may improve treatment quality and reduce disease burden (Wood
et al., 2020).
Just as there is a robust science that supports the development and rigorous testing of
clinical innovations, the emerging field of implementation science is developing new theory-
based knowledge regarding a growing portfolio of meticulously tested implementation strategies
that seek to improve uptake of evidence-based practices by targeting barriers at multiple levels
within health care settings. Studying and documenting implementation strategies associated with
uptake during the development and trial of a clinical innovation could subsequently position the
researcher for a more seamless transition and handoff of the innovation to clinical and
SUSTAINING EBP… 3
operational leaders (Kirchner et al., 2020). Evidence-based practice (EBP) has gained
appreciable recognition in health service delivery. However, knowledge concerning the
implementation of EBP appears to be limited, despite practitioners' understanding of the concept
having a high propensity to various factors and elements in health care organizations have
created obstacles in the implementation of EBP in-hospital clinical practice. These obstacles,
which often stemmed from nurses and nursing administrators, included: individual factors such
as negative attitudes to EBP, low levels of knowledge, negative personality traits; organizational
factors like a lack of time, lack of collaboration, lack of support or direction from leadership, and
ethical issues; educational factors like restrictive practice limitations, complicated
recommendations, lack of knowledge to search literature, gaps in the available literature, lack of
access to research resources; and, social factors like economic problems and lack of
governmental support (Oguh,
In conclusion, this student agrees with Fencl & Matthews, the advanced practice RN
(APRN) is a valuable resource to support and guide nurses in this effort. The APRN's skills
encompass understanding and implementing evidence-based practice, evaluating the
organizational structure across the continuum of care, and facilitating collaboration between
perioperative nurses and other inter-professional team members to sustain practice changes in the
clinical setting. Perioperative APRNs play an essential role as evidence-based practice experts to
translate research and evidence into clinical practice for safe, quality care in the perioperative
setting (Fencl & Matthews, 2017). Former doctoral students who are currently leaders who have
had success in evidence-based practice have a responsibility to share their wisdom by mentoring
others.
SUSTAINING EBP… 4
References
Fencl, J. L., & Matthews, C. (2017). Translating evidence into practice: How advanced practice
RNs can guide nurses in challenging established practice to arrive at best practice. Aorn
Journal, 106(5), 378-392.
Hasanpoor, E., Janati, A., Arab-Zozani, M., & Haghgoshayie, E. (2020). Using evidence-based
medicine and evidence-based management to minimize overuse and maximize quality in
healthcare: a hybrid perspective. BMJ evidence-based medicine, 25(1), 3-5.
Kirchner, J. E., Smith, J. L., Powell, B. J., Waltz, T. J., & Proctor, E. K. (2020). Getting a
clinical innovation into practice: an introduction to implementation strategies. Psychiatry
Research, 283, 112467.
Oguh, C. R. (2020). Identifying Techniques to Break Down Barriers and Resistance Toward
Implementing Evidence-Based Practice: A Delphi Study (Doctoral dissertation,
University of Phoenix).
Wood, K., Giannopoulos, V., Louie, E., Baillie, A., Uribe, G., Lee, K. S., & Morley, K. C.
(2020). The role of clinical champions in facilitating the use of the evidence-based
practice in drug and alcohol and mental health settings: A systematic review.
Implementation Research and Practice, 1, 2633489520959072.

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SUSTAINING EBP… 1

Sustaining EBP Perspectives

Jacksonville State University

Evidence-Based Practice and Quality Improvement

Arlinda Wormely, DNP, MPA, FNP-BC

November 18, 2020

Evidence-based practice (EBP) is a problem-solving approach to delivering health care

strategies, organization, and management practices to provide evidence-based medical services

practice and contribute to the sustainability of EBP in the clinical setting.

organizational barriers. A clinical champion's utilization to motivate staff to implement evidence-

based knowledge regarding a growing portfolio of meticulously tested implementation strategies

appreciable recognition in health service delivery. However, knowledge concerning the

implementation of EBP appears to be limited, despite practitioners' understanding of the concept

ethical issues; educational factors like restrictive practice limitations, complicated

governmental support (Oguh,

encompass understanding and implementing evidence-based practice, evaluating the

Journal, 106(5), 378-392.

medicine and evidence-based management to minimize overuse and maximize quality in

healthcare: a hybrid perspective. BMJ evidence-based medicine, 25(1), 3-5.

clinical innovation into practice: an introduction to implementation strategies. Psychiatry

Research, 283, 112467.

Implementing Evidence-Based Practice: A Delphi Study (Doctoral dissertation,

Implementation Research and Practice, 1, 2633489520959072.

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