Barriers to Evidence-Based Practice in Nursing and Solutions

The National Academy of Medicine (formerly the Institute of Medicine) championed the goal that 90% of clinical decisions will be evidence-based by 2020. A recent systematic review of the published literature indicates that evidence-based practice (EBP) implementation remains deficient despite an ongoing effort to increase implementation. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which the identified barriers may be addressed.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

Here’s a clear step-by-step guide for structuring and writing your paper:

Step 1: Understand the Assignment

You need to write a minimum 200-word discussion post.
Your focus is on two barriers that prevent nursing from reaching the evidence-based practice (EBP) goal.
You also need to suggest ways to address each barrier.
At least two APA-cited scholarly references are required.

Step 2: Choose Two Barriers

Common barriers include:

Time and workload constraints – Nurses often lack the time to read and apply research.
Organizational culture/resistance to change – Staff may prefer traditional practices.
(Other options: lack of EBP training, limited access to databases, lack of leadership support).

Step 3: Suggest Solutions for Each Barrier

For time/workload → recommend protected time, access to databases, training opportunities.
For organizational resistance → suggest leadership support, EBP champions, mentorship, performance incentives.

Step 4: Structure Your Post

Introduction (2–3 sentences): Introduce the NAM goal and why EBP matters.
Barrier 1 (1 paragraph): Explain the first barrier + suggest a solution.
Barrier 2 (1 paragraph): Explain the second barrier + suggest a solution.
Conclusion (2–3 sentences): Emphasize why overcoming barriers is essential.
References (APA style).

Step 5: Write in a Conversational Academic Tone

Keep it professional but not overly formal.
Use smooth transitions between barriers and solutions.

Step 6: Use APA References

At least two scholarly sources (last 5 years).
Example: Melnyk & Fineout-Overholt (2019), Saunders et al. (2019).

Step 7: Proofread

Check grammar, clarity, and APA citations.
Ensure word count is 200+ words (excluding references).

Helpful Resources for Research

PubMed – Nursing & healthcare research.
CINAHL Complete – Evidence-based nursing articles.
APA Style Guide – For formatting references and citations.

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