Barriers that might hold nursing practice from achieving 90% of practice be evidence-based by 2020 include priority and education towards the practice itself. A research done by a group in Columbus, Ohio surveyed 276 chief nurse executives to see how evidence based practice rank in their institutions. The studies states that even though it is known that evidence based practice has resulted in high quality care and improve population health as well as showing better patient experience and lowering costs it is not a priority in most institutions. (Nurse.com)
The priority focus in most institution that are not practicing evidence-base practice is not evidence-based practice but other issues such as quality of care and safety. The mind set is that as soon as they have a handle on quality of care and safety then the next issue will be evidence-based practice. I think institutions are thinking that to compile evidence on issues and compare them is too time consuming so they rather to focus on other issues. An example used in the article is that Emergency Department continue to treat children that present with asthma with nebulizers when there are numerous studies that show that the outcome is better when a metered bronchodilator is used. “when patient get, evidence based care, they have 28% better outcome. (nurse.com)
Most of the chief nurses that were in the survey was unsure of how to measure patient outcome. This is where education comes in. Nurses are graduating with doctoral degrees. There curriculum needs to emphasize the importance of evidence-base practice and how its use can facilitate better outcome. In this way when these nurses are practicing they will be more inclined to rely on evidence-base practice.
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