DQ: Why is understanding the health care system at the local level important to consider when planning an EBP implementation?

DQ Why is understanding the health care system at the local level important to consider when planning an EBP implementation?

NRS 493  Topic 4 DQ 1

Several factors are critical to the implementation of EBP. 3 critical components to implementation is the strategy or “intervention” being used, barriers and facilitators (factors that influence the implementation of evidence in clinical practice) and the desired outcomes of the implementation (Correa, Lugo-Aguirre-Acevedo, Contreras, et. Al, 2020). To decide these factors a needs assessment should be conducted for the facility, as well as the community or population being served. Proper understanding of healthcare systems at a local level is vital when planning an EBP implementation because it requires various resources from the local level, including skilled human resources essential to providing leadership and the necessary competence. The importance of an in-depth understanding of the available human capital at the local level. These include the presence of adequate medical personnel such as nurses, physicians and other professionals necessary for successful implementation of EBP at the local level.  Secondly, the organizational structure of the healthcare system at the local level plays a critical role in promoting the implementation of EBP successfully. Organizational factors include providing continuous education on EBP not only one time and providing opportunity for staff to improve their skills. Organizational support is essential in EBP implementation (Sindi, Hamouda & Bankhar, 2017).

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Correa, V. C., Lugo-Agudelo, L. H., Aguirre-Acevedo, D. C., Contreras, J., Borrero, A., Patiño-Lugo, D. F., & Valencia, D. (2020).

Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview. Health research policy and systems, 18(1), 74.

Sindi, N. A., Hamouda, G. M., & Bankhar, M. (2017). Factors Affecting Implementation of Evidence Based Practice as Perceived by Nurses’. IOSR Journal of Nursing and Health Science, 06(04), 53–57. doi: 10.9790/1959-0604025357

The importance of an in-depth understanding of the available human capital at the local level includes adequate medical personnel such as nurses, physicians, and other professionals necessary to implement EBP at the local level successfully. Empirical evidence indicates that the willingness of an organization’s leadership to implement evidence-based practice promotes the availability of other critical resources such as funding, training opportunities, and adequate human resources (Green & Tones, 2009). In this regard, it is essential to understand the leadership of the healthcare system at the local level to determine its willingness to implement EBP. Thirdly, understanding the healthcare system’s culture at the local level is essential to consider when planning and implementing EBP. Some critical aspects of culture include the organizational norms, such as policies applied in human resources management and traditions of the local communities in which the healthcare system is based. Cultural factors play an essential role in influencing the successful implementation of EBP because it influences the cooperation of the stakeholders in the process (Green & Tones, 2009).


Bonham, C., Sommerfeld,D., Willging, C., & Aarons, G.(2014). Organizational factors  influencing implementation of evidence-based practices for integrated treatment in behavioral health agencies. Psychiatry Journal, 2014, doi:10.1155/2014/802983.

Green, J.,& Tones, K.(2009). Towards a secure evidence base for health promotion. Journal of  Public Health Medicine, 21(2):133-139.

It is essential to take into account the requirements and preparedness of the population in addition to the resources that are at one’s disposal. Any implementation will typically need overcoming obstacles in some fashion. When planning the implementation of an evidence-based practice (EBP), it is critical to have a solid understanding of the local health care system at the level at which it operates. This is because the implementation must cater to the requirements of the population being served. There is a wide variety of available frameworks for incorporating EBP into healthcare systems; however, not all frameworks will be applicable to every healthcare system. In order for the implementation process to be successful and sustainable, it requires the active participation of stakeholders such as consumers, clinicians, healthcare administrators, leaders, and policymakers (Kilbourne, et al., 2019).


Kilbourne, A. M., Goodrich, D. E., Miake-Lye, I., Braganza, M. Z., & Bowersox, N. W. (2019). Quality Enhancement Research Initiative Implementation Roadmap: Toward Sustainability of Evidence-based Practices in a Learning Health System. Medical care, 57 Suppl 10 Suppl 3(10 Suppl 3), S286–S293.

Understanding the health care system at the local level is important to consider when planning the implementation. This is because improving the quality of life and healthcare of the society and community as a whole is an essential part of public health. At the local level is where one can understand the most popular demands, necessities and weaknesses of society and allows the healthcare field as a whole to improve in its treatment of individuals of various different backgrounds, genders, ethnicities, and lifestyles. Nurses can utilize what they learn from everyday interactions and health needs within their own life and community to crossmatch with others to see if the problems that one individual faces is similar to that of others. This allows public health workers to be more community focused and improve patient outcome in targeted populations. The specific needs of a specific and localized demographic can be treated to so that wellbeing in the community flourishes and there is no lack of proper access to care for everyone. Furthermore, local organizations and health programs are created in order to address weaknesses in gaining equitable healthcare and other disparities so researching these organizations, why they were formed, their goal, and solutions that they have created so far allow bigger institutions and organizations to take that information into account so that a longer lasting positive impact can be made on the organization and the population. For example, in low income communities, poverty and lack of access to resources is high so a program that provides annual free checkups could decrease disease in that certain community and focus on demographics of that community allows bigger organizations to be prepared to properly treat each type of individual.

Local health programs and systems are significant in improving access to preventive healthcare services, engaging citizens in trying to make more health conscious decisions, and seeking out lower costs for medical services with the use of programs and state institutions (Why Community Health is important for public health, 2022). Furthermore, the implementation of evience based practice can be first done in a local level with a smaller population to test its success in that community so that resources are not wasted on it in a larger scale in the future when it is used in a large organization or institution (Warren et al, 2016). It is important as well for nurses to understand the strengths and weaknesses of using evidence based practice within an organization and how to use it properly so that they can provide the most qualitative and equitable care to the patients that they see on a regular day to day basis. The needs of the local community are typically the roots of the most common problem so identifying it and finding a solution even in the smallest of communities will give rise to success

Warren, J. I., McLaughlin, M., Bardsley, J., Eich, J., Esche, C. A., Kropkowski, L., & Risch, S. (2016). The Strengths and Challenges of Implementing EBP in Healthcare Systems. Worldviews on evidence-based nursing, 13(1), 15–24.


Why Community Health is important for public health. Online Public Health & Healthcare Administration Degrees. (2022). Retrieved May 12, 2022, from