coursework-banner

NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

NUR 590 Topic 5 DQ 1

Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project. What strategies can you implement to gain stakeholder support for the project implementation. Provide a suggestion you would give to a colleague who is struggling with obtaining stakeholder support. NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

Collaboration within a cohesive unit is critical to an organization’s continued existence and progress. A lack of awareness of the issues plaguing an organization may complicate the process of putting implementation plans into action. This lack of information is common in many businesses, particularly those where leaders and management are cut off from the day-to-day operations that contribute to the firm’s operation.

When a person rises through the ranks of an organization to a position of leadership, they gain knowledge and expertise that other managers would not have if they were hired from outside. Individuals who advance through the ranks have a better understanding of the organization’s inner workings, including its strengths and weaknesses, as well as the processes required to ensure the company’s long-term viability. Nothing will be accomplished as long as there is a schism between stakeholders in higher positions and those in charge of day-to-day operations.

Some of the things that one might experience during the implementation phase are resistance and timing. “Lack of time is often cited as a barrier to implementing EBP. In addition, uncertainty or lack of knowledge about the EBP process is also a barrier, which includes critiquing and appraising the literature related to the clinical problem being addressed” (Ginex, 2018).

In busy hospitals lack of time to study and understand new changes and policies can be a barrier. On time of this, resistance to change can also be a barrier. In there is already a flow that nurses are accustomed to even if it is chaotic, having to change that flow requires learning something new or changing ones workflow habits and that can cause resistance to change. NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

The one suggestion I would give to a fellow colleague would be for them to ask questions, slow down the pace in order for them to understand the new policy and give themselves time to become accustom to it and to always remember that it will take them time to learn something new before they can master it. NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

Also Read: NUR 590 Topic 4 DQ 2 Identify which statistical test you would use in conjunction with your selected research design from DQ 1 to evaluate the outcomes for your evidence-based project proposal and explain why you selected this test

Reference:

NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

Ginex, P. (2018). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. Retrieved from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-chang

Stakeholders are the people involved in carrying out the process under review or individuals who become affected with the change in practice (“John Hopkins Nursing”, 2021). It is important to determine the potential stakeholder barriers that will be encountered in order to address them accordingly. NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project.

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

The two stakeholder barriers that can be experienced are resistance to change and lack of authority. Physicians, who are one of the main stakeholders, are perceived to be the least supportive in EBP implementation (Jordan et al., 2021). Without their support, it can make the implementation process difficult. Resistance of practitioners to change from traditional practices to newer concepts introduced in EBP can be a barrier to the implementation process (Jordan et al., 2021).

Moreover, some staff nurses feel that they lack authority to make changes in their unit or they do not have the “power” to implement the EBP project. One study suggested that majority of the nurses in a private ICU reported that they lacked the authority to change practice in order to facilitate the implementation of EBP (Jordan et al., 2021).

There are several strategies to gain stakeholder support. First, the support of physicians for the implementation of EBP should be encouraged (Jordan et al., 2021). It is important to keep an open communication between the researcher and physicians. Explaining NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project the goals and benefits of the EBP project in improving patient care can help gain their support. Second, it is recommended to carefully identify individual barriers versus organizational barriers at an early stage (Jordan et al., 2021). NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

Lastly, identifying your stakeholders as well as engaging them early in the EBP process is important because stakeholder buy-in is important for its successful implementation (“John Hopkins Nursing”, 2021). The goal is to gain their trust and confidence and gain as much support as possible for the successful project implementation.

 

References

 

Jordan, P., Bowers, C., Cur, M. & Morton, D. (2016). Barriers to implementing evidence-based practice in a

private intensive care unit in the eastern cape. SAJCC, 32(2). DOI:10.7196/SAJCC.2016.v32i2.253

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

“John Hopkins Nursing”. (2021). Upstate Medical University. https://guides.upstate.edu/c.php?g=1023176&p=7411256

Stakeholders are essential to the implementation process because the assistance provided can impede the potential outcomes and results of the research or interventions. Staff engagement and organizational allowance for collaboration are two stakeholder barriers I anticipate encountering during the project implementation process. NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

Nutrition education (specifically diet types) can be unfamiliar and uncomfortable for nursing staff, making engagement difficult. Nutrition in an acute setting can be seen through meals and nutrition deficits from a nursing standpoint. Expecting nurses to use nutrition education in an acute setting may be inappropriate because their primary focus is patient care and safety; engaging them in nutrition education would require them to shift their focus and may reduce patient outcomes.

If interventions do not have a direct impact on acute care outcomes in this setting, nurses may be unmotivated to participate. This is why, in preparation for post-acute health and wellness, education may be promoted as a nursing education intervention, and the intervention should be designed to address nursing from a community health or public health standpoint (Leung, Trevena, & Waters, 2016).

Organizational tolerance for conducting internal research can also be challenging because most organizations do not want to allocate resources to interventions that do not benefit both the patient and the organization. This means that resources within the organization are less likely to be provided, and the researcher must acquire and obtain information, as well as deploy internal interventions, on their own. NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

There is also the possibility of intervention approval being denied because the organization does not want to waste the time of education or nutrition staff on an intervention that may not have significant long-term care outcomes (Williams. Candon, Stewart, Byeon, Bewtra, Buttenheim, Zentgraf, Comeau, Shoyinka & Beidas, 2021). NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

A good suggestion for a colleague who is having difficulty with stakeholders is to understand and present the potential outcomes, as well as provide sufficient evidence to demonstrate that supporting the intervention can be part of a larger investment in the care provided. This could increase stakeholder support for an intervention.

 

References:

Williams. N, Candon, M., Stewart, R., Byeon, V., Bewtra, M., Buttenheim, A., Zentgraf, K., Comeau, C., Shoyinka, S., & Beidas, R. (2021). Community stakeholder preferences for evidence-based practice implementation strategies in behavioral health: a best-worst scaling choice experiment. BMC Psychiatry21(1), 1–12. https://doi-org.lopes.idm.oclc.org/10.1186/s12888-021-03072-x

 

Leung, K., Trevena, L., & Waters, D. (2016). Development of a competency framework for evidence-based practice in nursing. Nurse Education Today39, 189–196. https://doi-org.lopes.idm.oclc.org/10.1016/j.nedt.2016.01.026

When in a leadership role, leaders need to develop relationships with stakeholders. Engaging with stakeholders will build trust and develop learning systems for evidence-based projects. Stakeholders can also help define outcome metrics. Having buy-in from the beginning will aid in the planning of a more substantial project and execution approach.

The two stakeholder barriers that one may experience during the implementation phase of the evidence paste project are resources and participation. Limited financial and personnel resources and competing goals might provide significant difficulties (Murphy et al., 2021). Financial assistance, space, and training were all limited, as was access to mental health treatment. Investing in and exploiting established local experience and capabilities can assist in resolving.

The difficulty in obtaining active involvement from stakeholders and differing expectations about the nature of participation was recognized as obstacles, whereas possibilities for meaningful participation and empowerment were identified as drives (Ginex, 2019). Participants address the implications of working with and educating providers in the context of failing healthcare delivery systems, complicated socioeconomic settings, and management and organizational hurdles in the medical sector.

Ginex, P. (2019). Overcome Barriers to Applying an Evidence-Based Process for Practice Change. ONS Voice. https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change

Murphy, J., Qureshi, O., Endale, T., Esponda, G. M., Pathare, S., Eaton, J., De Silva, M., & Ryan, G. (2021). Barriers and drivers to stakeholder engagement in global mental health projects. International Journal of Mental Health Systems15(1). https://doi.org/10.1186/s13033-021-00458-y

Two stakeholder barriers that I think I will encounter are staff engagement with the project and lack of staff time. For the staff engagement barrier, I would first need to start by making sure the staff understood the reason behind the project. I would need to create a vision and understanding of how the project can improve patient outcomes by using examples of real clinical scenarios (Melnyk & Fineout-Overholt, 2019).

I would utilize the unit-based nursing council to help with the education of colleagues and identification of project champions (Melnyk & Fineout-Overholt, 2019). This is important because a top-down approach is not successful because it leads to a lack of ownership from front line staff (Mathieson et al., 2019). The project champions would also be utilized to conduct audits and provide feedback.

For the lack of time barrier, it is important to start with organizational support of the project (DeNisco, 2021). Being a Magnet organization and an HRO there is always support over EBP (Evidence Based Practice) projects and quality improvement projects. I would need to set aside uninterrupted time for the unit-based council/champions to learn about the project and educate colleagues. The education would be done during change of shift nursing huddles to save time verses doing it during the work shift. As a NM I may need to wait to implement the project when the unit is better staffed. I am actively hiring and training new nurses in the unit. Once the nurses are trained and on their own this will allow for sufficient staff to implement the project. The project involves patient and family engagement, and the RN (Registered Nurse) needs to be able to educate the importance of CAUTI (Catheter Associated Urinary Tract Infection) prevention. This is not something that should be rushed.

DeNisco, S.M. (Ed.). (2021). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

Matheson, 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 and Development, 20 doi:10.1017/S1463423618000488

Melnyk, B.M. & Fineout-Overholt, E. (2019). Evidence-Based practice in nursing & healthcare: A guide to best practice (4th ed.). Wolters Kluwer, Inc

Research has concluded multiple barriers to implementing evidence-based practice (EBP) in nursing. Some of these barriers include, but are not limited to: Time constraints, inadequate staffing, patient acuity, personal commitments, education levels, negative attitudes and lack of knowledge towards EBP (Mathieson et al, 2019). NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

In my current nurse leader role, I have seen all these barriers in action, negatively influencing change insemination. Therefore, I have had to find strategic ways to address these barriers, to make sure initiatives work within the nurses work flow.

My EBP project, utilizing a counseling tool to address obesity management in the primary care setting, could potentially face barriers related to attitudes and knowledge. Tronieri et al, (2019) presented data that some healthcare professionals have negative attitudes towards obesity management in the primary care setting. NUR 590 Topic 5 DQ 1 Identify two stakeholder barriers you might experience during the implementation phase of your evidence-based practice project

They feel it should be referred elsewhere, therefore do not take the issue seriously even though according to the United States Preventive Services Task Force (USPSTF), obesity management should be first addressed in the primary care setting (Kushner et al, 2016). The lack of knowledge, education and negative attitudes towards my EBP project and EBP in general, could be potential barriers for my initiative.

References:

Kushner, R. F., Choi, S. W., & Burns, J. L. (2016). Development of a six-factor questionnaire for use in weight management counseling. Patient Education and Counseling, 99(12), 2018-2025, https://doi.org/10.1016/j.pec.2016.06.022

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

Tronieri, J. S., Wadden, T. A., Chao, A. M., & Tsai, A. G. (2019). Primary care interventions for obesity: Review of the evidence. Current obesity reports, 8(2), 128–136. https://doi.org/10.1007/s13679-019-00341-5

Resistance to change is a significant obstacle to implementing my evidence-based practice (EBP). Fear of the unknown is a typical human response when faced with change. Moreover, Adopting new practices or approaches can be intimidating, particularly if they challenge long-standing beliefs or disrupt established routines (Melnyk & Fineout-Overholt,2019). Healthcare professionals may worry about the potential risks or uncertainties associated with change, which can lead to resistance. Nurses may question the validity or applicability of research findings, especially if they perceive a lack of robust evidence or if the evidence contradicts their prior experiences or beliefs. Perceived lack of support from colleagues or organizational leaders is another barrier (Tappan, 2016). If nurses feel that their colleagues or leaders must be fully committed to EBP or that there needs to be more teamwork and collaboration, they may be less inclined to embrace change. Building a supportive environment that values and rewards the integration of research evidence into practice is crucial for addressing this barrier.

To overcome resistance to change and address the knowledge and skills gap, organizations can implement strategies like Providing ongoing education and training programs that focus on EBP, research literacy, critical appraisal skills, and evidence synthesis can enhance nurses’ competencies and confidence in implementing EBP. Engaging organizational leaders in promoting and supporting EBP initiatives is crucial. Leaders should demonstrate a commitment to EBP and create an environment that fosters innovation, collaboration, and continuous learning. Establishing a culture that values and rewards the use of evidence in practice encourages nurses to embrace change. Promoting cooperation, sharing success stories, and providing mentorship and peer support can all contribute to a positive and supportive culture.

By addressing these barriers and providing the necessary support, education, and resources, healthcare organizations can overcome resistance to change and empower nurses to implement evidence-based practice, ultimately improving patient outcomes effectively.

Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Wolters Kluwer. ISBN-13: 9781496384539

Tappan, R. M. (2016). Advanced nursing research: From theory to practice (2nd ed.). Jones & Bartlett Learning. ISBN-13: 9781284048308