Topic 1 DQ 2 Comment 1

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There are personal and organizational barriers to achieving evidence-based practice in 2020. Regarding individual barriers, research by Mahmoud and Abdelrasol (2019) showed that nurses make clinical decisions based on habits, formal practices, the information they received in the primary training program, the instructions in the unit, and their instincts. An American study found that nurses in emergency clinics follow conventions and counter the best available evidence (Mahmoud and Abdelrasol, 2019). Clinical decisions not based on evidence may adversely affect the care of patients who are fundamentally ill. Alatawi et al. (2020) found that tradition, intuition, data obtained from peers or associates, and strategy/method manuals are highly valued. It is possible to conclude that nurses have comparable tendencies and do not rely on the evidence to guide their decision-making.

As with the recurring occurrence of data and evidence, additional personal barriers were also mentioned, like the source of recovering such data (Alatawi et al., 2020). Nurses believe that the data found is too strong and difficult to integrate, which indicates that the data cannot be evaluated, approved, and understood to make clinical decisions.

Another organizational barrier to evidence-based practice implementation is the lack of power to change practice, increased workload, lack of timely and accessible exploration reports, and lack of access to computers. Lack of time is one of the top ten barriers to the implementation of evidence-based practice. Healthcare agencies will have a “busy” culture valued and compensated, and nurses are not urged to devote energy to sitting and reading. Instead, they reward individuals who are involved in inpatient obligations. The lack of time is also related to the increased workload. Mahmoud and Abdelrasol (2019) found that high workload is an important barrier to implementing evidence-based practice because it subverts the time for nurses to read evidence-based practice-related research materials.

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