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.
While there's a strong push for evidence-based practice (EBP) in nursing, achieving the goal of 90% EBP remains a challenge due to several persistent barriers. Here are two of the most significant barriers and strategies to overcome them.
A primary barrier to EBP implementation is the lack of time and resources in clinical settings. Nurses are often faced with demanding workloads, short staffing, and competing priorities, which leave little to no time to search for, appraise, and synthesize research evidence. Even if they manage to find relevant articles, they may lack access to institutional subscriptions for academic journals, making the literature inaccessible. The time and effort required for EBP, from literature review to protocol development and implementation, often feel unfeasible amidst a busy clinical day. ⏳
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