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

Two stakeholder barriers I may encounter would be: 1) hesitancy to provide financial support, 2) failure to see value/relevance to the proposed EBP. Both of these barriers can be dealt with by educating the stakeholders and leadership teams. By providing thorough education and information on the impact of the issue of substance use disorder among clinical nurses, I hope to show the importance of educating all staff. Additionally, I feel that I could illustrate how positively the quality of staff would be, since the utmost safety standards would be honored. SUD is an uncomfortable topic, and many institutions would prefer not to shine a light on it, as the issue impacts the reputation of the facility. However, by dealing with the issue directly and offering information and resources to staff, I feel that the facility would gain a very positive reputation among the public and the nursing community. “…effective education and training and supportive organizational cultures are key to enhance nurses’ health education competence”(Pueyo-Garrigues et al., 2022, para. 1).

Concerning a colleague, I would first ask what their viewpoint is, concerning their EBP proposal and the value of its’ implementation. I would then encourage my colleague to obtain as much data as possible, concerning the financial, safety, staff and patient benefits. Together, we could brainstorm how to present the information to the stakeholders, and emphasize the importance of the proposed change.

Reference:

Pueyo-Garrigues, M., Pardavila-Belio, M., Canga-Armayor, A., Canga-Armayor, N., Esandi, N., & Alfaro-Diaz, C. (2022). NURSES’ knowledge, skills and personal attributes for providing competent health education practice, and its influencing factors: A cross-sectional study. Nurse Education in Practice, 58. Retrieved July 16, 2023, from https://doi.org/10.1016/j.nepr.2021.103277

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Although this is a 2016 video, Dr. Melnyk of your resources and the many articles supporting EBP and implementation into clinical discusses the EBP culture. As you are working towards your MSN and may be a change manager through leadership, consider how you would work to create an EBP culture and overcoming the barriers and challenges of your organization.

I support your identified barriers to EBP implementation. A lack of resources can be a major barrier to implementation if there are not enough financial or human resources available to support the project, it will be difficult to successfully implement the EBP project. It is important to secure adequate resources before beginning implementation

Stakeholder support is one of the most important elements of a successful project. If stakeholders are not on board with your goals and objectives, it can be difficult to obtain buy-in from other stakeholders, secure adequate resources, and motivate employees to implement change.

To maintain a clear purpose of an Evidence-Based practice (EBP) project, every single stakeholder must be involved from the beginning. Without the involvement of everyone and the support it would very difficult to stop violence from escalating at the workplace. One of the most notorious barriers is nurses’ lack of engagement. After the covid-19 pandemic many of those in the healthcare field felt discouraged, burned out and left the profession altogether, decreasing the involvement they had in EBP projects. New nurses entered the working field as well and saw the unthinkable in hospitals and skilled nursing facilities. The high number of deaths and suffering has left its stain on many of them, making them prioritize themselves and their families above all. These nurses’ experience is why engagement in EBP projects is one of the main barriers. Nurses have voiced that family and personal commitments, heavy workload, and emotional-physical exhaustion are the clearest barriers that cause nurses’ engagement to cease (Mathieson et al., 2018).

Another stakeholder barrier is the organizational culture and lack of support. Lack of support has profound negative implications for implementing EBP in a clinical setting. A research study mentioned that hospital administrators’ lack of knowledge, direction, support, and leadership skills in implementing EBP limits nurses’ ability and authority to change any patient care practices that can positively impact patients’ health outcomes (Alatawi et al., 2020).

In order to have a successful EBP we must employ perseverance, patience and above all understanding. We must listen to understand not to respond, when this is done the engagement of those around us is gained and the ability to produce results is created.

Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of Implementing Evidence-Based Practice in Nursing Profession: A Literature Review. American Journal of Nursing Science, 9(1), Article 1. https://doi.org/10.11648/j.ajns.20200901.16

Mathieson, A., Grande, G., & Luker, K. (2018). 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

I agree that organizational culture is paramount. I have worked in a unit where morale and staff participation is low; there are units that have high organizational spirit and teamwork. I can definitely see the difference in care for patients and their own staff. When there is strong organizational culture, changes are welcomed and it transforms everybody, staff and patients, for the better.

Quanbeck A. (2019). Using stakeholder values to promote implementation of an evidence-based mobile health intervention for addiction treatment in primary care settings. JMIR mHealth and uHealth, 7(6), e13301. https://doi.org/10.2196/13301

I agree with your post. Lack of stake holder engagement can cost serious barriers for EPB implementation. The proposed changed is affected by the extent to which their use will be supported. When trainings are provided for the organizational leaders on the EPB implementation, a more positive culture for EPB initiation is created. When policy makers, care providers and diverse communities are engaged EPB implementation is successful. The investment of resources such as long term-fundings that increase the likelihood of creating partnerships with other groups can encourage stakeholder engagement and interest.

https://ijmhs.biomedcentral.com/articles/10.1186/s13033-021-00458-y

I agree that you must listen to those around you without immediately responding. It takes a village to make a project work and sometimes people have great ideas to make a project even better. Of course you can always have the people around who are resistant to change but it is always worth the listen. I have learned so much from those with a great deal of experience. If we are able to provide support/evidence to those team members that is unarguable and win them over, those people can be a great resource to the team as they are generally well respected in there roles.

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