American Journal of Nursing
comment2
A review of an article found the in American Journal of Nursing (2012) states that there are two major factors which impede the implementation of EBP: “lack of time and an organizational culture that didn’t support” (p. 1). A lack of time makes sense, especially considering the continued increasing nurse-to-patient ratios; this makes it difficult to deviate from current practices which help maintain a routine for nursing staff. Another factor in “lack of time” is that nurses have lives outside of the hospital setting; family and social life takes precedent over spending time in front of a compute, researching new EBP to implement. In regards to decreased organizational cultural support, this comes from the continued increasing numbers of baby boomer nurses who are so set in their ways, that when change comes around, it is almost impossible to convince them to adopt these changes. Though sometimes, these changes are forced and cannot be helped, it is something that we must accommodate and accept. Not only do the older “baby boomer” nurses have issues, but sometimes the culture within the facility itself is not conducive to change. In order to foster an environment where both of these barriers are addressed would be to assign mandatory education activities for nursing staff to participate in. This then requires the nurses to sit down and discuss and become educated on current EBP, while creating an environment that is conducive and positive to the change. The facility I currently work in requires that, after completing an EBP related course, nursing staff complete online education modules to solidify the education provided.
