This study aimed to determine the barriers to implementation of EBP among nurses. This cross-sectional study was conducted in Zahedan City, South East of Iran, in 2014. The questionnaire of barriers to implementation of EBP consists of 27 statements which was distributed among 280 nurses. More than half of the participants agreed that 56% and 57% of barriers to implementation of evidence based practice are related to organizational and individual aspects, respectively. Participants identified barriers at organizational level included the lack of human resources (78.3%), lack of internet access at work (72.2%), and heavy workload (70.0%). Barrier at individual level included lack of time to read literature (83.7%), lack of ability to work with computer (68.8%), and insufficient proficiency in English language (62.0%).Barriers in organizations to addressing a solution to evidence-based nursing practice.

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Age, educational level, job experience, and employment status were associated with organizational barriers to implementation of EBP. At the individual level only education was associated with barriers to implementation of EBP. Barriers to implementation of EBP occur at both individual and organizational levels. The indicator of quality in nursing practice is EBP. Hence, familiarity with EBP is recommended for Iranian nurses. In addition, knowledge of barriers will help health care system and policy makers to provide a culture of EBP.

Barriers in organizations to addressing a solution to evidence-based nursing practice

The main issue for my organization in addressing a solution to evidence-based nursing practice

Evidence-Based Practice (EBP) is a problem-solving approach to the provision of best patient care based on the valid and best available evidence.   Time limitations and negative views of EBP as extra work is the main issue in my organization in addressing a solution to evidence-based nursing practice. Nurses lack sufficient time to read EBP-related research. Just like other care organizations, my organization apt to have a culture of busyness that is cherished and rewarded and which fails to encourage nurses to sit down and read, but rather rewards individuals who visibly engage in tasks with patients. Alatawi et al. Barriers in organizations to addressing a solution to evidence-based nursing practice.(2020) insufficient time is considered a key barrier to EBP implementation in nursing.  Nurses have insufficient time to read literature and keep up to date with research evidence. Nurses have limited time during their scheduled working to deliver patient care and EBP is viewed as extra work. Barriers in organizations to addressing a solution to evidence-based nursing practice.

Encouraging nurses to perceive EBP as an approach to the provision of t Might be the first step in addressing and resolving the issue of time limitations. Administrators should continue to endeavor to encourage all nurses working in the organization to recognize EBP as a constant approach to delivering patent care instead of perceiving EBP as an extra project or duty. Barriers in organizations to addressing a solution to evidence-based nursing practice.Nurses should be encouraged to utilize research evidence in making clinical decisions, rather than depending on what they already know or what they have seen their colleagues doing. According to Mick (2017), nurses have been at the front line in the provision of primary care by offering educating patients, coordinating healthcare, and improving health outcomes. Nurses need to fully understand that EBP is central to daily nursing practice for them to truly attain evidence-based nursing practice, Barriers in organizations to addressing a solution to evidence-based nursing practice.

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers. Barriers in organizations to addressing a solution to evidence-based nursing practice.

Long-term adoption of evidence based practice is required to improve and promote sustainable effective quality of health care to enhance patient outcomes (Koehn & Lehman, 2008). In spite of the proven benefits of applying evidence based practice in health system, various barriers hinder its successful implementation of evidence based practice. Some of the barriers include challenges in incorporating medical practice guidelines to enhance quality of care, difficulties in translating research into practice setting and dynamic changes in institutional culture (Pierson & Schuelke, 2009).Barriers in organizations to addressing a solution to evidence-based nursing practice.

In the implementation process of my evidence based practice, the potential barriers that would hinder it from achieving the desired outcomes are lack of motivation among the nursing staff and institutional barriers.  Lack of motivation among the nursing and other medical professionals is one of the major barriers. Some of the factors that could contribute to low motivation include lack of adequate nursing staff, thereby increasing the workload for the existing care teams (Pierson & Schuelke, 2009).Barriers in organizations to addressing a solution to evidence-based nursing practice.

Lack of incentives to implement evidence based practice is another factor that would cause low motivation among the nurses to implement and realize the desired changes. To enhance the motivation of the nurses, providing appropriate incentives and addressing the underlying issues is of critical importance (Koehn & Lehman, 2008). In this case, I would encourage multidisciplinary collaboration among the medical professionals in the healthcare institution to reduce work load and also to facilitate knowledge transfer, especially to the newly employed nurses.Barriers in organizations to addressing a solution to evidence-based nursing practice.

The second barrier that could undermine attainment of the anticipated change in the healthcare organization is inappropriate institutional culture, which does not support the practice. Inappropriate institutional culture includes failure to demand the best practice from the nurses, failure to provide necessary resources and failure to provide professional  and educational advancement  opportunities for nurses so that that they can enhance their skills on evidence based practice (Koehn & Lehman, 2008). Barriers in organizations to addressing a solution to evidence-based nursing practice. To solve this barrier, involving the organization’s management as a key stakeholder during implementation of evidence based practice is of critical importance. In addition, involving trained mentors who are familiar with the institutional culture would help in bringing the desired change to facilitate uptake of evidence based practice. Barriers in organizations to addressing a solution to evidence-based nursing practice.