36 Questions
What is one of the most common barriers to adopting Evidence-Based Practice (EBP) identified by practicing nurses?
Lack of administrative support
What is a common reason why nurses do not use research findings in their practice?
Nurses lack knowledge about EBP and research
Which of the following is a strategy to overcome barriers to adopting EBP?
Collaboration between educators, researchers, practitioners, and administrators
What is a common consequence of the barrier 'lack of resources to access evidence'?
Inability to access research reports and articles
Which of the following is NOT a barrier to adopting EBP identified by practicing nurses?
Availability of research reports and articles
What is a common consequence of the barrier 'communication gap between researchers and nursing staff'?
Organization does not embrace EBP
What is the primary focus of the informal structure in a social system?
Analyzing interactions among individuals under specific circumstances
Why are advanced practice nurses often viewed as opinion leaders?
Because of their clinical expertise, expanded education, and knowledge of research
What is the primary purpose of appraising evidence in the context of EBP?
To determine the clinical relevance of the evidence
According to Rogers (2003), what is the definition of diffusion?
The process by which an innovation is communicated through certain channels over time among the members of a social system
What is one of the key aspects to consider when appraising evidence for EBP?
The magnitude of the effects
What should be considered in addition to the clinical relevance of the evidence when appraising it for EBP?
The financial costs of implementing the evidence
Which of the following strategies is NOT related to promoting EBP adoption?
Conducting a research study to develop a new medical device
What is the primary focus of the model of diffusion of innovation?
Promoting adoption of EBPs
Which of the following is an example of one-to-one communication according to the model of diffusion of innovation?
A doctor discussing a new medical device with a colleague
What is the time span referred to in the model of diffusion of innovation?
The time from first hearing about an innovation to deciding to accept or reject it
Which of the following is a characteristic that can affect the effectiveness of communication in the model of diffusion of innovation?
All of the above
What is the primary role of a social system in the model of diffusion of innovation?
To provide a framework for authority and power
Which of the following strategies is an example of using a familiar critique format when reading research?
Using a standard evaluation framework to critique research
What is the primary goal of linking organization priorities with EBP?
To reduce cost and increase efficiency
What is the primary purpose of identifying barriers to implementing evidence-based practice?
To promote the use of research findings in practice
What is the name of the scale used to measure the barriers to research utilization problems in clinical settings?
The BARRIERS Scale
What is one of the barriers to using evidence in clinical practice related to nurse characteristics?
Lack of knowledge about research findings
What is the benefit of identifying barriers to EBP in terms of patient care?
It achieves high-quality patient care
What is one of the areas covered by the Barriers Scale?
Barriers related to the nature of research information
What is one of the purposes of implementing EBP?
To keep practice current and relevant
What is the outcome of not identifying barriers to EBP?
The integration of research findings into practice is complicated
What is the role of administrators in promoting EBP?
They are responsible for promoting communication between researchers and practitioners
What is a barrier related to nurse characteristics that hinders the use of evidence in clinical practice?
Lack of confidence in critical appraisal skills
Which of the following is a barrier related to organizational characteristics?
Limited access to resources
What is a barrier related to the nature of research information?
Research is too complicated
What is a barrier related to health-care environment that hinders the use of evidence-based practice?
Multiple barriers
Why is traditional approaches to teaching healthcare students regarded as a barrier to using evidence in clinical practice?
Because they focus on how to do research
What is a barrier related to nurse characteristics that hinders the use of evidence in clinical practice?
Nurses' negative beliefs and values
Which of the following is a barrier related to organizational characteristics that hinders the use of evidence in clinical practice?
Different goals for practice between administrators and staff nurses
What is a barrier related to the nature of research information that hinders the use of evidence in clinical practice?
Research includes too excessive statistical analyses
Study Notes
Strategies for Overcoming Barriers to Implementing Evidence-Based Practice (EBP)
- Specify 15 minutes a day to read evidence related to a clinical problem
- Take a course or attend a continuing education offering on EBP
- Consult with a librarian about how to access databases and retrieve articles
- Choose talented individuals to act as change agents
- Create a means to reward individuals
- Organize a journal club where nurses meet regularly to discuss the evidence about a specific clinical problem
- Use one familiar critique format when reading research
- Listen to people's concerns about the change
- Link organization priorities with EBP to reduce cost and increase efficiency
- Use EBP to meet accreditation standards
The Model of Diffusion of Innovation (Rogers, 2003)
- Innovation: an idea, practice, or object that is perceived as new by an individual or other unit
- Communication: may include one-to-one communication, one individual communicating to several others, or mass media
- Time: the time-related elements of interest, including the time span from the point at which an individual first hears about an innovation to the point at which the decision is made to accept or reject the innovation
- Social System: has both formal and informal structures, including authority, power, and opinion leaders
Barriers to Implementing EBP
- Characteristics of the nurse researchers, practicing nurses, and organizations employing the practitioners
- Quality of research findings
- BARRIERS Scale developed by Funk et al. (1991) to measure the barriers to research utilization problems in various clinical settings and among groups of practicing nurses and administrators
- Barriers related to:
- Nurse characteristics (e.g., lack of knowledge, lack of interest, lack of confidence)
- Organizational characteristics (e.g., limited time, heavy patient workloads, inadequate staffing)
- Nature of research information (e.g., research is too complicated, research is too scholarly)
- Health-care environment (e.g., multiple barriers, lack of resources, lack of administrative support)
Purposes of Identifying Barriers to Using EBP
- To promote communication between researchers, practitioners, and administrators
- To facilitate problem-solving during the use of empirical evidence in practice
- To increase confidence in decision-making
- To keep practice current and relevant
- To achieve high-quality patient care
This quiz covers various strategies for implementing evidence-based practice in nursing, including setting aside time to read, taking courses, consulting librarians, and organizing journal clubs.
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