Classmate Response (1): Topic 4 DQ 1 -What are some of the obstacles or barriers to implementing EBP in nursing?

Classmate Response (1): Topic 4 DQ 1 -What are some of the obstacles or barriers to implementing EBP in nursing?

QUESTION- What are some of the obstacles or barriers to implementing EBP in nursing? Provide a rationale for your answer. Since there are numerous topics on the issue, it is not appropriate to repeat one that has already been mentioned unless providing new information.


Classmate Response (1): Topic 4 DQ 1-Jenna

Implementing Evidence-based practice (EBP) is necessary to translate the latest research and evidence to the bedside and provide up to date standards in policy and practice. As Mohsen et al. (2016) state, implementing EBP includes the following steps: asking answerable questions in specific clinical situations, finding the best evidence, appraising evidence critically, applying evidence with patient’s preferences in mind, and evaluating the effectiveness and efficiency of the process (p. 26). The same authors further note the nurse must be able to “identify knowledge gaps, formulate relevant questions, conduct an efficient literature search, apply rules of evidence to determine the validity of studies, apply the literature findings appropriately to the patient’s problem, and appropriately involve the patient in the clinical decision making” (p. 26).

One of the barriers to successful use and implementation of EBP in nursing is the challenge of weeding through and keeping up with the immense amount of literature that is available to medical professionals through multiple different journals and platforms. “It is estimated that around 8,000 articles relevant to family practice are published monthly,” for example (Mohsen et al., 2016, p. 26). Other barriers are the feeling of not having enough authority to change patient care procedures, a lack of time to dedicate to the implementation of new ideas on the job, and a gap in knowledge around understanding statistical analysis provided within research (Mohsen, 2016). Traav et al. (2018) completed a qualitative study around the obstacles from front-line nurse managers’ support of evidenced based nursing in one hospital, and culture jumped out as an overarching barrier for the nurses that were interviewed. The manager’s reported they felt they did not have the time to manage their everyday work in addition to implementing EBP and felt it should be someone else’s job to specifically focus on EBP. In addition, the nurse managers noted unclear expectations regarding implementation of EBP for nursing across the organization. Leadership’s approach to EBP within an organization is integral to the successful implementation of EBP. Providing the appropriate time, resources, education, and platform for nurses to propose change in policy and practice are keys to implementing EBP in nursing.


Mohsen, M.M., Safaan, N.A., Okby, O.M. (2016). Nurses’ perceptions and barriers for adoption of evidence based practice in primary care: Bridging the gap. American Journal of Nursing Research, 4(2), 25-33.

Traav, M. K., Forsman, H., Eriksson, M., & Cronqvist, A. (2018). First line nurse managers’ experiences of opportunities and obstacles to support evidence‐based nursing. Nursing Open, 5, 634-641.





Evidence-based practice (EBP) refers to an approach that incorporates evidence from well-designed research studies, care provider’s experience, and patient’s preferences to provide quality and safer care at a relatively lower cost. Despite care providers reporting the engaging in evidence-based practice results in greater professional satisfaction and improved patient outcomes, implementation of EBP remains a challenge in the healthcare industry, (Jordan et al., 2016). Some of the barriers to implementing evidence-based practice include an organizational culture that does not support the new practice; implementing EBP involves changing work norms that have been existence for a long time. Thus, nurses who try to implement EBP face resistance from other staff members and leaders in the industry for longer periods, (Alatawi et al., 2020).

Lack of time is another significant barrier to EBP implementation; the EBP process is a complex process that requires conducting extensive research and critically appraising existing research materials to determine the best-recommended practices; however, nurses and other care providers with huge workloads lack enough time to dedicate to EBP process. Lack of authority to implement changes that would support EBP is also a major barrier; most nurses are not in leadership positions that would allow them to change some of the laws and practices that would support EBP, (Jordan et al., 2016). Nurses also lack autonomy, thus hindering engagement in EBP. Other barriers to implementing EBP include lack of resources to implement recommended changes, inadequate knowledge to understand and interpret the statistical language used in research, and lack of support from leaders, (Alatawi et al., 2020).



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 Science9(1), 35-42.


Jordan, P., Bowers, C., & Morton, D. (2016). Barriers to implementing evidence-based practice in a private intensive care unit in the Eastern Cape. Southern African Journal of Critical Care32(2), 50-54.