Topic 4 DQ 1-Classmate Response (2) What are some of the obstacles or barriers to implementing EBP in nursing?

Topic 4 DQ 1-Classmate Response (2) What are some of the obstacles or barriers to implementing EBP in nursing?


QUESTION- Topic 4 DQ 1-Classmate Response (2)

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 (2):Topic 4 DQ 1-Jennifer

There can be many obstacles or barrier to implementation of Evidence-Based Practices (EBP) in nursing. Hockenberry, Brown, & Rodgers indicates inadequate knowledge and skills, poor beliefs about the value of utilizing evidence-based practices in the workplace, lack of proficient mentors, social influences, organizational influences and economic restrictions.” (2015, p.208). Policies are of little value when staff lack the necessary resources or skills on how to implement the practices. In my experience, it has been the follow-through that fails. Administrators implement a policy change based on EBP guidelines, but there is no supervision and no follow-through. The natural reaction is for staff to revert to their old habits and practices for several reasons. It could be because they have always done it this way, it is easier and a natural habit to return to something that is familiar. In order to have adequate knowledge and skills about the EBP, staff should be trained or given an in-service on the change. A pilot program to slowly roll something out could be of value. The most important aspect is the get the buy-in from staff and the leaders, staff know if the administrators are not buying what they are speaking about. There must be compassion, energy, available resources, and time necessary for staff to get used to the EBP’s. To be able to have a great mentor that staff can go to and ask questions or bounce ideas off someone would provide maximize the benefit of having a proficient mentor to overcoming this barrier. Forming small groups or a committee, informal learning sessions could add value to implementation of a EBP’s in the workplace. According to Hockenberry, Brown, & Rodgers (2015) staff and all stakeholders must be engaged in learning and strategizing about the EBP, areas focused on that will require the change should be a priority; other facets must be assessed including goals, objectives, or provide resources necessary for conducive learning. Finally, once goals are met and there has been enough time to allow for the changes, don’t forget to celebrate the successes.


Hockenberry, M., Brown, T., & Rodgers, C. (2015). Implementing evidence in clinical settings. In Melnyk, B. & Fineout-Overholt, E. (Eds.) Evidence-Based Practice in Nursing and Healthcare (3rd ed. P.202-223). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN-13: 9781496306364






Barriers to Implementing EBP

There exist several barriers to implementing evidence-based practice (EBP). Several studies have shown that some of the barriers include lack of time among the care providers due to heavy workload and the dynamic nature of the health industry. Inadequate knowledge on how to implement EBP; a study conducted on the implementation of EBP in ICUs found that approximately half of the respondents in the facility lacked familiarity with EBP. Lack of support from the administration is a significant barrier to implementing EBP. Several studies have established that lack of knowledge, support, direction, and leadership from the healthcare facilities administrators is a significant barrier to implementing EBP. Although policies that favor EBP lack of support from those in leadership positions has shown to negatively impact the implementation of EBP, (Alatawi et al., 2020).

To improve the implementation of the EBP in the healthcare industry, some of the strategies that can be adopted include changing the nursing environment. A change in practice is reliant on the nature and strength of the evidence being implemented and the environment in which it is practiced. For the implementation of EBP to be effective, three factors need to be first developed, including developing supportive and committed leadership, changing the work culture to support and reinforce the use of EBP, and developing evaluation strategies to determine the effectiveness of EBP in patient outcomes, (Mathieson, et al., 2019).




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.


Mathieson, A., Grande, G., & Luker, K. (2019). 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 & development20