Evidenced-Based Practice

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Barriers in Evidence Based Care


In this paper, the analysis strives to explore diverse conceptions related to evidence based care. The core objective of this paper is to illustrate the notion of evidence based care. In addition, the paper focuses on diverse barriers that hinder the excellence in provision of evidence based care. The term evidence based care reflects the effectiveness of healthcare delivery services to the patients. There are several internal and external barriers that influence the healthcare delivery service, and the scope of nursing profession. The barriers not only influence nursing workforce; but, the influence is also eminent on other healthcare related fields. This paper will focus on the major barriers of evidence based care, and suggest different recommendations through which the barriers can be eliminated.

Table of Contents



Barriers in Evidence Based Care5

Nursing Shortage6

Educational Barriers7

Barriers Pertaining to Medication Errors8

Access to Healthcare10

Cost of HealthCare Delivery11

Recommendations for Evidence Based Care13



Evidence Based Practice


There are several conceptions related to the effective healthcare delivery system. Moreover, there are distinct issues faced by the healthcare professionals in the healthcare delivery process. The effective and efficient healthcare delivery is termed as evidence based care; however, there are certain barriers that hinder the excellence in the process. The paper aims to enlighten different dimensions that discuss a variety of barriers in care delivery process; moreover, the core objective of the paper is to highlight the barriers that hinder evidence based care. Barriers to implementing research in clinical nursing practice have long been a concern, both to the nursing profession and to managers involved in the delivery of optimal, evidence-based and cost-effective patient care.

Evidence-based nursing care, process integrating evidence and patient factors, have as its goal the delivery of optimal, cost-effective patient care. Different sources assert the point of all of the attention being paid to research utilization, best practices and perceived barriers is to optimize individual patient care. Several studies aimed at evidence based care stress the importance of an evidence-based approach, including specific criteria in outcome evaluation, overall process monitoring, and a view of best practices based on research related to what is happening in external yet similar facilities. In other words, what works best in a large urban teaching hospital may not work best in an isolated rural community hospital.

Barriers in Evidence Based Care

There are several barriers in evidence based care process; however, this paper will enlighten the most crucial barriers that have a significant influence on the healthcare service delivery. One of the major barriers for patients and families in receiving evidence based care is in relationship to access to care and referrals provided by healthcare providers. In a study, of 231 physicians in the United States revealed that cardiologists (40% referral) and pulmonologists and other subspecialty physicians (55% referral) referred terminally ill patients to hospice care less commonly than oncologist (68% referral) (Anderson, Richmond, Stanhope, 2004, 291). In another study, some registered nurses resisted hospice referrals as long as home care services remained adequate and that some of the nurses had ...
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