The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed. Among the barriers to EBP implementation are the institutional factors. Organizations need to facilitate accessibility, practicability, and other factors that may affect how EBP is implemented. For instance, organizations should have libraries or access to online libraries and have enough nurses so that they have enough time to access evidence. However, the lack of enough staff and time leads to it being had to apply evidence. Nurses working in resourcelimited organizations find it hard to get time to access research (Mahmoud & Abdelrasol, 2019). Also, without libraries, nurses cannot get the evidence they need. In some cases, there are not enough resources like technology to enable professionals to apply research. The institutional barrier should be fixed by viewing the use of EBP as a thing that happens within the healthcare system and not just an individual duty. Institutions need to employ strategies that will facilitate their staff in the use of EBP. They should also have policies that support evidence use and invest enough in EBP. Stakeholders like payers and others must give enough finances to support EBP. Research quality is another issue that affects EBP and therefore slows down implementing evidence in practice (Mahmoud & Abdelrasol, 2019). Research is an expensive endeavor that also takes lots of time. However, even after completion, there are problems in connecting the evidence to practice. Various studies give results that conflict, and therefore it is hard to pick the best evidence to use. In other cases, the conclusions have been described as unreasonable. The problems concerning the quality lead to nurses being doubtful of some of the studies and therefore not applying them. Institutions and journals must review articles
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