Barriers to Implementing Evidence Based-Practice in Research

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Q1. Discuss challenges in implementing research findings in family nursing as evidenced-based care. What improvements need to be made? Evidence-based care makes use of current research in prescribing treatments for patients. While on the surface, this might seem like a good idea, in practice the implementation of this policy can be somewhat problematic, particularly in family nursing and other areas of the medical profession in which a close, lasting and personal relationship between patient and healthcare provider is warranted. "Arguments have been put forth that EBM represents reductionism by its narrow definition of evidence; ignores the legitimacy of clinical judgment, experience, and the time constraints of non-academic practice; fails to include and respond to patient values; fosters an inappropriate reliance on epidemiology and statistical methodology, particularly a dogmatic adherence to the RCT; lacks empirical justification; and is poorly specified for some aspects of clinical medicine such as primary care" (Shawn, Guilherme & Upshur 2003). For example, a nurse treating an overweight adolescent in family practice, according to evidence-based care dictates, should prescribe a specific exercise and diet plan appropriate for the girl's age and health needs. However, the nurse might note tensions within the family such as the mother verbally pressuring the girl to eat less that suggest that the girl is overeating because of psychological as well as
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