Individually perceived barriers consist of nurses’ lack of knowledge regarding research methodology, inability to explore the strengths and weaknesses of the study, less cooperation from colleagues and lack of authority to utilize research results in practice to bring change. Organizational barriers are a lack of time to implement the new evidence due to workload, insufficient resources, and inadequate administrative support to implement Evidence Based Practice (EBP) (Agnes T, et al.,
Evidence-based practice is the practice of making clinical decisions based off the best available research evidence coupled with the nurse’s own expertise, while also taking into account, the patient’s assessments and own personal preferences. This use of research has proven effective at providing better outcomes and lower healthcare costs, yet there are several barriers, such as time, education, and support, which prevent nurses from consistently using evidence-based practice (AJN, 2012). The top three barriers to the use of evidence-based practice are lack of time, education, and support in implementing new practices and using them consistently.
Evidence based practice is an integral part of nursing care. According to the Academy of Medical-Surgical Nurses, evidence based practice is defined as, “the conscientious use of current best evidence in making decisions about patient care.” (AMSN) The use of evidence based practice has drastically improved patient outcomes, increased quality and safety of healthcare, and reduced costs for facilities. (Melnyk, 2016) In this paper I will provide the history of evidence based practice, how it has already been incorporated and impacted healthcare, and why it is important to nursing and healthcare as a whole.
I come from a small community in the mountains that once was a beautiful place to live. Methaphetimes and opioid addiction have taken over the town. Now my hometown that was full of fascinating Appalachian history is now known as a drug town. In the 1990's the use of opioids increased significantly across the nation and then by 2010 the use of heroin went up in its place (Davies & Talbots, 2017). I feel that a lot of people started taking pain medication innocently, but now it has turned into a horrible epidemic. I think that to get the opioid crisis under control, prescriptions for pain medications should be carefully monitored. I know there are many pain management clinics in my area. I feel that the majority of these places are pill mills for addicts and they need to be closed for good. I realize that this does not solve the issues of heroin abuse, but at least it
The use of opioids and other drugs continues to gradually increase in the United State. According to Centers for Disease Control and Prevention (CDC), the number of overdose deaths involving opioids has quadrupled since 1999” (CDC website). Individuals are abusing prescription opioids such as oxycodone, hydrocodone, and methadone. Prescriptions opioids
Shortages of prescription drugs in the United States are a serious threat to our nation’s health and safety. At first blush, this problem appears fairly simple and straight forward to solve. In reality, there is a complex web of causation with a number of root causes contributing to drug shortages. The aim of this paper is to answer the question: How do we mitigate prescription drug shortages? This discussion is written from the standpoint of advising the current presidential administration how to address this crisis. This essay begins with a discussion regarding the background of the issue. Next, the landscape, including stakeholders in this matter is identified. Following, political, social, economic, and practical factors surrounding
The current system is inefficient, inequitable and unsustainable in the long run because: (1) it is unable to accommodate for the entire Canadian population; (2) it requires Canadians to pay a disproportionate amount of their income to access medications; and (3) governments are unable to contain the drug cost increases
Over the course of decades medical treatment has advanced causing an increase in the wellness of patient clinical outcomes. A large portion of the improvement is due to the vital role nurses play in the delivery of safe and quality care to their patients. For many years different methods of treating patients have evolved due to the continued research for the best practice. Nurses, researchers and people with questions have always tried to find better and efficient solutions to treat their patients detailing the best possible evidence-based practice. Evidence-based practice is an important tool to use for clinical decision making however one must understand it first. Interpreting Evidence-based practice allows nurses to comprehend the steps to determine if new evidence is needed and realize there are some benefits to utilizing up to date research and obstacles that may impeded the research into practice. .
Not only are patients impacted by this issue, but so is the healthcare system. Consumer reports estimates that “$200 billion per year is spent in the U.S. on the unnecessary and improper use of medication, for the drugs themselves and related medical costs, according to the market research firm IMS Institute for Healthcare Informatics” (Carr, T. 2017). America’s health care is very expensive and we can save
Anyone who has purchased prescription medications has probably wondered why they cost so much, and rightfully so. Medication prices in the United States have been on a steady increase for decades, however, prices have been drastically increasing as of recent. Pharmaceutical companies have tried to justify these price increases due
Medicine has been around for thousands of years and has diversified and given us many options to treat illness or pain. Some are available as over-the-counter drugs that can be purchased almost anywhere and others require you to get a prescription from your doctor in order to get it. Some of these drugs that require a prescription often help people who deal with chronic pain, those who are at the end of their life, or cancer patients. Unfortunately these drugs, although helpful to those who need them, are being abused by millions of Americans every year. With doctors prescribing ludicrous amounts of prescription drug, sometimes when it is not even necessary, and our lack of knowledge on the subject, prescription drug abuse has become a big
Professor and Class, Why should nurses incorporate research? Nurses should incorporate research in their scope of practice to deliver the highest and safest quality health care. This is based on proven scientific evaluation, peer review, combined with one’s clinical experience, critical thinking, and competency. (Stevens, 2013), “research produces the
In the United States of America, there is prescription drug abuse epidemic that continues to be a growing concern. Prescription drugs cause a large amount of overdoses and result in an abundant amount of deaths each year. A government study conducted shows this epidemic is scarily on the rise, “A recent government study found a 400% increase in prescription drug abuse between 1998 and 2008” (Schreiner 531). The excessive use of prescription drug abuse is leading to nonmedical use of the drugs, and creating addiction. Furthermore society is paying an extreme amount of money in this battle. With this drug abuse on the rise, legislators must create a law preventing doctors and pharmacists from over prescribing prescription medications as well a law to require they both participate in drug monitoring programs to prevent drug abuse. Now is the time that doctors and the pharmaceutical industry must be held accountable for their role in causing one of America’s worst addictions. The over medication of prescription drugs in the United States must be brought to an end by legislators creating laws to stop
Clayton Mills Mrs.Gallos English III 16 November 2017 We need to stop the abuse Even though people need their prescriptions, the abuse of them is getting out of control and we need to find a way to regulate it better,because it can destroy a family, cause some to become addicted, or even kill them. Prescription drugs are no joke, they can be worse than illegal drugs like marijuana, cocaine, and even heroin. The only difference is a doctor can prescribe these types of drugs. The problem we run into with prescription drugs is there is not enough being done to keep the person from becoming addicted or them selling to others. In 2007 2.5 million Americans abused just painkillers (Drug free world). That is not even including the other two types. Now it is starting to affect teens, one out of every ten teenagers admit to abusing a prescribed drug(Drug-free world).
Pre-trial bias  Imperfect study plan: Clearly characterize danger and result, ideally with target or approved strategies. Institutionalize and blind information accumulation.