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NR 439 Week 8 NR 439 Reply 1
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NR 439 WEEK 8 REPLY• Think about nursing practice and describe one barrier that you feel prohibits nurses from
engaging in EBP; share one strategy you could use to facilitate the use of evidence to help
improve nursing care for patients.
• Reflect back over your time in the course and describe how your thinking has changed about
nursing research and evidence-based practice; describe one new learning during this course that
you believe was the most helpful.
Professor and class,
Thank you for a great eight weeks! I have learned so much during this time from all of you. The number
one change this class had on me was bridging the gap between research and how it translates into my
nursing practice. I am now able to recognize the value of research and EBP, identify the
knowledge/practice gaps, and how researching and applying evidence can fill them (CCN, 2020).
Formulating the PICOT question was a new skill I learned from this course, although challenging at first, I
found it to be an invaluable resource that I will carry with me and use throughout my nursing practice.
I believe the number one barrier for nurses to engage in EBP, is a resistance to change. People often get
stuck in their ways, and changing can be scary. Toxic behaviors within an organization are seldom the
result of one individual process gone awry but are instead the cumulation of many dysfunctions leading
to a negative culture (Porter- O’Grady & Malloch, 2018). A team member who argues against change or
comments that a change was previously attempted and did not work requires additional coaching in
terms of self-assessment and self-awareness. I would approach the individual and inquire as to why they
feel the way they do about change and what prevents them from making further attempts at improving
care. Helping individuals realize that the change process sometimes must go through numerous revisions
before a product comes to fruition is a normal part of change and growth. I used to frequently hear, “But
this is how we have always done it” and have to redirect nurses from using this phrase at meetings due
to the negative connotation that it brings and the halting effect that it has on change. I hope to have
meaningful conversations with individuals that carry this mindset that focuses on the impact that
individual attitudes have on culture and their ability to raise up a team and an organization. I want
individuals like this to realize the potential they have in making and supporting change and the power
they possess to help grow the nursing profession.
Reference
Chamberlain College of Nursing (2020). NR439-RN Evidence-Based Practice: Week 8 Lesson. Downers
Grove, IL: Online Publication.
Porter-O’Grady, T. & Malloch, K. (2018). Quantum Leadership: Creating sustainable value in health care.
Burlington, MA: Jones & Bartlett Learning. Retrieved from
https://chamberlainuniversity.idm.oclc.org/login? url=https://search.ebscohost.com/login.aspx?
direct=true&db=nlebk&AN=1487696&site=eds-live&scope=site
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