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Reply 1Evidence-based practice (EBP) has been a goal for health care professionals for decades. Healthcare should be based on the greatest available evidence. Evidence is required of healthcare practitioners, who are supposed to interact with it and practice in accordance with it. According to previous study on nurses’ views, abilities, and understanding of EBP, nurses face a variety of hurdles to EBP implementation, resulting in a lack of involvement. Lack of time, staff shortages, large patient caseloads, family responsibilities, little understanding of EBP and unfavorable attitudes about it, and low academic abilities are all common barriers (Mallion and Brooke, 2016).I could think about the two potential barriers for my project change proposal plan on patient safety are staffing and noncompliance of patients with safety protocol. First, as far as staffing is concerned, there is a shortage of nurses in every healthcare sector. Based on patient acuity in this unit, patients with complex post-traumatic stress disorder are more complex than patients in other units. Patients here constantly have self-harm urges and suicidal ideations. Staff who work in this unit needs to be trained in trauma-informed care. With inadequate staffing, we are putting patient safety at risk.Moreover, maintaining consistency in safety protocol is essential. The second I could think of is noncompliance with patients’ planned safety protocol. Therefore, it is significant to remind and reinforce patients about the importance of being compliant with introduced safety protocol to keep them safe and ensure quality patient care is the top priority.My strategies for overcoming these barriers are to have treatment meeting with nursing leaders regarding inadequate staffing and making them understand result of poor staffing could be life threatening for patients. Persistent reinforcement of safety protocol among patient population and encouraging to explore coping skills and work on it to commit to safety.ReferenceMallion J Brooke J (2016) Community-and hospital-based nurses’ implementation of evidence-based practice: are there any differences? British Journal of Community Nursing 21, 148–154.Reply 2Re: Topic 9 DQ 2Topic 9 DQ 2It is the dream of the United States healthcare system to migrate all of its practice to EBP. However, only 15% of the practice is moved to evidence-based practice. This low implementation is attributed to increased barriers to EBP change proposal implementation in healthcare at the local levels. Local levels are recognized since it’s there that these changes come in. evidence-based improves the quality of nursing practice, ensures patient-centered care, and reduces costs to this quality care. For change to be implemented and executed and for results to be found, an organization must have a change-oriented culture (Jamieson et al., 2019).One of the barriers to EBP implementation is nurse shortage. There is a shortage of nurses in the country, which makes it hard to perform various activities aimed to improve the quality of care, one of them being EBP implementation. Nurses are the key professionals mandated in the EBP. They, therefore, are involved in creation, implementation, and execution. This whole process consumes a lot of time and manpower, making it hard for organizations with less manpower. Nurse shortage limits the workforce needed in research implementation and execution, thus leaving many organizations with no option but to remain with a practice that is not evidence-based (Jamieson et al., 2019).The second barrier to EBP implementation is the lack of skilled nurses or personnel to create, implement, and execute. Evidence-based practice requires skilled personnel who know well about it to be able to create something that meets its standards. The lack of nurses who know about evidence-based practice makes it hard for EBP change proposals to be implemented (Jamieson et al., 2019).ReferencesJamieson, E., Whyte, L. A., & McCall, J. M. (2019). Clinical Nursing Practices: Guidelines for Evidence-Based Practice. Elsevier Health Sciences. Retrieved from https://www.booktopia.com.au/clinical-nursing-practices-elizabeth-jamieson/ebook/9780702033384.html

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