DQ Why is understanding the health care system at the local level important to consider when planning an EBP implementation? NRS 493  Topic 4 DQ 1

 

Several factors are critical to the implementation of EBP. 3 critical components to implementation is the strategy or “intervention” being used, barriers and facilitators (factors that influence the implementation of evidence in clinical practice) and the desired outcomes of the implementation (Correa, Lugo-Aguirre-Acevedo, Contreras, et. Al, 2020). To decide these factors a needs assessment should be conducted for the facility, as well as the community or population being served. Proper understanding of healthcare systems at a local level is vital when planning an EBP implementation because it requires various resources from the local level, including skilled human resources essential to providing leadership and the necessary competence. The importance of an in-depth understanding of the available human capital at the local level. These include the presence of adequate medical personnel such as nurses, physicians and other professionals necessary for successful implementation of EBP at the local level.  Secondly, the organizational structure of the healthcare system at the local level plays a critical role in promoting the implementation of EBP successfully. Organizational factors include providing continuous education on EBP not only one time and providing opportunity for staff to improve their skills. Organizational support is essential in EBP implementation (Sindi, Hamouda & Bankhar, 2017).

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References

Correa, V. C., Lugo-Agudelo, L. H., Aguirre-Acevedo, D. C., Contreras, J., Borrero, A., Patiño-Lugo, D. F., & Valencia, D. (2020).

Individual, health system, and contextual barriers and facilitators for the implementation of clinical practice guidelines: a systematic metareview. Health research policy and systems, 18(1), 74. https://doi.org/10.1186/s12961-020-00588-8

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