NRS-493-0501 Professional Capstone and Practicum: Planning an EBP Implementation

NRS-493-0501 Professional Capstone and Practicum: Planning an EBP Implementation: Why is understanding the health care system at the local level important to consider when planning an EBP implementation…

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NRS-493-0501 Professional Capstone and Practicum: Planning an EBP Implementation

Instruction

Why is understanding the health care system at the local level important to consider when planning an EBP implementation?

Solution

Planning an EBP Implementation


Evidence-based practice (EBP) is the reasonable and conscientious use of the current best evidence, patient values, and clinical expertise to improve healthcare decisions (WHO, n.d.). EBP implementation mainly involves four stages; framing a question based on the current problems, finding relevant literature evidence, critically appraising contemporary research’s validity, and then applying these findings to the clinical decision-making process (Weng et al., 2018). While the perception of EBP varies among health providers, it is essential to focus on the health care system at the local level to ensure its effectiveness.


According to WHO (n.d), resources such as funding and human capital are found locally. In this regard, it is crucial to understand what is locally available before implementing the necessary changes in healthcare. It also allows nurses, among other health providers, to identify the current problems and what is needed to make the necessary changes for the community, promoting overall public health.

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Additionally, understanding the healthcare system at local levels allows health providers to identify the community’s needs and implement changes to make the most positive impact on the identified community. Contrary to focusing on national or international healthcare levels, local levels ensure the most prevalent issue that could not be present in other areas is addressed, improving the overall performance of the practices implemented.

Moreover, focusing on healthcare at the local level allows one to understand the leadership culture and organization norms at the community level. In this regard, it is essential to understand the policies and traditions practiced at the local level, identify their faults, and incorporate the community’s culture in healthcare delivery, which improves performance.

Planning an EBP Implementation

While EBP is constantly dynamic and ever-changing based on new findings, it is necessary to regularly evaluate the healthcare system at local levels as this is the primary level of the health care system (Weng et al., 2013). As a result, understanding what is needed at the community level improves overall public health.

References

  • Weng, Y., Kuo, K. N., Yang, C., Lo, H., Chen, C., & Chiu, Y. (2018). Implementation of evidence-based practices across medical, nursing, pharmacological and allied healthcare professionals: A questionnaire survey in nationwide hospital settings. Implementation Science, 8(1). https://doi.org/10.1186/1748-5908-8-112
  • WHO. (n.d.). Strengthening Health Systems to Improve Health Outcomes. WHO | World Health Organization. https://www.who.int/healthsystems/strategy/everybodys_business.pdf

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