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Evidence-Based Practice in Clinical Nursing Environment

In relation to evidence-based practice (EBP) in the clinical environment, its incorporation is most important in addressing the questions, problems, and needs of patients with the intention of clinical decision-making for appropriate intervention. Thus, for integration, knowledge, and skills are required from healthcare instructions, traditions, and personal choices. Therefore, nurses must incorporate skills and knowledge with research-based evidence to carry out good decision-making to achieve exceptional clinical outcomes. Furthermore, the application of EBP includes personal clinical expertise, external evidence, values, and expectations of the patients based on their individual preferences.

Steps to Integrate Evidence-Based Practice into the Clinical Environment

The process of integrating evidence-based practice into the clinical environment should include steps that must be incorporated into the daily routine inpatient care. The first step of integrating EBP into the clinical environment is training the culture of EBP into healthcare organizations intending to lower costs. Reduced expense can be achieved by shortening hospital stay length and eliminating hospital-acquired infections such as central line-associated bloodstream contamination. Consequently, healthcare organizations rely on culture adoption to improve patient outcomes as the norms adopted by an association have gone through research-based diagnostic and approved health procedures. The second step is developing a patient’s population, intervention, comparison, outcome, and time (PICOT) questions where the healthcare professionals can use to identify the clinical problems. Interventions and comparisons to the underlying problems must be examined to ensure accuracy in the approaches implemented.

Additionally, the third step involves research to determine the validity, applicability, and reliability of the clinical engagement analysis. Thus, if evidence collected is of high quality, it should provide accurate and reliable data for projected intervention. During the research, teamwork is highly preferred because an elevated level of accuracy will be achieved. As a result, the degree of precision gives a potential expected outcome where the practice is eventually implemented in the clinical environment. Next is the fourth step, which is to determine the means of guiding recommendations and findings into the exercise, which relies on how EBP measures the incorporating strength of treatment into involvement. Therefore, a grading system should be created to support regularization across the healthcare professions by measuring the efficiency of EBP (Barends et al., 2017). As such, grading measurements will support a team’s ability to implement recommendations from the evidence collected and analyzed. Hence, the information gathered should promote accuracy and be reliable by healthcare professions.

The fifth step is to ensure that the clinical expertise’s proof aligns with the patient’s preferences and values. This alignment is noted in the individual case and clinical measures’ socioeconomic, biological, and epidemiologic issues. Consequently, to report personal care, clinicians should prioritize patients’ preferences to develop guidance centered on a specific being. Further, the sixth step is to apply the actual evidence collected, measured, and deemed applicable in the clinical environment. In this step, the strength and weaknesses of the evidence are assessed.

Next is the seventh step, which involves evaluating the outcomes after the practice has been integrated into the clinical environment and the patient experiences collected. Hence, the results from several tests are examined to measure the effectiveness of the inpatient care strategy. Furthermore, assessing the actual outcome helps to ascertain the EBP in clinical testing. On the eighth step, results are distributed to every organization’s department through posters, podiums, and conferences. Furthermore, appropriate leadership is necessary to encourage positive reception and implementation of EBP into various clinical areas.

Barriers Faced in Implementing a New Practice and Strategies Used to Increase the Success

In this case, evidence-based practice execution is impacted by various barriers related to different healthcare practice changes. Recently, the main obstacle is implementing the use of prone position with Acute Respiratory Distress Syndrome (ARDS) to patients due to COVID-19 (Gibson et al., 2020). As such, prone positioning in patients with respiratory failures who are awake and not intubated is possible in non-critical care settings thus showing prospective improved oxygenation. Hence, the main barrier to implement the strategies to cure COVID-19 is the resistance of change from the staff who are supposed to approach change in the working environment. Furthermore, the lack of support from leaders to integrate the system of introducing inhaling machines has been a significant challenge. Thus, it is imperative to educate the staff on the benefits of EBP. Also, patients may be reluctant to associate themselves with clinicians who try to implement challenges on COVID-19. Therefore, personnel members should educate patients by simply providing them with an understanding of examples and statistics of proven success in preventing COVID-19.

Additionally, another obstacle is limited time and resources for implementing the EBP. Moreover, nursing and the medical field are experiencing staff shortages; it becomes difficult for nurses to test COVID-19 patients. Thus, other healthcare workers tend to be ignorant and focus on separate issues other than implementations about COVID-19. Therefore, to guarantee success in health practicing, there should be more strategies laid for achievement. First, education on the importance of saving every patient’s life should be conducted to encourage treatments. Second, awareness of humanity among individuals should be a considerable concern for success as it will encourage care for each other. Also, emphasis on care and survival should be provided to patients and doctors to ensure that the operation process will be successful.

Sources of Internal Evidence that Could Be Used in Providing Data

In this case, the internal evidence is data that has been collected within an organization. As such, the first source is integrity aspects. This involves quality management that will oversee the excellence of care provided to patients by a company. Moreover, data is collected from issues such as incident reports and newly acquired infections in a hospital. Furthermore, quality management will educate healthcare teams to maintain standard aspects after analyzing data. The second source is the clinical experts. They are an essential source of information on EBP implementation as they have knowledge, skills, and close ties to patients and staff. Further, they are highly appreciated as they experience changes frequently and directly while performing their daily duties. Thirdly is the client’s satisfaction, where the records of their treatment will help yield the comparison of an outcome, thus enabling measurement of effectiveness of EBP.

Moreover, the fourth source of internal evidence is through patient experiences, where this can be achieved through surveys and questionnaires to patients and clients who have completed their treatment. Further, the fifth source is safety measures to be taken into account during patient handling and implementation of EBP. As such, it will be easier to track every caution taken to ensure that EBP is successful hence analyze its usefulness. Additionally, the sixth source is revising the content of EBP. In this case, it is achieved through modifying the responses obtained from clients. Therefore, the previous and current responses will help examine whether the EBP implemented changes and assess the need for error change.

In conclusion, healthcare practitioners should enforce scientific knowledge and skills that have been enhanced with evidence-based practices. Consequently, this will help to improve the quality of patient care delivery through outcomes and satisfaction. Moreover, when implementing EBP, barriers should be foreseen as beneficial to formulate possible solutions early enough. Furthermore, health leaders should possess management traits that can support the staff in the implementation of EBP. Besides, leaders should emphasize the importance of EBP, which in return will bring advancement in healthcare sector through acquired knowledge and skills.


Gibson, P. G., Qin, L., & Puah, S. H. (2020). COVID ‐19 acute respiratory distress syndrome (ARDS ): Clinical features and differences from typical pre‐ COVID ‐19 ARDS. Medical Journal of Australia, 213(2), 54. Web.

Barends, E., Villanueva, J., Rousseau, D. M., Briner, R. B., Jepsen, D. M., Houghton, E., & ten Have, S. (2017). Managerial attitudes and perceived barriers regarding evidence-based practice: An international survey. PLOS ONE, 12(10), e0184594. Web.

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"Evidence-Based Practice in Clinical Nursing Environment." ApeGrade, 5 Sept. 2022, apegrade.com/evidence-based-practice-in-clinical-nursing-environment/.

1. ApeGrade. "Evidence-Based Practice in Clinical Nursing Environment." September 5, 2022. https://apegrade.com/evidence-based-practice-in-clinical-nursing-environment/.


ApeGrade. "Evidence-Based Practice in Clinical Nursing Environment." September 5, 2022. https://apegrade.com/evidence-based-practice-in-clinical-nursing-environment/.


ApeGrade. 2022. "Evidence-Based Practice in Clinical Nursing Environment." September 5, 2022. https://apegrade.com/evidence-based-practice-in-clinical-nursing-environment/.


ApeGrade. (2022) 'Evidence-Based Practice in Clinical Nursing Environment'. 5 September.

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