Barriers and Enablers to Implementing Evidence-Based Practice in Nursing

Running head: NURSING
Nursing: Part 3
Name of the Student
Name of the University
Author Note

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NURSING
What are some of the barriers and enablers to you in implementing evidence-based
practice in your workplace?
The main barriers of the evidence-based practice (EBP) are the organizational culture.
The organizational culture that fails to up-held the concept of teamwork or support from the
team leaders (nurse manager) experiences gap in implementing evidence-based practice. The
lack of training of the nursing professionals and poor nurse to patient ratio also act as a
barrier towards comprehensive implementation of the evidence-based practice (Baatiema et
al. 2017).
The enablers of the EBP implementation are the incentives and resources. The
availability of incentives and resources help to effective implementation of EBP. The
incentives act as a source of motivation and resources help in optimal therapy management
through EBP (Baatiema et al. 2017). Other enabler of the EBP is effective training of the
nursing professionals. Moreover, the nursing professionals who provide the scope for the
continuous professional development helps to increase the probability of the effective
implementation of the EBP (eva 2016).
The main barrier in the implementation of EBP for the effective diabetes management
is the unwillingness of the target population who conduct the physical activities on time and
in a desired intensity. Korkiakangas et al. (2011) highlighted the people who lead a sedentary
life, have high BMI and HbA1c level are less likely to participate in the physical activity,
daily. Patient-education about the disease progression will help to generate awareness and
thereby helping to overcome the barrier (Chimeddamba et al. 2015).
Another barrier in implementation of this EBP is, hard aerobic and resistance training
might not be suitable for the people who are suffering from micro and macro vascular

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NURSING
complication of diabetes like cardio-vascular problem. For them, a different EBP is required
to be implemented thus promoting the importance of person-centered EBP (Korkiakangas et
al. 2011).
The enablers of this EBP is non-pharmacological interventions (physical exercise
training) helping to recover from diabetes. Non-pharmacological interventions have less
significant side effects on the body and thus considered to be effective in disease
management. The motivation of the people to manage their body image by the practice of the
physical activity can be considered as an enabler of this EBP (Korkiakangas et al. 2011).
Provide a short summary of the important information that relates to your clinical
question; explain the rationale for your decision making to your situation of
uncertainty.
The important information that relates to the clinical question that was extracted from
the analysis of the scientific article is, practice of a combination of physical activities help in
effective management of type 2 diabetes mellitus (T2DM). In other words, it can be said that
practice of combination of two types of physical activities that is resistance training and
aerobic exercise help to improve the Hb1Ac level and thereby helping to improve the state of
T2D. This can be regarded as one of the EBP for the management of T2DM or an evidence-
based pharmacological intervention (Church et al. 2010). The rationale of the decision-
making is based on the RCT conducted by Church et al. (2010) that showed if people who
leads a sedentary life and has high BMI and HbA1c practice physical activity then are more
likely to recover from the disease state fast. However, the uncertainty is, whether specific diet
plan is required to be followed in order to see a significant change in the HbA1c effects. Thus
in order to extract the best-possible out come from the EBP (physical activity and diabetes
management), the patient’s diet plan is required to be designed strictly. Esposito et al. (2015)