Implementation of evidence-based care in mental health nursing; barriers and strategies
Karki, Asmita (2019)
Karki, Asmita
2019
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-201904245839
https://urn.fi/URN:NBN:fi:amk-201904245839
Tiivistelmä
Mental illnesses are one of the most frequent and most discussed topics in the world. The most common practices of mental health/ psychiatric nursing at present are based on old traditions and unsystematic trial and error methods rather than evidence supported methods. Evidence-based practice is an approach to modern nursing that uses best available evidences along with clinical experts’ opinion and patient preferences. Despite being a major topic of discussion, the rate of implying evidence-based practice in real health care setting is relatively slow. There are still problems in effective implementation of EBP in mental health nursing. Thus, the aims of this study were to find the importance of evidence- based practice in psychiatric setting, its implementation, common challenges associated with the implementation and finding possible suggestions for overcoming the barriers.
A literature review was done for this paper along with an inductive content analysis. Data were collected from reliable databases such as EBSCO, Pubmed, Science Direct, Sage and Google scholar. Altogether 10 articles were selected for the content analysis. The Iowa Model of Evidence-based practice to promote quality care was used as a theoretical frame-work. The findings of the study suggest that EBP improves quality of care, patient safety and satisfaction, professional development of nurses and long-term cost effectiveness in health care. Nevertheless, there are different challenges on administrative as well as staff levels while transforming traditional nursing care into evidence-based practice, such as lack of time, resources, relevant research studies, organizational support. However, steps can be taken to facilitate the change. Being more receptive to change, understanding the importance of EBP and availability of resources are some of the main considerable factors.
A literature review was done for this paper along with an inductive content analysis. Data were collected from reliable databases such as EBSCO, Pubmed, Science Direct, Sage and Google scholar. Altogether 10 articles were selected for the content analysis. The Iowa Model of Evidence-based practice to promote quality care was used as a theoretical frame-work. The findings of the study suggest that EBP improves quality of care, patient safety and satisfaction, professional development of nurses and long-term cost effectiveness in health care. Nevertheless, there are different challenges on administrative as well as staff levels while transforming traditional nursing care into evidence-based practice, such as lack of time, resources, relevant research studies, organizational support. However, steps can be taken to facilitate the change. Being more receptive to change, understanding the importance of EBP and availability of resources are some of the main considerable factors.