According to Dudley-Brown (2019), prior to translating evidence into practice, it is recommended to identify barriers and facilitators. Prioritization and mitigation of barriers is essential for a successful translation of evidence into practice.
Barriers that might pose potential issues in the translation of my evidence include time and knowledge, money and resistance. Ginex (2018) cites time and lack of knowledge as one of the barriers to translating evidence into practice. By knowledge, she specifically is referring to lack of knowledge about the evidence-based practice translation itself. I identify with this issue in so many ways. Literature critique and appraisal can be time consuming but doable. Knowing how to go about translating this evidence is something that I am working hard on accomplishing in this quarter and later on in my role as a DNP graduate. The issue of resistance is another issue that makes the translation process difficult if not mitigated prior to translation. We all know of the saying, “we have always done it like this”. This happens with so many things, talk less of a major project. Another barrier that I anticipate is the presence of controversy and conflicting evidence. According to Andermann et al., (2016), scientific literature is sometimes filled with a plethora of ‘irrelevant evidence’ that is ‘nice to know’ but not really what we need to know to improve patient outcomes. Financial constraint is another barrier to translating evidence into practice. In this case, finances are needed for printing and buying materials that will be used during the implementation phase of this project.
My strategy to overcome these barriers are as follows: I have been working closely with my mentor and stakeholders as they are key in assisting me with the implementation of my project. According to Ginex (2018), engaging the right stakeholders helps build trust and enable the project manager to learn from their experiences and provide input on their project. Working in a culture where a discipline like Orthopedics is focused on major limb amputation will go a long way to break this practice through use of the appropriate stakeholders.
Another strategy of mitigation that I plan to use is gaining support from the administration. The administration at my practice site is supportive of projects that are evidence-based and through this will support my project and may even assist with ideas and techniques that were successful from other projects to help me succeed in my own project.
Mitigating the issue of controversial literature will be rigorous search of scientific literature with good evidence to support practice problem as done in the first quarter of the project, and reviewed by stakeholders.
Mitigating the issue of cost would be done by using cheaper methods of presentations that I can afford, no fancy formatting or high quality prints.
Andermann, A., Pang, T., Newton, J.N. et al. Evidence for Health II: Overcoming barriers to using evidence in policy and practice. Health Res Policy Sys 14, 17 (2016). https://doi.org/10.1186/s12961-016-0086-3.
Dudley-Brown, S. (2019). Best practices in translation: Challenges and barriers in translation. In Translation of Evidence into Nursing and Health Care, Third Edition (pp. 337-346). Springer Publishing Company. https://doi.org/10.1891/9780826147370.0017
Struggling with online classes or exams? Get expert help to ace your coursework, assignments, and tests stress-free!