While trying to implement the proposed changes in line with evidence-based practice, it is important to understand the healthcare system at the local level. The Affordable Care Act of 2010 made sure that care was accessible at the local healthcare system level where most of the EBP influence should be felt. The system should ensure that the highest quality of care is provided to the patients at the lowest level, making it the role of the implementers in understanding this system at the lowest level (Aarons, Hurlburt, & Horwitz, 2011). Furthermore, it is at this level where the leadership of the healthcare facilities is well established. Using the existing systems of leadership, it is possible to understand the potential stakeholders for managing resistance to change affecting most EBP projects.
The greatest challenge making it important to understand the healthcare systems at the local level is lack of information on EBP based on various misconceptions and negative attitudes especially at this local level healthcare systems (Melnyk & Fineout-Overholt, 2011). The current evidence-based change project will be concerned with educating the local level of healthcare systems on the importance as well as the benefits associated with EBP implementation, a step that will open a leeway for the project’s acceptability. The lack of knowledge is not a factor only associated with the general community as it has been shown that even many nurses are ignorant about the various benefits of EBP implementation (Aarons, Hurlburt, & Horwitz, 2011).
This project will also endeavor to understand the local health systems with the intention of finding out the availability of time for nurses to carry out research. The present-day nursing sector is faced with vast shortages in the workforce making it difficult to find an appropriate time for engaging in research (Melnyk & Fineout-Overholt, 2011). By engaging the local health facilities leadership, it is possible to balance the available time to engage nurses in research on newer and better ways of patient care using knowledge informed by scientific research.
- Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38(1), 4-23.
- Melnyk, B. M., & Fineout-Overholt, E. (Eds.). (2011). Evidence-based practice in nursing & healthcare: A guide to best practice. Lippincott Williams & Wilkins.