NRS 493 Practice Managerial Attitudes & Perceived Barriers

NRS 493 Practice Managerial Attitudes & Perceived Barriers

NRS 493 Practice Managerial Attitudes & Perceived Barriers

Question 1 – Identify two GCU Library scholarly databases that will help you find the best research articles to support your capstone project change proposal. Discuss why these two databases are better than Google Scholar or a general Internet search.

1 – cara harris

Pub Med encompasses millions of published articles that are relevant to the nursing field. Many of the articles are research articles that discuss research funded by National Institutes of Health (NIH). (GCU,2017)This has been a very useful resource throughout my studies with Grand Canyon University( GCU) . GCU alco lists in the library database the Cochrane Library. This library includes 7 databases important to systematic reviews in Healthcare. It also contains controlled trials, methodology, decision-making, collaboration. This information is listed in the GCU Library.(GCU, 2017) Using these databases and libraries are better the google or internet searches because you know you are accessing a reliable source that is clearly defined, formatted, with all references and citations available. It is also easy to see associated articles for the topic.


Grand Canyon University. (2017).…

2 – Jocelyn Perez

Two GCU Library scholarly databases will help me find the best research articles to support my capstone project change proposal, include using PubMed and Gale One File Nursing and Allied Health. PubMed is by far the best database that I have used throughout this program. I have found the most relevant information on this database. PubMed is a free database of more than 30 million citations for published articles in the fields of biomedicine and health. The second database is Gale One File Nursing and Allied Health. This database has over 10 million articles. This collection provides nursing students and other health care professionals with current and authoritative content (Grand Canyon University, 2021). These two databases are Google Scholar or a general internet search because they provide strong, evidence-based research that is peer-reviewed and relevant to the course’s objectives.


Grand Canyon University. (2021). Find Journal Articles. GCU.

NRS 493 Practice Managerial Attitudes & Perceived Barriers


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3 – Rebecca illnicky

GCU library has a wealth of information. You can formulate your search to look for specific information and narrow it down by date, publication types and peer reviewed. It can sometime be difficult to find exactly what you looking for with such a large library of information but GCU library web page states if you have looked for over 20min its time to contact them for assistance with your search. The available content ranges for full text scholarly journal articles to the most update textbooks from reputable publishers and resource sites. Students should find the available content GCU offers sufficient for research projects and assignments.

4 – tamara guitterez

ProQuest database along with EBSCO are two scholarly databases that will help me with research articles throughout my capstone project to explore resources related to health care as well as mental health attributes. GCU Library has a variety of databases to offer assistance. These produce easy access information in regards to the many different studies throughout this educational experience. My current school district utilizes the ProQuest database for research and documentation. These scholarly searches are peer reviewed when needed to gather evidence-based practices. The platform for either is easily accessible with exact data rather than general information found in the general internet searches. These GCU Library databases offers reliable citations for your work. Using the GCU Library platform for your database information ensures reliable facts and help with searches 7 days a week.

GCU Library.

Ques 2 – The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. According to, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.NRS 493 Practice Managerial Attitudes & Perceived Barriers

5 – Shannon bolin

Evidence-based practice (EBP) integrates research-based information into patient care to provide the best quality care and patient outcomes possible (Wilson & Austria, 2019). When applying EBP to patient care, the healthcare provider uses knowledge gained through continue research and education to incorporate interventions and procedures that are aimed at improving the patient’s experiences. Nurses and other healthcare providers must continue to strive to remain up to date with every changing practice of medicine and apply evidence-based research into their practice.

While research shows that EBP care is best for the safety and outcome of the patient, many health care providers still find it difficult to incorporate it into daily operation. In a study done, one barrier sited in the implementation of EBP is lack of resources (Alatawi et al., 2020). As an example of this type of barrier in preventing falls in the hospital, a nurse may find that the use of chair alarms no longer is best practice when a patient is sitting in a chair to alert staff they are moving. The nurse begins research new techniques and interventions that offer better safety and find that wireless set alarms are considered best practice, however, due to financial restraints this type of EBP intervention is not realistic for their unit.

Another barrier that Alatai et al. identified was a lack of training or education on newly implemented items (Alatai et al., 2020). As an example of this type of barrier, a hospital system purchases a new type of hospital bed that is proven to reduce pressure ulcers and allow more variability for better positioning for the patients. After the hospital incorporated this new bed into use it only provided brief instruction on one unit and invited nurses to comes a specific time to learn this use of this bed in a minimal amount of time during their shift. As a result, the nursing staff did not feel adequately trained on the new bed system and were not able to utilize it to the fullest extent of its use and purpose. While EBP continues to be gold standard there will be barriers that prevent nursing staff from incorporating these into practice. It is however, the duty of the nursing profession to continue to advocate for itself the benefits the patient receive from improvement implementation of EBP into the patient setting.

Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S. & Banakhar, M., (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science. Retrieved from…

Wilson, B. & Austria, M-J., (2019). What is evidence-based practice? University of Utah Health. Retrieved from…

6 – mary orao

According to a study carried out by(Shayan et al.,2019) on barriers associated with Evidence-Based Practice Among Nurses in Low- and Middle-Income Countries,three of the main barriers were institutional-related,nurse-related and there was also interdisciplinary barriers.Limitation in availability of resources,access to information,inadequate staffing and lack of support from institutions contributed to institutional barriers from achieving this goal.Nurse-related barriers emerged from the perception that there were limitations in the scope of practice in the nursing profession and knowledge of EBP despite advanced education.Another significant contributor was the lack of consistency between nursing education and practice,poor team work and the negativity of the nursing profession brought about by the publics image(Shayan et al.,2019).

Moving forward ,to adress these barriers,institutional should provide the necessary support needed for the implementation of these EBP practices by ensuring that there is availability of resources.Nurses should be empowered to practice within their educational boundaries and this can be enhanced though legislative advocacy.The transition between nursing education and practice should be seamless enable consistency.NRS 493 Practice Managerial Attitudes & Perceived Barriers


Shayan, S. J., Kiwanuka, F., & Nakaye, Z. (2019). Barriers Associated With Evidence-Based Practice Among Nurses in Low- and Middle-Income Countries: A Systematic Review. Worldviews on evidence-based nursing16(1), 12–20.