Describe different strategies to deal with the management of any barriers, facilitators, and challenges.

NUR699 Describe different strategies to deal with the management of any barriers, facilitators, and challenges.

NUR699 Evidence Based Practice Project

Week 4 Discussion

DQ1 Consider a known or potential obstacle or barrier to your intervention implementation. Describe different strategies to deal with the management of any barriers, facilitators, and challenges.

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT:NUR699 Describe different strategies to deal with the management of any barriers, facilitators, and challenges.
As the topic area of this review is context-sensitive, a design that provides a practical understanding of the phenomenon is required. The approach taken was therefore a systematic mixed-studies review and convergent qualitative synthesis (Pluye and Hong, 2014). To maximize transparency, where appropriate, we have reported our review in line with the PRISMA statement (Moher et al., 2009).

The standard systematic review steps were taken, whereby the reviewer (A.M.) identified, selected, appraised and synthesized qualitative, quantitative and mixed-methods studies; with all papers reviewed independently by the three authors. Authors discussed disagreements and a consensus was met. For pragmatic reasons, a time limit for the literature was imposed. To ensure all relevant literature within this time limit was captured, a number of databases were searched from different fields.

NUR699 Describe different strategies to deal with the management of any barriers, facilitators, and challenges.
NUR699 Describe different strategies to deal with the management of any barriers, facilitators, and challenges.

Search strategy
The search strategy (Figure 1) included papers published between January 2010 and July 2017 identified from the electronic databases AMED, PsycINFO, Ovid Medline, CINAHL Plus, ASSIA, British Nursing Index and EMBASE. The grey literature databases OpenGrey and EThOS were also searched. A Boolean search was conducted using the following terms ‘Implement*’; ‘Evidence-based Medicine’; ‘Evidence-based Practice’; ‘District Nurs*’; ‘Community Health Nurs*’; ‘Home Care Nurs*’ (Table 1). The search strategy identified a total of 660 titles. Retrieved articles were considered for inclusion if they were peer-reviewed primary research published in English and met the inclusion criteria of implementation within community nursing. This was restricted to adult general nursing. The scale on which the innovation (EBP) was implemented was not stipulated. Implementation within a children community nursing setting, and community mental health nursing studies in the absence of physical illness, were excluded. In total, 22 papers were identified as relevant.