Potential barriers to my EBP project continuing desired results include resistance from staff and waning commitment from staff (Pexton, n.d.). Early mobility of ICU patients involves a lot of work from nurses such as additional assessment and physical demands of mobilizing patients, so I could see how after the initial push the results may decrease. To overcome this, education could be ongoing along with encouragement of staff to express their concerns. Allowing staff to communicate regarding the implementation may bring up points that were not thought of or planned out, leading to improved processes. Waning commitment is another barrier that may reduce the desired outcome of early mobility in the ICU. Many nurses, including myself, feel that we are always given more tasks and asked to do more with less. This may lead to reduced compliance as the program continues. This barrier may be overcome by implementing a communication plan that reaches all ICU staff members and focuses on the positives and “wins” of the project (Pexton, n.d.). Positive feedback from me regarding increased positive patient outcomes due to early mobility would keep the staff motivated and hopefully continue the desired results. For EBP practices to continue, management also needs to facilitate a culture of improvement and support. Managers and leaders can do this by supporting communication, encouraging staff participations, and establishing priorities (HCPro, 2008). Through education, communication, and management support my EBP project of early mobility of ICU patients could show continued positive results.
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