health nursing

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.

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As healthcare practitioners, it is important that our clinical decisions and practices are based on the best available evidence. However, the Institute of Medicine’s goal of achieving 90% evidence-based practice by 2020 is yet to be met, and there are several barriers that prevent nursing practice from achieving this goal.

1. Barrier: Lack of access to quality research

One of the major barriers to achieving evidence-based practice in nursing is the limited access to quality research articles. The high cost of publication fees prohibits many researchers and nursing practitioners from accessing research findings. This limits the knowledge base among healthcare professionals and makes it challenging to provide evidence-based care to patients.

Solution: Open access publications

One possible solution to this problem is the promotion of open access publications. Open access publishing allows researchers to freely publish their findings online, making them accessible to anyone who wants to access the information. This approach may help to boost the knowledge base among healthcare professionals and lead to the implementation of evidence-based practices.

2. Barrier: Resistance to change

Another significant barrier to achieving evidence-based practice in nursing is resistance to change. Healthcare professionals may be hesitant to adopt evidence-based practices as they may be different from what they have been practicing for years.

Solution: Educational programs

To address resistance to change among healthcare professionals, educational programs need to be developed. Education programs should help healthcare professionals understand the importance of evidence-based practice and the benefits to the patient, which may lead to increased adoption of evidence-based practices.


Achieving evidence-based practice in nursing is critical to delivering optimal patient care. To overcome barriers to evidence-based practice, open access to publications and educational programs may be used to promote the adoption of evidence-based practices. By addressing these issues, we can work towards meeting the Institute of Medicine’s goal of 90% evidence-based practice by 2020.

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