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November 2012, Volume 42 Number 11 , p 23 - 25



A descriptive survey involving a random sample of 1,015 RNs belonging to the American Nurses Association reveals that although most nurses value evidence-based practice (EBP), many don't consistently implement it. When survey participants were asked to name one barrier that prevents them from implementing EBP, the 5 most frequently reported responses were: * time * organizational culture * lack of EBP knowledge/skills * lack of access to information/evidence * leadership/manager resistance.The researchers note that "resistance to EBP from colleagues/peers is not a new phenomenon, but resistance from nurse leaders and managers is a newly identified barrier that requires attention as their support is critical for point-of-care staff to implement EBP. [horizontal ellipsis] The study reinforces the tremendous need for nurse executives/leaders to build organizational cultures that support EBP."Source: Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in U.S. nurses: critical implications for nurse leaders and educators. J Nurs Adm. 2012;42(9):410-417.Collaboration between nurses and pharmacists at patient admission and discharge is an "efficient and cost-effective" strategy for preventing adverse drug events (ADEs). In a prospective study of 563 patients admitted to and discharged from an urban medical center, researchers explored "whether an easily replicable nurse-pharmacist lead medication reconciliation process" could prevent ADEs.Via patient interviews averaging 29 minutes, nurses developed a home medication list (HML). For patients unable to reliably report their home medications, nurses reviewed the electronic medical record or other sources to complete the list. Nurses then compared the HML to the patient's active inpatient medications and determined whether any discrepancies were intentional or unintentional. Prescribers were notified of any potential unintentional discrepancies. The process was repeated at discharge.Of

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