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What are some of the obstacles in developing evidence based public health policy and how could they be overcome?

On the basis of more than ten years of research and analysis, evidence-based public health can be summed up as being the framing of decisions rooted in the paramount accessible scientific evidence. This is done with the help of data and information systems in a systematic manner, with the use of program-planning outlines, involving the public in decision framing, carrying out sound assessment, and spreading what the knowledge that is acquired. Ideally speaking, community health professionals would carry out evidence-based resolutions by making use of such concepts in each of the chronic disease deterrence initiatives. Having said that, research conducted in acute nursing care pertaining to chronic disease deterrence is not methodically circulated or utilised in practice. (Lake et al, 2015)

The usage of evidence-based initiatives makes sure that the finest technical evidence, medical expertise, as well as client advocacy are utilised in the delivery of health care services. The endorsement of evidence-based practice (also known as EBP) is a vital leadership task of clinical nurse experts. Practicing nursing professionals need to be ready to come up with questions, unfavourably evaluate practice, as well as assess study, clinical strategies, as well as levels pertaining to evidence. There exist a range of barriers to the smooth development of evidence-based public health policy, the first of which is a range of institutional as well as communal barricades. Also, a number of nurse managers have stated that the nurses on duty lack the necessary amount of information of evidence-based practice. (Cartwright et al, 2010)

Thirdly, time management is a major concern in clinical practice, which eventually affects the motivation levels of the staff, leading to a reduced implementation of such strategies. (Lake et al, 2015) In certain cases, the absence of the necessary technology was noted as being one of the primary reasons why such practices could not be implemented. Additionally, another commonly cited reason for the absence of such implementation was the fact that nurses and patients often possessed contrasting views and belief systems, which prevented them from reaching a consensus on the implementation of such practices. This was particularly evident in the case of child care where families of the patients were involved. (Cartwright et al, 2010)

Beneficial initiatives do not reach their full potential in cases where they are not circulated more than their initial testing in the case of research testing. Minimal knowledge is in existence regarding beneficial methods for propagation of research-backed involvements in the case of real-life practice onlookers. A systematic analysis of thirty five dissemination analyses discovered no powerful evidence to endorse any specific dissemination procedure as beneficial in boosting the approval of evidence-based prolonged ailment control mediations. Additional research is vital to recognise the determinants as well as the methods that will boost the spreading of effective involvements. Considering the constitutional power to safeguard the public's wellbeing, medical professionals in the state health sectors are in a specialised situation to put into effect programs as well as services that are associated with chronic ailment management. Such practitioners can offer considerable understanding into the procedures through which evidence-based initiatives can be initiated and circulated to boost effectiveness and efficacy. (Killoran & KellyUPISBN, n.d.)

In the case of personal as well as organizational aspects, both can restrict the public health professional’s capability to initiated evidence-based endeavours. Earlier pinpointed barriers to execution are inclusive of the scarcity of skilled workers, the shortage of time to gain the necessary evidence, not enough resources as well as funding, disjointed local as well as state communal health facilities, and restricted buy-in from management. (Olfati et al, 2013) In addition to that, communal health outcomes are framed on small timespans because of short-term goals as well as budget rotations, obstructing the capability to frame plans that are on a comparatively longer-term basis and which are generally needed in the case of evidence-based involvements such as in the case of Sweden. (Hasson et al, 2011)

In order to deal with these obstacles that exist in the development of evidence based public health policy, three comprehensive fields of interest, inclusive of methods for circulating evidence-based procedures, barricades faced at the time of the procedure of execution, and the necessity of association in tasks beyond the Emergency Department, such as the involvement in policy growth and development. Out of these, four broad recommendations can be outlined. (Hasson et al, 2011) These recommendations involved researchers and supporters circulating their findings with the help of various forums that go farther than peer-reviewed articles in cases where an ED-founded public health involvement has the necessary amount of evidence to be in favour of the merger into the regular practice pertaining to emergency care and other forms of care. (Olfati et al, 2013)

Secondly, resident barriers to the initiation of public health intermediations must not only be recognized but also be well comprehended from a number of perspectives before it is actually implemented. Thirdly, innovation needs to be put into order and modified on the basis of the resident institutional background and values as obstructions and the most suitable approaches for overpowering them will differ from one institution to the other. Additionally, the utilisation of legislation, guidelines, and inducements that go beyond the emergency department or other such departments should sustain and empower such involvements. For every field of concern, research magnitudes to widen the existing understanding of means for effectually and competently applying evidence-based communal health involvements will need to be discussed, after which a consensus will need to be reached. (Reichenpfader et al, 2015)

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