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        All in all, there are multiple factors, including changing education and clinical experience of nursing staff, as well as an inability to understand its significance to effective or efficient quality patient care, that establish barriers to effective execution (Tacia et al., 2015). Evidenced-based practice must be broadly accepted in order to enhance the quality, safety, and promote quality care, all of which can have a significant impact on patients (Tacia et al., 2015). On the other hand, six barriers to evidenced-based practice implementation were recognized, such as institutional or cultural barriers, a lack of understanding, a loss of motivation, time management, doctor and patient attributes, and a lack of access to updated and lastly, user-friendly technology and computer systems (Tacia et al., 2015). 

         One of the institutional barriers was presented as a culture that did not endorse guidelines from nurses. Furthermore, the significance of professional growth among nurses was diminished as an outcome of society’s attitudes to the healthcare structure. One of the uncertainties of lack of knowledge was that many inpatient direct care nurses did not have a basic understanding of evidence-based practice. Furthermore, these nurses also may be unable to classify criteria that indicate high-quality studies (Tacia et al., 2015). Lack of motivation underlined the significance of having personal drive and determination to enhance themselves in order to deliver better treatment and support. In addition, nurses expressed a lack of enthusiasm or encouragement for incorporating evidence-based practice. Due to the general time lapse between proper academic training and employment, nurses were identified to be unmotivated to enforce evidence-based practice (Tacia et al., 2015). Time management was identified as a challenge to system-wide change implementation in all three main groups (Tacia et al., 2015). The nurses voiced concern that expecting nurses to conduct studies to back up their profession was unattainable. Physician and patient factors were identified, including both physicians and patients obtaining different beliefs which may interfere with providing evidence-based care. It was also stated that physicians did not challenge their formal practice routines. As identified, one of the barriers to restricting updated technologies was sufficient computer resources, which were required for evidence-based practice implementation. Another obstacle identified was that inpatient nurses who provide patient care require access to and support with technical knowledge (Tacia et al., 2015).

          Nurses can contribute or change to promote evidenced-based practice in their practices by integrating cooperation and interaction. Mentorship, access to professional roles and connections such as networking, and organizational support are essential to the adaptation of evidence-based practice (Tacia et al., 2015). Inpatient direct care providers emphasized the significance of leadership promoting advanced education for nurses who work at the bedside. Nurses indicated how to promote the implementation of evidence-based practices. Enrollment at conferences, training courses, and organizational support for education were perceived by them as uplifting and encouraging (Tacia et al., 2015).