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Question: Understanding the culture of a clinical environment is crucial for the successful implementation of evidence-based practice (EBP). In the Neonatal Intensive Care Unit (NICU) at Holy Cross Hospital, a strong patient-centered approach fosters a culture of safety, interdisciplinary collaboration, and family involvement (Holy Cross Health, n.d.). This structured environment enhances the delivery of high-quality neonatal care, yet it also presents potential challenges when integrating new nursing interventions. One significant challenge stems from the hospital's stringent infection control policies. While these policies are essential for protecting vulnerable neonates, they may create barriers to adopting innovative EBP initiatives. Get instant assignment help from top tutors!
For example, implementing a new skin-to-skin care protocol for preterm infants may require extensive staff training and modifications to existing procedures, which can slow adoption and require significant administrative support (Pitsillidou et al., 2023). Additionally, resource allocation and staffing constraints can further complicate efforts to introduce practice changes, particularly in high-acuity settings like the NICU. Understanding the healthcare system at the local level is vital for effective EBP implementation. Local insights help identify specific workforce capabilities, resource limitations, and community health needs, ensuring that interventions are practical and sustainable. Tailoring EBP initiatives to align with organizational culture and infrastructure can improve staff
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