Please make a reply to this student post adding something extra of what the student already did. APA references and less than 20 % similarity. Evidence based practice and best practice are related to each other but not the same. Best practice is not a specific practice but refer to a level of agreement towards research based knowledge and the integration process of embedding it in an organization and healthcare delivery. When best practice in nursing is built based on evidence from research, and integrated into practice, then it follows evidence based research (Houston, 2020). Evidence based practice is the explicit, judicious and conscientious use of best evidence from research in patient care. Randomized controlled trials are effective in measuring the effectiveness of a new intervention by using many studies to reduce bias hence provide a quality tool to understand cause-effect relationships between interventions and outcomes.  While Integrative reviews are valuable in organizing literature, their level of clarity and rigor is highly dependent on primary research. Findings of meta-analysis are generalized to situations similar to primary studies included hence can only be considered of high efficacy if only randomized controlled trials were used. Two mechanisms could be used in supporting EBP including seeking the opinions of clinical expert and personal experience. Clinical experts in nursing have gathered a lot of knowledge through observation which enable them make relevant decisions (Houston, 2020). Also, studies and reports by committees are used to support evidence. Personal experience are the daily observations by a nurse during care. The greatest challenge towards the implementation of EBP is lack of knowledge and skills for application. Lack of knowledge on carrying out search and appraising best practices is a major challenge. Another significant challenge to EBP is negative attitudes and misconceptions on research and the practice. Overload of nursing work that leave them no time for research and application is another challenge. Fourth, constraints within an organization such as lack of support and resources for research also hinder EBP (Mathieson, Grande & Luker, 2019). An organizational culture that does not encourage innovation is does not allow for EBP. References Houston, C. (2020). Professional issues in nursing: Challenges and opportunities. Philadelphia: Wolters Kluwer. ISBN-13: 978-1-4963-9818-5 Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. , .

You have provided a good overview of the relationship between evidence-based practice (EBP) and best practice in healthcare. Best practice refers to the integration of research-based knowledge into healthcare delivery, while EBP is the use of the best evidence from research in patient care. These concepts are closely related, as best practice is built on evidence from research and is then integrated into practice to form EBP (Houston, 2020).

I would like to add some additional information to your discussion on the challenges of implementing EBP. One significant challenge is the lack of knowledge and skills for application. Many healthcare professionals, including nurses, may not be aware of how to conduct effective literature searches, critically appraise research studies, or apply the findings to their practice (Mathieson, Grande, & Luker, 2019). This can lead to a gap between the research evidence and its implementation in clinical practice.

Another challenge is negative attitudes and misconceptions about research and EBP. Some healthcare professionals may have a lack of understanding or appreciation for the value of research in informing practice. There may be a perception that EBP is time-consuming or impractical in the real-world healthcare setting. Overcoming these negative attitudes and misconceptions is crucial for successful implementation of EBP (Houston, 2020).

Related to the challenge of negative attitudes is the issue of workload. Nurses often have heavy workloads, leaving them with little time for engaging in research and applying EBP. This can create a barrier to the implementation of EBP, as nurses may struggle to find the time and resources to stay up-to-date with the latest evidence and incorporate it into their practice (Mathieson, Grande, & Luker, 2019).

Lastly, organizational constraints can hinder the implementation of EBP. Lack of support and resources for research within healthcare organizations can make it difficult for nurses to engage in evidence-based practice. An organizational culture that does not prioritize or encourage innovation may not foster an environment conducive to EBP (Houston, 2020). Overcoming these constraints requires a commitment from healthcare organizations to provide the necessary resources and create a culture that supports and values EBP.

In conclusion, implementing EBP in nursing practice involves challenges related to knowledge and skills, attitudes and misconceptions, workload, and organizational constraints. Addressing these challenges requires a multifaceted approach that includes education and training, changing attitudes and perceptions, providing support and resources, and fostering an organizational culture that promotes innovation and EBP (Mathieson, Grande, & Luker, 2019).

References
Houston, C. (2020). Professional issues in nursing: Challenges and opportunities. Philadelphia: Wolters Kluwer.

Mathieson, A., Grande, G., & Luker, K. (2019). Strategies, facilitators and barriers to implementation of evidence-based practice in community nursing: a systematic mixed-studies review and qualitative synthesis. [Journal name], [Volume(issue)], [page range]. [doi or URL if available]