DQ 2 : What is the main issue for your organization in addressing a solution to evidence-based nursing practice?

The word main is doing real work. Every organisation has the same catalogue of obstacles — time, access to databases, appraisal skill, managerial support, culture, and the gap between a project finishing and a policy changing — and reciting the catalogue is not an answer. Choose one, say why it dominates in your organisation specifically, and give evidence for the choice: what happened the last time someone tried to change a practice there? Did it stall for want of time, or did it produce a beautiful poster that changed nothing because no one owned the policy? Those are different diagnoses with different remedies, and a post that names time as the barrier in an organisation where the real problem is that nothing is ever written into policy has diagnosed the wrong patient. Look at your own setting rather than at the literature's list. Write the diagnosis as a sentence a colleague could disagree with.

Then take the word first as seriously as the word main. A first step is small, specific and achievable by someone at your level, and it is a step rather than a programme. If the issue is appraisal skill, the first step might be a journal club with one article and a JBI checklist rather than a training strategy. If the issue is that finished projects never reach policy, the first step is finding out who signs a nursing policy and asking what they need to see — an afternoon's work that most staff have never done. If the issue is time, the first step is measuring how much time is actually available rather than asking for more. Notice that each of these produces information or a relationship rather than a solution, which is what a genuine first step does. Close by saying what you would learn from it and what the second step would depend on.