A Better Understanding of the Integration of Evidence-Based Practice in Nursing
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Introduction
On a daily basis health care professionals are confronted with difficult questions and situations while caring for patients. They want to know how to interpret diagnostic test accurately, how to predict the prognosis of a patient, and how to compare the effectiveness of therapeutic intervention. As health care professional we are challenged to stay familiar with any new information regarding health. This allows us to give our patients the highest quality health care available. This is where Evidence-Based Practice is important. It is defined as the integration of the best systematic research evidence with clinical expertise and patient values. The intent of this presentation is to look at the pros and cons of Evidenced-Based
Practice, how nursing schools need to teach it to their students, how nursing management can incorporate it to their employees and how it can work for patients with pressure ulcers.
PROS AND CONS OF EVIDENCE-BASED PRACTICE
Evidence-Based Practice is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of patients, (1) It involves integrating the individual clinical expertise of the physician or nurse with the best available external clinical evidence for systematic research and individual patient preferences, (2) Research shows that patients’ outcomes are at least 28% better when clinical care is based on evidence rather than the tradition common sense (Bryan-Brown, 2006). Opponents of Evidence-Based practice argue that the use of it can potentially nurses to be less autonomous and it is “responsible for the suppression of the innovation and creativity” (Walsh, 2010 p.27) There have been barriers to Evidence-Based Practice implementation identified as the time it takes to research evidence, limited team cooperation, and staffing levels. Also, for nurses in rural areas, they are less likely to hear about new research for
Introduction
On a daily basis health care professionals are confronted with difficult questions and situations while caring for patients. They want to know how to interpret diagnostic test accurately, how to predict the prognosis of a patient, and how to compare the effectiveness of therapeutic intervention. As health care professional we are challenged to stay familiar with any new information regarding health. This allows us to give our patients the highest quality health care available. This is where Evidence-Based Practice is important. It is defined as the integration of the best systematic research evidence with clinical expertise and patient values. The intent of this presentation is to look at the pros and cons of Evidenced-Based
Practice, how nursing schools need to teach it to their students, how nursing management can incorporate it to their employees and how it can work for patients with pressure ulcers.
PROS AND CONS OF EVIDENCE-BASED PRACTICE
Evidence-Based Practice is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of patients, (1) It involves integrating the individual clinical expertise of the physician or nurse with the best available external clinical evidence for systematic research and individual patient preferences, (2) Research shows that patients’ outcomes are at least 28% better when clinical care is based on evidence rather than the tradition common sense (Bryan-Brown, 2006). Opponents of Evidence-Based practice argue that the use of it can potentially nurses to be less autonomous and it is “responsible for the suppression of the innovation and creativity” (Walsh, 2010 p.27) There have been barriers to Evidence-Based Practice implementation identified as the time it takes to research evidence, limited team cooperation, and staffing levels. Also, for nurses in rural areas, they are less likely to hear about new research for
References: Broeder J. L., Donze A., Smith J.R., Sonze A (2010. The Role of the Qualitative Research in Evidence-Based Practice Walsh N. (2010). Dissemination of Evidence into Practice: Opportunities and Threats. Primary Health care, 2010 Apr: 20:20 (3): 26-3 Halm M.A. (2010). “Inside Looking In” or “Inside Looking Out?” How Leaders Shape Cultures Equipped for Evidence-Based Jul: 19:49 (7): 387-92) Bryan-Brown, C.W., 2006, Evidence-Based Practice is Wonderful Sort Of, American Journal of Potter, P. and Perry, A. 2004. Fundamentals of Nursing. Mosby. Erickson-Owens D.A., & Kennedy, H.P. (2001) Fostering evidence-based care in clinical teaching.