The motivators for evidence-based practice in nursing, also called evidence-based nursing (EBN), come from political, professional and societal factors (McSherry et al., 2006 cited in Scott & McSherry, 2009, p.1085)…
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The motivators for evidence-based practice in nursing, also called evidence-based nursing (EBN), come from political, professional and societal factors (McSherry et al., 2006 cited in Scott & McSherry, 2009, p.1085). This paper explores the pros and cons of evidence-based practice in nursing. It analyzes the concepts of clinical expertise, patient preferences, and caring in the context of evidence-based nursing. It also examines the impact of these practices on the art of nursing as a practice. Pros and Cons of Evidence-Based Practice in Nursing Evidence-based practices, when applied to nursing, can enhance patient outcomes by improving clinical decisions (Scott & McSherry, 2009, p.1087). Evidence-based practice is a combination of patient values and clinical conditions with the best research evidence in clinical decision making (Brown et al., 2010, p.1945). Patient preferences are also used in making decisions. The processes of evidence-based practices concern practical steps that maximize the best evidence. Evidence-based practice starts with asking an answerable question in a specific clinical situation, collecting the best relevant evidence, critically evaluating the evidence, and using the evidence in consideration of patient preferences in clinical decision-making (Brown et al., 2010, p.1945). The systematic approach in finding and evaluating the best evidence is critical to producing quality patient results (Scott & McSherry, 2009, p.1087)...
its framework (when and if it is defined and mandated by organizations) and actual implementation (Rolfe, Segrott, & Jordan, 2008; Scott & McSherry, 2009). McKenna (2010) argued that evidence-based practices create confusion, because of the delimiting definition of evidence. Rolfe, Segrott, and Jordan (2008) studied nurses’ understanding and interpretation of evidence-based practice (EBP). Findings showed that tensions and contradictions in nurses’ understanding of evidence-based practice were prevalent. National and local guidelines, nurses’ own experiences and patients’ preferences continue to dominate the practice of nursing for their sampling. Brown et al. (2010) noted from their studies that personal and management barriers hinder the implementation of evidence-based practices. Evidence-based practice in nursing reduces the importance of soft approaches to nursing practice (McKenna, 2010). Paley (2006) examined the well-known concepts of expertise and clinical judgment, which evidence-based practice tend to undermine. For him, evidence-based practice should not overlook the value and role of clinical judgment in making quality patient decisions. He stressed: “…clinical expertise is interpreted as that which is required in order to integrate the research evidence with professional experience, context, circumstances, patient preferences, various holistic considerations, and so on…” (p.87). Kitson (1997) suggested that evidence-based practices cannot be simply transferred directly to individual components of health care (i.e. nursing and midwifery) and merely translating evidence-based management as evidence-based practices in nursing may be inaccurate without changing some elements that underlie the conceptual framework of evidence-based practices
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The implications for nursing from such a definition of evidence based practice is the need for the integration of the systematic uncovering of pertinent evidence and critical examination of the evidence, with personal clinical experience and the values and choices of each individual patient, when arriving at solutions for the problems that nursing comes across in the care of patients.
“Evidence-based practice is the integration of best research evidence with clinical expertise and patient values to facilitate clinical decision making.” (DiCenso, Guyatt, and Ciliska, 2005, p. 4). Therefore, evidence-based practice in nursing makes use of the best research evidence in clinical practice, i.e.
INTRODUCTION The study aims to develop an understanding of Evidence Based Nursing Practice (EBNP). Since 1920’s, nursing profession has been conducting scientific researches to identify effectiveness of nursing interventions (Brown, 2009, p. 8). Today, evidence based nursing practice has become a contemporary tool influencing the development of new policies and procedures in the nursing field because results from EBNP are scientific, systematic, evidence based, and patient focused (Brown, 2009, p.
M., & Render, M. L. (2006). Using Evidence-Based Practice to Reduce Central Line Infections. Clinical Journal Of Oncology Nursing, 10(6), 723-725. doi:10.1188/06.CJON.723-725 Abstract: Central venous catheters (CVCs) are used commonly in a variety of inpatient and outpatient healthcare settings.
The introduction of an evidence-based practice such as hourly rounding can be complex in any hospital setting. Hourly rounding represents a systematic, proactive nurse-driven evidence-based intervention that seeks to anticipate and respond to the needs in hospitalized patients. Purposeful rounding pursues to enhance the patient experience.
for diabetic foot complications in a month and nearly 25% of these patient have the final outcome of the loss of a foot through amputation of the affected foot.
Based on available data the World Health Organization (WHO) has estimated that the current prevalence of diabetes in
énez-Alcaide, E.; García-González, L.; Guerrero-Ramos, F.; Pérez-Cadavid, S.; Arrébola-Pajares, A.; Sopeña-Sutil, R.;, Benítez-Salas, R.; Díaz-González, R. & Tejido-Sánchez, A. (2013). Healthcare-associated infections in a department of urology: Incidence and patterns
They are also required to formulate case management and supervise patient/staff education classes. Research nurses are also responsible for project management, protocol development, and resource management especially the coordination of finances, study equipment,
this paper is to discuss the challenge of carrying out effective nursing diagnosis and how evidence based practice can help nurses address this problem.
One of the evident problems that nurses face in practice setting is carrying out effective nursing diagnosis. Since the role
The research methodology mainly involved the use of descriptive correlation design. Questionnaires were used to collect data, and it served as the best tool to use in this case. The use of questionnaires provides a valid and honest response from the participants. The data collection instruments are clearly defined in the research work.
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