Evidence-Based Nursing: An Introduction

This includes research articles. Those who look for evidence here need special knowledge and skills to not only find the evidence itself but how to evaluate its worthiness. To begin the critical appraisal process, three questions need to asked to determine the relevance of evidence and if evidence applies to population being cared for. The three questions are:. After asking these three questions, evidence appraisal continues by creating an evidence synthesis. This synthesis compares multiple studies to see if they are in agreement with each other. After appraising the evidence, it is necessary to integrate it with the provider's expertise and patient's preferences.

The patient is encouraged to practice autonomy and participate in the decision-making process. Therefore, even if the study had successful outcomes, the patient may refuse to receive a treatment. Assessment findings and patient history may reveal further contraindications to a certain evidence-based treatment. Lastly, availability of healthcare resources may limit the implementation of a treatment even if it is found to be effective in a study. The next step in the evidence-based practice process is to evaluate whether the treatment was effective in terms of patient outcomes.

It is important to evaluate the outcomes in a real-world clinical setting to determine the impact of the evidence-based change on healthcare quality.

Evidence-based nursing: an introduction.

The last step is to share the information especially if positive outcomes are achieved. By sharing the results of evidence-based practice process, others may benefit. Some methods to disseminate the information include presentations at conferences, rounds within one's own institution, and journal publications. One method of research for evidence-based practice in nursing is 'qualitative research': The point of qualitative research is to provide beneficial descriptions that allow insight into patient experiences.

That this perspective tends to dominate the evidence-based practice literature makes the merit of qualitative research unclear;" 1 Some people view qualitative research as less beneficial and effective, with its lack of numbers, the fact that it is "feeling-based" research, makes the opponents associate it with bias. Nevertheless, the ability to empathetically understand an individual's experience whether it be with cancer, pressure ulcers, trauma, etc. For qualitative research to be reliable, the testing must be unbiased.

To achieve this, researchers must use random and non-random samples to obtain concise information about the topic being studied. If available, a control group should be in use, if possible with the qualitative studies that are done. Evidence should be gathered from every available subject within the sample to create balance and dissolve any bias.

There should also be several researchers doing the interviewing to obtain different perspectives about the subject. Researchers must also obtain negative information as well as the positive information gathered to support the data. This will help to show the researchers were unbiased and were not trying to hide negative results from readers, and actually makes it possible to objectively understand the phenomenon under investigation.

The inclusion of this negative information will strengthen the researchers' initial study, and may actually work in favor to support the hypothesis. Any data that has been gathered must be appropriately documented. If the data collected was obtained from interviews or observation, it must all be included.

Dates, times and gender of the sample may be needed, providing background on subjects, such as breast cancer in women over thirty-five. Any pertinent information pertaining to the sample must be included for the reader to judge the study as worthy.

In addition, the current evidence-based practice EBP movement in healthcare emphasizes that clinical decision making should be based on the "best evidence" available, preferably the findings of randomized clinical trials. Within this context qualitative research findings are considered to have little value and the old debate in nursing has been re-ignited related as to whether qualitative versus quantitative research findings provides the best empirical evidence for nursing practice.

In response to this crisis qualitative scholars have been called upon by leaders in the field to clarify for outsiders what qualitative research is and to be more explicit in pointing out the utility of qualitative research findings. In addition, attention to "quality" in qualitative research has been identified as an area worthy of renewed focus. Within this paper two key problems related to addressing these issues are reviewed: Based on this review a set of standard requirements for qualitative research published in nursing journals is proposed that reflects a uniform definition of qualitative research and an enlarged yet clearly articulated conceptualization of quality.

The approach suggested provides a framework for developing and evaluating qualitative research that would have both defensible scholarly merit and heuristic value. This will help solidify the argument in favor of incorporating qualitative research findings as part of the empirical "evidence" upon which evidence-based nursing is founded. Both legal and ethical issues are important in considering patient-based research. These rights apply to both researchers and participants. Informed consent is one area that nurses must be familiar with in order to complete research.

Informed consent is "the legal principle that governs the patient's ability to accept or reject individual medical interventions designed to diagnose or treat an illness". Informed consent can only be obtained before the procedure and after potential risks have been explained to the participant. When dealing with the ethical portion of evidence-based practice, the Institutional Review Boards IRB review research projects to assess that ethical standards are being followed.

The institutional review board is responsible for protecting subjects from risk and loss of personal rights and dignity. The IRB also come into play when deciding on which populations can be included in research. Vulnerable groups such as children, pregnant women, physically disabled or elderly maybe excluded from the process. Nurses must notify the IRB of any ethical or legal violations. It is important to be up to date on all the appropriate state laws and regulations regarding vulnerable populations. This may mean consulting with lawyers, clinicians, ethicists, as well as the affiliated IRB.

It is imperative that researchers act as advocates for these vulnerable persons that cannot do so for themselves. The use of evidence-based practice depends a great deal on the nursing student's proficiency at understanding and critiquing the research articles and the associated literature that will be presented to them in the clinical setting.

The Role of the Individual, Organization, and Environment , a large amount of the preparation requirements of nursing students consists of creating care plans for patients, covering in depth processes of pathophysiology, and retaining the complex information of pharmacology. These are indeed very important for the future of patient care, but their knowledge must consist of more when they begin to practice.

Evidence-based nursing in an attempt to facilitate the management of the growing literature and technology accessible to healthcare providers that can potentially improve patient care and their outcomes. This will help nurses to feel more confident and be more willing to engage in evidence-based nursing. Many responded, "lack of time during their shift is the primary challenge to researching and applying EBP. The ever-increasing cost of healthcare and the need for more accuracy in the field proves a cycle in need of evidence-based healthcare.

The necessity to overcome the current issues is to gain knowledge from a variety of literature not just the basics. There is a definite need for nurses, and all practitioners, to have an open mind when dealing with the modern inventions of the future because these could potentially improve the health of patients. There are many barriers to promoting evidence-based practice. Your request to send this item has been completed. Citations are based on reference standards. However, formatting rules can vary widely between applications and fields of interest or study.

The specific requirements or preferences of your reviewing publisher, classroom teacher, institution or organization should be applied. The E-mail Address es field is required. Please enter recipient e-mail address es. The E-mail Address es you entered is are not in a valid format.

Please re-enter recipient e-mail address es. You may send this item to up to five recipients. The name field is required. Please enter your name. The E-mail message field is required. Please enter the message. Please verify that you are not a robot. Would you also like to submit a review for this item? You already recently rated this item. Your rating has been recorded. Write a review Rate this item: Preview this item Preview this item. English View all editions and formats Summary: Simply, it is the application of valid, relevant, and research-based information in nurse decision-making.

Used effectively, evidence-based nursing methods can be used to dramatically enhance patient care and improve outcomes. An introduction is a practical guide to evidence-based nursing for students and practitioners.

Find a copy in the library

Proceeding step-by-step, it enables nurses to understand and evaluate the different types of evidence that are available, and to critically appraise the studies that lie behind them. It also considers the ways in which these findings can be implemented in clinical practice, and how research can be practically applied to clinical decision-making.

Find a copy online Links to this item dawsonera. Allow this favorite library to be seen by others Keep this favorite library private.

Evidence-based nursing: an introduction.

Find a copy in the library Finding libraries that hold this item Details Additional Physical Format: Oxford ; Malden, MA: Internet resource Document Type: What is evidence-based nursing? Reviews User-contributed reviews Add a review and share your thoughts with other readers. Add a review and share your thoughts with other readers. Similar Items Related Subjects: Evaluation Studies as Topic. Evidenz-basierte Medizin Krankenpflege Evaluationsforschung User lists with this item 1 Things to Check Out 10 items by bsedlacek updated Linked Data More info about Linked Data.

Brian Haynes " ;. Home About Help Search. Privacy Policy Terms and Conditions. Remember me on this computer. Cancel Forgot your password?

1. Surveys for Money: 50 Online Paid Survey Companies.
2. Oliver!.
3. Parentifizierung. Definition, Symptome, Ursachen, Folgen und Hilfe der Sozialen Arbeit: Diebstahl der Kindheit (German Edition);
4. Entre Penombre et Clarte Poemes (French Edition).
5. Evidence-Based Nursing: An Introduction - Google Книги;
6. Coronal Mass Ejections: An Introduction: 376 (Astrophysics and Space Science Library).
7. Refine your editions:!

English View all editions and formats.