Evidence-Based Nursing: Translating Research Evidence into Practice

2019 ◽  
1998 ◽  
Vol 11 (3) ◽  
pp. 137-147 ◽  
Author(s):  
C. Hicks

The British National Health Service (NHS) has witnessed many fundamental changes over the last decade, one of the most significant of which is the imperative for health-care professionals to ensure that their clinical practice can be supported by research evidence. This move from intuition and historical ritual to scientific justification has not been fully successful in either the medical or non-medical professions, with the result that a great deal of research has been sponsored at both the national and local levels to investigate the reasons underlying the research/practice divide. Within nursing the problem has been particularly exacerbated by its ideological framework, the culture and tradition of the profession itself and the recent reforms that were intended to raise its professional status and autonomy. This paper considers the impact of nursing traditions and stereotypes and the bureaucratic structures of the NHS on the introduction of evidence-based nursing care. It is suggested that the essential nature of nursing, its legacy and philosophy, together with the health service's hidden agendas, have conspired to keep nursing in a subordinated, quasi-professional role as one means by which the workforce can be controlled. Because the nursing profession has colluded with this, albeit inadvertently, it now needs to re-establish its complementary functions, in order to salvage its position and truly establish nursing as a profession in its own right.


2005 ◽  
Vol 21 (6) ◽  
pp. 356-360 ◽  
Author(s):  
Martha Dewey Bergren ◽  
Elizabeth Ann Murphy

School nurses used computers in the 1980s, the Internet in the 1990s, and are embracing handheld computers in the first decade of the 21st century to improve their practice. The purpose of this article is to provide information about handheld computers and software applications that school nurses can use in day-to-day, emergency, and disaster situations. Handheld computers help school nurses to make decisions based on accurate and up-to-date information, and to practice evidence-based nursing. Evidence-based nursing is the process by which nurses make clinical decisions using the best available research evidence, their clinical expertise, and patient preferences.


2021 ◽  
Vol 27 (2) ◽  
pp. 94-97
Author(s):  
Elaheh Haghgoshayie ◽  
Edris Hasanpoor

Evidence-based nursing management, developed as a framework for improving the quality of decisions to provide the most effective health-care outcomes, is a synthesis of clinical expertise, research evidence, and patient values, to create effective patient care strategies. Effective use of evidence-based nursing management requires identifying the sources of evidence and assessing their utilization. This article suggests a model for evidence-based nursing management in nursing practice. The literature shows six sources utilized for nursing management decisions: scientific and research evidence, information from hospitals, political-social development plans, managers' professional expertise, ethical-moral evidence, and values and expectations of all stakeholders.


2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.


Pflege ◽  
2015 ◽  
Vol 28 (3) ◽  
pp. 145-155 ◽  
Author(s):  
Elisabeth Haslinger-Baumann ◽  
Gert Lang ◽  
Gerhard Müller

Hintergrund: Hinter der konkreten Anwendung von Forschungsergebnissen in der pflegerischen Praxis steht ein mehrdimensionaler Prozess. Derzeit liegen in Österreich noch keine Ergebnisse vor, die den Einfluss auf und den Zusammenhang mit Forschungsanwendung in Krankenhäusern erklären. Ziel: Ziel der Studie war, Einflüsse und Zusammenhänge von persönlicher Einstellung zu Forschungsanwendung, Verfügbarkeit von Forschungsergebnissen und institutioneller Unterstützung von Pflegekräften in Spitälern in Österreich in Bezug auf die Forschungsanwendung zu untersuchen. Methode: Im Rahmen eines nicht-experimentellen quantitativen Querschnittdesigns wurde 2011 eine multizentrische Studie (n = 10) durchgeführt. Ergebnisse: Die Stichprobe umfasst 178 diplomierte Gesundheits- und Krankenpflegepersonen, die mittels Fragebogen befragt wurden. Die multiplen Regressionsanalysen zeigen, dass eine positive Einstellung zu Forschungsanwendung (β = 0,388; p < 0,001), die Verfügbarkeit von aufbereiteten Forschungsergebnissen (β = 0,470; p < 0,001) und eine adäquate institutionelle Unterstützung (β = 0,142; p < 0,050) einen signifikanten Einfluss auf die Anwendung von Forschungsergebnissen haben. Die Pfadanalyse belegt, dass der Besuch von Kursen zu Evidence-based Nursing die Einstellung gegenüber Forschungsanwendung in starkem Maße positiv beeinflusst (β = 0,464; p < 0,001). Schlussfolgerungen: Gesundheitseinrichtungen sind gesetzlich gefordert, vorhandene positive Einstellungen zu nutzen und Unterstützungsmöglichkeiten für eine wissenschaftsorientierte Pflegepraxis zu schaffen.


2007 ◽  
Author(s):  
Mary Elkins ◽  
Lavenia Diswood ◽  
Loyce Phoenix ◽  
David Hodgins ◽  
Doug Accountius ◽  
...  

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