Exploring Evidence: A Challenge before Nurses of Today

Author(s):  
Stephy Sabu

The review article presents the obstacles and the solutions towards the implementation of Evidence Based Practice among the nurses in India by merging the content and concept from a few set of related articles by the experts and those include 1. K Gitumoni and K Jyasree. The barriers and challenges of conducting nursing research and communicatoing findings into practice. 2. Daphne c duncombe. A study of perceived barriers and faciliattors to implement evidenced based practice. 3. Joan and Warren. A crosssectional study to assess the strength and challenges to implement ebp in nursing. 4. B Mauricio, Implementing evidence based practice: a challenge for the nursing practice. 5. M Neda and B naser. Nurses faculties knowledge and attitude on evidence based practice. The successful utilization of best evidence into practice depends on the knowledge of nurses, understanding the concepts, and its application. There exists various barriers and facilitators as well to the application of EBP among nurses. The practice can be a successful and routine process in an organization only if there could be support, encouragement and recognition by the administration. The health care team in India must provide an indispensible support to eliminate those barriers and facilitate the optimal care through best evidences in the health care facilities. Thus the article comprises a cross cut view on the obstacles in the application of best evidences in the clinical setting.

2012 ◽  
Vol 23 (3) ◽  
pp. 312-322 ◽  
Author(s):  
Carol Olff ◽  
Cynthia Clark-Wadkins

Evidence-based practice (EBP) has become more than just a trendy buzzword in health care; EBP validates care delivery methods and grants satisfaction to nurses in knowing the care they provide is based on valid, current information. Research-based enhancements are paramount to the advancement of nursing practice and prompt the implementation of creative methods to improve care. The advent of the tele–intensive care unit (ICU) introduces new members of the health care team to assist with implementation of EBP initiatives. This new partnership results in improved length of stay, mortality rates, and ventilator times for critical care patients. Current literature suggests that a clinician-driven, standardized ventilator management protocol is of significant benefit. Tele-ICU clinicians provide an interactive element to coordinate interdisciplinary team efforts. Enhanced communication, data evaluation, and timely intervention expedite the weaning process and reduce ventilator length of stay. Consistent collaboration between tele-ICU and bedside clinicians successfully improves patient outcomes through standardized adherence to best-practice initiatives.


2019 ◽  
Vol 10 (1) ◽  
pp. 105-112
Author(s):  
Mahboobeh Khodadadi ◽  
Fahimeh Papi Ahmadi ◽  
Mostafa Madmoli ◽  
Yaghoob Madmoli ◽  
Narjes Kazemi

Introduction: Nowadays The health care systems around the world face many challenges and in many cases, health care is accompanied by many question Therefore, evidence-based practice, as an essential factor for improving health care is more emphasis.  This study aimed to investigate the knowledge and attitude of nursing students of Dezful university of medical sciences toward evidence-based nursing. Method: This descriptive-analytical study was conducted in the second semester of the academic year of 2017-2018 at the Faculty of Nursing and Midwifery of Dezful university of medical sciences. The data collection tool was a standard questionnaire "Knowledge, attitude and practice of undergraduate nursing students about evidence-based practice". Data were analyzed using descriptive and analytical statistics in SPSS software. Results: The results showed that knowledge and attitude toward evidence-based practice with access to medical evidence from the Internet (p = 0/001, r = 0/273) and journal clubs (p = 0/000, r = 0 / 306) and the use of reference books and referring to them (p = 0/000, r = 0/401), there is a statistically significant relationship (p=0/01, r=0/277). This means that the mean scores of knowledge and attitudes among students most in search of scientific evidence in various ways (internet and journal clubs and reference books), as well as easier access to evidence, were significantly higher than other students. Conclusion: Evidence-based nursing is a process that is Emphasis on the latest findings will take the best decisions in order to raise the quality of care. Therefore, it is better for students to become fully acquainted with this concept and learn it. although The students' attitudes toward evidence-based practice was moderate; But with proper planning educational reforms in the education of nursing students, can be an important step in the development and promotion of evidence-based practice picked up.  


2008 ◽  
Vol 32 (1) ◽  
pp. 93-102 ◽  
Author(s):  
N. Ramstrand ◽  
T.-H. Brodtkorb

Evidence-based practice has become somewhat of a catchphrase over the past ten years. In this paper evidence-based practice is defined and its importance for the development of the prosthetics and orthotics profession is highlighted. The authors suggest that evidence-based practice needs to be prioritized within the profession and that a cultural change needs to be initiated which supports clinicians in incorporating research findings into their daily practice. In addition, the authors highlight the need for prosthetists/orthotists to become more active in generating research rather than relying on other professional groups to contribute to their professional body of knowledge.


2015 ◽  
Vol 23 (3) ◽  
pp. 485-498
Author(s):  
Martha R. Sleutel ◽  
Celestina Barbosa-Leiker ◽  
Marian Wilson

Background and Purpose: Evidence-based practice (EBP) is essential to optimal health care outcomes. Interventions to improve use of evidence depend on accurate assessments from reliable, valid, and user-friendly tools. This study reports psychometric analyses from a modified version of a widely used EBP questionnaire, the information literacy for nursing practice (ILNP). Methods: After content validity assessments by nurse researchers, a convenience sam ple of 2,439 nurses completed the revised 23-item questionnaire. We examined internal consistency and used factor analyses to assess the factor structure. Results: A modified 4-factor model demonstrated adequate fit to the data. Cronbach’s alpha was .80–.92 for the subscales. Conclusions: The shortened ILNP (renamed Healthcare EBP Assessment Tool or HEAT) demonstrated adequate content validity, construct validity, and reliability.


2020 ◽  
Author(s):  
Tobias Abelsson ◽  
Helena Morténius ◽  
Ann-Kristin Karlsson ◽  
Stefan Bergman ◽  
Amir Baigi

Abstract Background: The vast availability of and demand for evidence in modern primary health care forces clinical decisions to be made based on condensed evidence in the form of policies and guidelines. Primary health care managers play a key role in implementing these governing documents. Thus, the aim of this article was to investigate the use and availability of evidence-based practice resources from the perspective of first-line primary health care managers.Methods: The study utilized a quantitative method based on a national survey of primary health care managers. The study population was recruited nationally from Sweden and consisted of 186 respondents. The data were analysed using empirically constructed themes and validated using factor analysis. To determine the statistical significance in making comparisons, the chi-square test was utilized. Associations between variables were calculated using Spearman’s correlation. All tests were two-sided, and the significance level was set to 0.05.Results: A majority (97%) of managers stated there was an impact of guidelines and policy documents on primary health care; 84% of managers could see a direct influence in daily practices. Most of the managers (70%) stated that some adaptation had to be made when new evidence was introduced. The managers emphasised the importance of keeping themselves updated and open to new information about work routines (96%). Conclusions: Evidence-based practice has a fundamental impact on Swedish primary health care. The study illustrated a nearly unanimous response about evidence influencing daily practice. The emphasis on the importance of all staff members keeping their professional knowledge up to date can be seen as a direct result of this. An information-dense organization such as a primary health care organization would have much to gain from cooperation with regional information resources such as clinical libraries.Trial registration: Not applicable.


2015 ◽  
Vol 11 (2) ◽  
pp. 163
Author(s):  
Bente Bjørsland ◽  
Reidun Hov

Health services are constantly met by greater demands on offering the best treatment and care based on quality and research. For that reason health workers and teachers in health care institutions and universities are working evidence-based. Hedmark University College and Hamar municipality have collaborated in two projects. The aim of this article is to illuminate the students’ learning outcomes in palliative care after participated in two evidence-based projects. Different written guides for conversations with patients, next of kin and staff, a log-book and an evaluation form were developed. Results show that the students learned about the significance of continuity in patients’ pain relief, spiritual and existential needs, and about palliative care in the municipality. The students concluded that they in some areas experienced greater learning outcomes from working with evidence-based practice than in their ordinary practice in the municipality.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sajidah Alhwamdih ◽  
Hamzeh Y. Abunab ◽  
Abdullah Ahmad Algunmeeyn ◽  
Imad Alfayoumi ◽  
Sana Hawamdeh

Purpose Nurses are at the front line in facing the COVID-19 outbreak and are at increased risk of becoming infected and might be the source of transmission in health-care facilities and the community. The purpose of this study is to assess the knowledge and attitude toward COVID1-19 among nurses in acute care settings in Jordan. This is expected to help with the global initiative to combat the COVID-19 epidemic. Design/methodology/approach A cross-sectional design was used to survey nurses' knowledge and attitude of COVID-19 among Jordanian nurses working in acute care settings. Findings The grand mean of knowledge items response was 8.94, implying that respondents possessed a high level of knowledge. The overall attitude score was positive for the participants, with a mean score of 5.93. Moreover, the results showed a significant relationship between knowledge and attitude scores. Originality/value The findings suggest that nurses in Jordan showed a high level of knowledge and a positive attitude toward COVID-19 during the outbreak's rapid rise period. This study showed specific aspects of knowledge and attitudes that should be focused on in future awareness and educational programs to promote all preventive and safety measures of COVID-19.


2019 ◽  
Vol 29 (12) ◽  
pp. 393-397
Author(s):  
Emma King

Preoperative fasting is necessary in reducing the risk of aspiration of stomach contents when undergoing a procedure that requires anaesthesia. There are numerous guidelines based upon evidence-based practice that outline the safe duration of a fast prior to the induction of anaesthesia. Common practice however is to give advice that unnecessarily starves the patient leading to perioperative complications. There is a breadth of literature analysing the fasting durations of various institutions, with a consensus of fasting from midnight being the norm, and side effects of nausea and dehydration being unfortunate by-products of fasting. A review of the literature examines the continued poor compliance of evidenced-based practice.


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