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NursingStudent 1: A matter that I consider to be of ethical importance in nursing is the use of evidence-based practice. This is an ethical issue in the sense that it is unethical not to utilize evidence in determining how to perform the duties of a nurse. The historical nurse theories, if they are not substantiated by evidence, are little more than pseudoscientific hokum. Ultimately, nursing is about helping people. You can have different approaches and philosophies, but the only approach that is truly ethical is the approach that truly works, and has been proven to do so. If you use some approach that has not been proven to work, then how are you helping?
Student 2: Are there not issues with evidence-based nursing? Is it not the case that evidence-based nursing relies heavily on randomized clinical trials, to the exclusion of all other forms of evidence, as in Ingersoll (2000).
Student 1: It\\\\\\'s not about dogmatic adherence to randomized clinical trials. It\\\\\\'s about using the best available evidence. There is a hierarchy of reliability when it comes to evidence, without question. Nursing as a field has no right to reinvent the wheels of reason here - when techniques for robust analysis have...
Pretending that the methods of scientific inquiry aren\\\\\\'t applicable to nursing practice makes no sense. The ideal is multiple, repeatable studies that all show the same thing. When you don\\\\\\'t have that, you use the next best thing.
Student 2: But are there not barriers to adopting evidence-based practice. Brown et al (2009) highlighted a number of these: resources available to nurses are insufficient, there aren\\\\\\'t enough learning opportunities, the culture doesn\\\\\\'t support it…there are many barriers that get in the way.
Student 1: There may well be barriers. It\\\\\\'s worth knowing what those barriers are, but the existence of barriers to doing the right thing doesn\\\\\\'t mean it\\\\\\'s okay to do the wrong thing. If facts exist that tell someone the most effective means of treating a patient, it does not matter what the reason is for ignoring those facts; the only thing that matters is the morality. It is wrong to ignore the facts when determining a course of treatment. I mean, if you\\\\\\'re not doing the best thing for the patient, what are you doing?…
In fact the inabilty of the sociall work profession to adequaelty and discretely define EBP, specifically the main goal of this work, may in part be to blame for scholalry blunders, such as the use of evidence-based practice in a title of a work that is highly qualitative, anecdotal or even based on a single or small set of case studies. Just as Weed lists the various levels of evidence,
Evidence-Based Practice Resource Filtered Unfiltered Clinical Practice Guidelines (1) Authors combined several studies for efficacy Block, S.L. (2) Older data (over 10 years) and used only one research study. Kelley, et.al. (3) Credible and systematic; great review of literature McCracken (4) Older data (over 10 years) and used only one research study. No scholarly or academic research, materials is hearsay and anecdotal. Resource Primary Research Evidence Evidence-Guideline Evidence Summary Clinical Practice Guidelines (1) Inclusion of Primary Research Includes Guidelines for Best Practices Summarization of a number of sources, generalized but academic. Block,
Integration Evidence-Based Practice Professional Nursing Practice The concept of evidence-based practice -- EBP is becoming growingly significant in the sphere of nursing. (Stiffler; Cullen, 2010) Evidence-based practice is not entirely a novel concept; it is the manner in which nurses cater to the norms of care and practice efficiently. (Nysna, 2006) According to Linda Burnes Bolton, DrPH, RN, FAAN, vice president and chief nursing officer in the Cedars-Sinai Medical Center in
Third, lack of attention to evidence-based practice can lead to inconsistent delivery of care services. Evidence-based practice relates to almost every aspect of health care at every stage of a client's relationship with the institution. For example, evidence-based practice informs the types of questions asked during the diagnostic procedures and might even impact the diagnosis itself (Bennett & Bennett, 2000). Evidence-based practice impacts the methods by which infections are prevented
Introduction Evidence-based practice replaces the ambiguities and unfounded assumptions of practices based on anecdotal evidence or intuition. Moreover, evidence-based practices can mitigate the problems associated with cognitive biases. Especially important in the public health sector, evidence-based practices best inform public policy and institutional procedures. However, it is important to operationalize evidence-based practice so that its implementation is standardized across multiple departments and teams. The greatest challenges to evidence-based practices include the
Week 1 This week’s material helped me to understand in a clear way how we should think about nursing. Getting to know the history of nursing allowed me to put nursing theory into historical context. The personal worldview of nursing that I really like is that of Leininger (2008) and the transcultural approach to nursing. Week 2 The components of theory and how theories have developing nursing all depend on evidence-based research. Using