This paper examines the growing emphasis on evidence-based practice (EBP) in nursing and the forces compelling nurses to become informed consumers of research. It outlines the regulatory, economic, and institutional drivers behind EBP adoption — including state nursing boards, The Joint Commission, and magnet hospital standards. The paper defines evidence-based practice as a problem-solving approach integrating research, clinical experience, and patient values, and details the five-step EBP process. It also explains three forms of research utilization — direct, indirect, and persuasive — and argues that nurses who competently engage with current research are better positioned to deliver optimal, patient-centered care.
The push for evidence-based practice in nursing and for nurses as consumers of research is driven by a number of substantive factors. State nursing boards and The Joint Commission (TJC) insist that policies and practices have a foundation in research. The keystone of this trend is that nurses must be able to read nursing research discriminately, understand how medical research relates to practice, and possess sufficiently high levels of research literacy so that they can evaluate the articles they review. When nurses are competent consumers of research, they are better prepared to integrate findings into their practice.
In addition to the emphasis on evidence-based practice and research consumption in nursing, strong economic forces are also directing this trend. Healthcare stakeholders require greater accountability with respect to effective practices, transparency, and efficiency in order to respond to the rising costs of healthcare. Furthermore, the magnet hospital designation system requires conformity to high standards of care that include creating a climate which promotes nursing autonomy and the use of evidence-based practice.
Evidence-based practice is a problem-solving approach to nursing practice that integrates the best available research and clinical information within the context of practice and patient care. Solid evidence-based practice can serve to reduce the approximate 17-year gap between the origination of research findings and the integration of those findings into practice.
The three pillars of evidence-based practice include: (1) problem-solving by a nurse that is informed by clinical experience; (2) patient-centered research evidence combined with theory and knowledge; and (3) patients are able to express their values and preferences with the assurance that those preferences will be integrated into treatment.
"Structured five-step approach to applying EBP"
"Direct, indirect, and persuasive research utilization"
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