Essential Differences Between Evidence‐Based Nursing and Evidence‐Based Medicine

Abstract

Viewpoint provides a forum for scholarly discussion about the theoretical, philosophical, and practical issues related to nursing language and classification systems. The sometimes controversial views are intended to stimulate readers' comments and perspectives. We welcome brief, informal responses to published viewpoints. This Viewpoint is an expanded version of the introduction to “Online, Peer‐Reviewed Bibliographic References on Sleep,” a presentation at the NNN conference “Developing, Linking, and Integrating Nursing Language and Informatics: Working Together for Quality Care,” April 10–13, Chicago.

Nursing diagnoses, interventions and outcomes – application and impact on nursing practice: systematic review

“…2006). The Oxford Centre method has the disadvantage that it does not readily accommodate qualitative research (Lavin et al. 2002, 2005).…”

“…Validity evaluations were made on the basis of the study design, sample size and methods used. The result of this assessment affected the level of evidence (LE) allocated to the paper, which in turn influenced the grade of recommendation (GR) that it supported ( (Lavin et al 2002). The following criteria were incorporated with the Oxford Centre criteria, for the purpose of this study only.…”

“…Oxford Centre LE and GR do not incorporate all research terminology used in nursing. For example, the Oxford Centre does not address qualitative studies per se (Lavin et al. 2002).…”

Quality of Evidence

“…Nursing's subject matter defines diagnoses in terms of human responses to health and illness and medicine is diseaseoriented, identifying and curing disease. 36,37 Examples of recent nursing systematic reviews include "Knowledge Retention From Preoperative Patient Information" and "Nursing Management of Fever in Children." 38 Examples of medicine systematic reviews include "Chemotherapy Alone versus Endocrine Therapy Alone for Metastatic Breast Cancer" and "Corticosteroids for Hospitalized Children With Asthma."…”

Development of Two Search Strategies for Literature in MEDLINE–PubMed: Nursing Diagnoses in the Context of Evidence‐Based Nursing

“…There are essential differences between evidence‐based medicine and EBN resulting from the different foci, research methods, and subject matters (Lavin et al, 2002). According to these differences and paying attention to the important role of qualitative research in nursing, levels of evidence in evidence‐based medicine were adapted and incorporated in the data levels of the NLINKS‐EBN matrix.…”