Evidence-Based Practice and Clinical Decision Making: Itʼs Not Just the Research Course Anymore

Pilot Study to Test the Use of a Mobile Device in the Clinical Setting to Access Evidence-Based Practice Resources

“…The findings of a case study reported by Morris and Maynard (2009) supported results from other studies in highlighting the importance of integrating the teaching and learning of EBP in the clinical environment (Mangrulkar et al 2002; Coomarasamy & Khan 2004; Portney 2004). Morris and Maynard (2009) also identified the difficulties faced by preregistration nursing students and their mentors in accessing the electronic resources needed to search and retrieve relevant research evidence; thus highlighting some practical issues around integrating the EBP process in a clinical environment.…”

“…Several studies of different professional groups have shown that EBP educational interventions may well improve knowledge, but not necessarily application in the clinical setting (Forsetlund et al 2003; Stevenson et al 2004; McCluskey & Lovarini 2005). It is now recognised that there is a need to integrate EBP teaching within the practice setting, thus enabling students to identify topics that have arisen from uncertainty around issues from their own practice and from case conferences (Haines & Nicholas 2003; Portney 2004). The importance of integrating the teaching of evidence‐based medicine within the practice setting has been the subject of a systematic review that showed integrated courses led to a greater improvement in critical appraisal skills, attitudes to evidence‐based medicine and behaviour change reflected in reading habits and how information resources were used (Coomarasamy & Khan 2004).…”

Making Evidence-Based Decisions in Nursing

“…Integral to the process of decision making are clinical expertise, patient values and preferences, researchbased evidence as well as health care resources, patient clinical state, setting, and circumstances [15,49,56]. The process of decision making in nursing involves multiple variables.…”

“…Sources of evidence may include evidence from research studies, expert opinions, and scientific principles [3,15,47,56,77,79]. Moreover, accrued experiential knowledge, patient values/preferences, and expert opinions can all influence the nurse's clinical decision.…”

Clinical reasoning in osteopathy – More than just principles?

“…55 In recognising that the ultimate goal of EBP is to inform clinical decisions, EBP should perhaps, and importantly for this discussion, be more suitably called 'evidence-informed decision-making'. 56 The application of these research findings should not occur in isolation, but rather in the context of patient-centred clinical reasoning. Clinical reasoning research would provide the necessary framework by which osteopaths can integrate this research with different forms of knowledge, in a particular way for a particular patient, constituting what is known as professional artistry.…”