Navigating the evidence-based practice maze

Abstract

Multiple ways of knowing, or evidence, for informed clinical decision making must be considered based on situational context. No hierarchy fits all situations. Nurses must provide support and resources to facilitate nurse empowerment; nurses are accountable for using EBP to enhance patient outcomes. Implications for nursing management Effective EBP implementation relies on nurses being cognizant of what current nursing EBP trends are based on and where they are going. Nurses have a key role in facilitating consensus regarding evidence to be used in EBP, and ensuring availability of resources for empowering nurses to be accountable for outcome-oriented patient care through utilizing EBP.

Monitoring vital signs using early warning scoring systems: a review of the literature

“…Utility of MEWS/EWS systems. Although systematic reviews and meta‐analyses of randomized controlled trials (RCTs) are regarded as the ‘gold standard’ of evidence on which to base practice (Hudson et al. 2008, Grimes & Schulz 2002), the evidence‐based practice (EBP) movement has been criticized for its authoritarian approach (Holmes et al.…”

“…Although RCTs are considered the strongest form of evidence, the complexity of introducing an EWS system, with an accompanying educational programme and audit, might suggest that a single RCT of an early warning scoring system might be almost impossible (Quarterman et al. 2005, Grypdonck 2006, Hudson et al. 2008): it would be impracticable to randomize individual patients on the same ward to receive different levels of monitoring (Robson 2002).…”

Best practice in nursing care of dyspnea: The 6th vital sign in individuals with COPD

“…Nursing BPGs are one source of knowledge available to nurses to support the integration of evidence into practice [48][49][50] . In this guideline, we outline recommendations for nursing practice, education, the organization of health services and policy development specifically in relation to dyspnea and COPD.…”

Psychometric Analysis of Two New Scales: The Evidence‐Based Practice Nursing Leadership and Work Environment Scales

“…However, the implementation of basic research discoveries into daily clinical practice remains inconsistent and presents complex challenges (Aarons, 2005;Melnyk & Fineout-Overholt, 2005;Melnyk, Fineout-Overholt, Giggleman, & Cruz, 2008;Titler, 2007;Wilkenson et al, 2011). The nurse in practice stands at the forefront of this movement and is asked to embrace a new era for nursing and patient care, which will require changes in the education of students, more relevant clinical research, and EBP education (Gale & Schaffer, 2009;Hudson, Duke, Haas, & Barnell, 2008;IOM, 2011;Rycroft-Malone, 2008a, 2008bScott & McSherry, 2008). Gifford and colleagues (2007) found that leadership activities can enhance, influence, and stimulate the intrinsic moti- vation of the nurse to use research in the clinical setting.…”