24 Questions
What is the primary goal of Evidence-Based Nursing?
To improve the quality of care and reduce costs
What is a benefit of Evidence-Based Practice for patients?
Rapid recovery
What is an advantage of Evidence-Based Practice for nurses?
Improved communication skills
What is a benefit of Evidence-Based Practice for healthcare organizations?
Enhanced marketing of organizations
What is a disadvantage of Evidence-Based Practice?
Reduced client choice
What is a barrier to Evidence-Based Practice?
Lack of time
What is a challenge in implementing Evidence-Based Practice?
Lack of knowledge about EBP and research
What is an outcome of Evidence-Based Practice for the community?
Save resources
What is the primary goal of Evidence-Based Nursing?
To achieve the best possible outcomes for patients and their families
Who is credited with introducing the concept of evidence-based practice in nursing?
Florence Nightingale
What is the role of nurses in Evidence-Based Nursing?
To continually ask questions about treatments and care, and evaluate the evidence to support traditional practices
What is the significance of Evidence-Based Practice in today's healthcare environment?
It is an essential component of safe, quality patient care
What did Florence Nightingale observe during the Crimean War?
A connection between poor sanitary conditions and rising death rates among wounded soldiers
What did Archie Cochrane introduce to the nursing practice in 1972?
The concept of applying randomized controlled trials (RCTs) and other types of research
What did Florence Nightingale's efforts to sanitize hospitals lead to during the Crimean War?
A dramatic drop in patient mortality
What is the significance of nurses being aware of current practices in Evidence-Based Nursing?
Nurses must be aware of current practices to achieve the best possible outcomes for patients and their families
What was the primary focus of medical care before Cochrane's contribution?
Unfounded assumptions
What did David Sackett believe EBP should focus on?
Research, clinical experience, and patient values
What is the definition of evidence?
A collection of facts that are believed to be true
What is the main goal of Evidence-Based Practice (EBP)?
To use current best evidence in conjunction with clinical expertise and patient values
What is Evidence-Based Medicine (EBM)?
An approach that promotes the collection, interpretation, and integration of valid evidence
What is Evidence-Based Nursing (EBN)?
An approach that makes quality decisions based on personal clinical expertise in combination with the most current, relevant research available
What is best research evidence?
Research that is clinically relevant, valid, and updated
What is clinical expertise?
The ability to use clinical skills and past experience to identify each patient's unique health state
Study Notes
History of Evidence-Based Practice
- Florence Nightingale, a pioneer in evidence-based practice, improved patient care during the Crimean War by noting the connection between poor sanitary conditions and rising death rates among wounded soldiers.
- She recorded medical statistics using patient demographics to ascertain the number of deaths in hospitals.
- Archie Cochrane introduced the concept of applying randomized controlled trials (RCTs) and other types of research to nursing practice in 1972.
- In the 1990s, David Sackett and Gordon Guyatt further developed the concept of evidence-based practice, renaming it evidence-based medicine.
Definitions
- Evidence is a collection of facts believed to be true, providing material or information on which a conclusion or proof may be based.
- Evidence-Based Practice (EBP) is the conscientious use of current best evidence, clinical expertise, patient's preferences, and values to guide healthcare decisions.
- Evidence-Based Nursing (EBN) is an approach to make quality decisions and provide nursing care based on personal clinical expertise and the most current, relevant research available.
Goal of Evidence-Based Nursing
- The goal of EBN is to improve the health and safety of patients while providing care in a cost-effective manner to improve outcomes for both the patient and the healthcare system.
Benefits of Evidence-Based Nursing
-
To Patients/Consumers:
- Improve the quality of received care
- Save patient rights
- Rapid recovery
-
To Nurses:
- Keep nurses updated by reading published literature
- Improve communication skills
- Increase confidence to practice EBP
- Take legal accountability for their practice
-
To Health Care Organization:
- Enhance marketing of organizations
- Decrease cost
- Increase effectiveness
- Tool for education
-
To Community:
- Save resources
- Limit the amount of disability and suffering throughout the community
Advantages and Disadvantages of EBP
-
Advantages:
- Better informed practitioners
- EBP guidelines, enabling consistency of care
- Client-focused care pathways
- Information available to the public, involving them in decision-making processes
- Clarification of what is known and what is not known
-
Disadvantages:
- Takes time and resources to develop EBP skills
- Not enough evidence about EBP
- Reduced client choice
- Reduced professional judgment/autonomy
- Suppression of creativity
- Undermining perceived value of forms of evidence not at top of hierarchy of evidence
- Influences legal proceedings
Barriers of Evidence-Based Practice
- Time barrier
- Research in practice not valued
- Lack of knowledge about EBP and research
- Lack of technological skills to find evidence
- Lack of resources to access evidence
- Lack of ability to read research
Explore the history, definitions, goals, and benefits of evidence-based practice in nursing, as well as its advantages, disadvantages, and barriers. Learn how to apply evidence-based practice in a competitive healthcare environment.
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