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The Importance of Evidence-Based Practice in Nursing

1. Introduction to Evidence-Based Practice

Regardless of the different terminological issues used, however, what is important to this is the commitment demonstrated by nursing to the issue. This commitment reflects the knowledge that clinical reasoning, which nurses develop through clinical experience, can be greatly improved and enriched with the inclusion of the elements of scientific research in the reflective process provided by evidence-based practice. Despite calls for evidence-based practice in nursing, this approach has not yet been effectively translated into practice. In this essay, evidence-based nursing is defined in a way that reflects research usage and its application mainly in hospitals. The determinants for developing nursing care practices are presented, aiming to encourage professionals to make the changes necessary for evidence-based care for the patient.

Although there have been a number of attempts to define evidence-based practice in nursing, none so far has managed to present a definition that adequately covers all aspects of interest in an effective manner. The interest of bodies in the area is evident, and many national nursing associations and other professional bodies have shown concern about the need for evidence-based care. They have developed statements or guides, set up research centers, or promote contacts and activities between nursing researchers.

Nursing has established itself as a scientific field founded on theoretical and practical knowledge, as well as an ability to reflect on its individual and group experiences with regard to patient care. Therefore, evidence-based practice is considered an intermediate process for connection between theoretically-informed practice and systematized knowledge derived from research. In consequence, its implementation can lead to the improvement of care with knowledge generation that meets the needs of patients, as well as professional competence and the rational use of resources. This can lead to improved health care systems, the development of professionals, and better health outcomes for all.

2. Key Components of Evidence-Based Practice in Nursing

The hierarchy of evidence is rated in the order of the best and possibly relevant scientific evidence. Consistent results of validly designed studies (or observational studies), critically appraised and proven to yield strong evidence value, constitute the background. The standard language is used to rate the quality of the evidence. The introduction of evidence-based practice in nursing creates great changes and challenges for clinicians and policymakers. For example, an ill patient without decision-making capacity and preferences must rely on a proxy. A decision-making model based on evidence is an approach to good healthcare and results in better patient outcomes. The key issues are the responsibilities for clinicians and other healthcare providers in providing accurate and timely information to patients, how to accelerate the implementation, and how to assure safe, effective, and efficient care. The responsibility of clinicians is to request the patient’s opinions, preferences, willingness to make a decision, communicate information to the patient honestly and clearly, and respect the patient’s decision. The nurse’s role is to protect the patient’s informed consent and the patient’s best interests.

Key components of evidence-based practice in nursing consist of 5 key components: patient’s concerns (characteristics), patient’s preferences (values), patient’s expected level of functioning, characteristics and qualifications of the clinician, and scientific evidence. At the patient’s characteristics and treatment options levels, a clinician selects patients, and patients’ preferences and treatment option’s values are identified and discussed. The explanation and time needed for the patient’s full understanding of the clinician’s obligation. At the evidence level, clinicians use the best evidence searching skills with the help of librarians or information specialists. They analyze the evidence for validity and applicability during the test method. Authorities on healthcare, professional journals, applied methodology in the clinical guidelines, and search strategy are used to save time. Textbooks are useful for defining clinical conditions when evidence is lacking.

Evidence-based practice in nursing requires healthcare providers to develop a standard approach to the integration of the best research evidence and clinical expertise in the context of patient characteristics, cultural preferences, and underlying values.

3. Benefits and Challenges of Implementing Evidence-Based Practice

Guideline 2. Exclude the topic and comments Evidence-based practice is a valuable skill and an important part of providing the best care for patients. But according to research, it can be challenging to incorporate evidence-based practice into a nursing curriculum. The purpose of this project was to develop an innovative approach to teaching evidence-based practice that would be relevant to baccalaureate nursing students and help them overcome perceived barriers to evidence-based practice. Guideline 3.1. Provide depth and remind students of the depth, breadth, and time contained in writing ability beyond essays. Remind students of the depth, breadth, and time contained in writing ability beyond essays. Guideline 3.3 To add depth, vary sentence structures. The text should focus on delivering information, explaining concepts, or detailing processes or systems. Guideline 3.5 The goal is to create a concise yet coherent text that delivers concrete, specific, factual (where needed) information relevant to the topic.

‘Guideline 1. Tone’ – neutral If the significant issues that impact patient care and nursing goals were easy problems with quick, one-shot solutions, there would seldom be any concerns to solve. Addressing issues in health care and nursing often is a very complex and dynamic process. Using evidence-based practice (EBP) or the integration of the best evidence with clinical expertise and patient values is a key strategy to advance the quality of care provided, skill development, professionalism of practicing nurses, and the process of students learning about nursing care and health care systems. The benefits of an evidence-based nursing practice include improved patient/resident outcomes, increased shared decision-making between providers and patients/residents, expanded collaborative practice, increased job satisfaction, decreased unnecessary care, and improved public health. Evidence-based practice is a major focus in the teaching and discipline of nursing. It provides an integration of nursing science and improved patient outcomes in any nursing setting where health care interventions are provided.

4. Strategies for Promoting Evidence-Based Practice in Nursing

Four strategies that help nurses develop belief in the value of their interventions and provide safe and supportive work environments include: 1) strategies that retain professional staff, 2) discovery of professional values, 3) professional empowerment, and 4) a climate that supports evidence-based practice. The last strategy, evidence-based practice, develops through creating shared goals, building collective relationships, and cultivating trust.

Evidence-based practice relies not only on professional training, which teaches the skills that allow one to read research, but also requires supportive work environments in which to effectively apply relevant evidence to nursing practice. This is so because when nurses do not feel secure in their positions, have limited opportunities for practice collaboration and professional development, professional isolation, and are the victims of strictures that keep them from doing their best work, they are likely to turn inward, attending to only the here-and-now details of practice and leaving the more abstract world of research behind. In other words, research utilization depends on belief in the value of nursing practice and other sociocultural, organizational, and administrative factors.

In summary, in order to promote evidence-based nursing practice, follow the following process: begin systematically reading research, subscribe to nursing journals, attend conferences and research presentations, promote research in organizational settings, join research interest groups, and participate in collaborative studies. Employers should help nurses make more effective searches, provide opportunities for collaborative study, and reward research promoters with debt reduction, professional growth opportunities, and increased research time.

Strategies for promoting evidence-based practice