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Evidence-Based Nursing

Evidence-Based Nursing. Margaret Lunney, RN, PhD College of Staten Island, CUNY Paper presented at Hackettstown Hospital, Hackettstown, NJ, August 2004. Reaching for the Top: Quality-Based Care. Knowledge is essential Knowledge changes rapidly Knowledge is illusive

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Evidence-Based Nursing

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  1. Evidence-Based Nursing Margaret Lunney, RN, PhD College of Staten Island, CUNY Paper presented at Hackettstown Hospital, Hackettstown, NJ, August 2004

  2. Reaching for the Top: Quality-Based Care • Knowledge is essential • Knowledge changes rapidly • Knowledge is illusive • Knowledge is multi-dimensional • Knowledge is evidence for care

  3. What is Evidence-Based Nursing (EBN)? • Nursing care is deliberately based on knowledge or evidence • Historical context: EBP, EBM, EBN • International and national efforts • EBN is an essential aspect of ANA’s Magnet program

  4. Sources of Evidence for EBN • Knowledge of what is nursing • Philosophy of nursing • Theories of nursing • Standardized nursing languages • Patient preferences and values • Nursing & other research • Clinical experiences

  5. Knowledge of What is Nursing • Many different beliefs and explanations • Nursing is complex and diverse • Select beliefs & explanations with best fit • System-oriented beliefs and expectations • Concrete terms in literature & practice • Diagnoses of human responses • Nursing interventions • Nursing-sensitive patient outcomes

  6. Patient Preferences and Values • People are individuals with unique needs • Pattern of Unknowing (Munhall, 1993) • Goal of EBP: Partnership with patients • Helping role of nurses • Human response model & partnerships

  7. Research Findings • Systematic reviews • National guidelines • International sources, e.g., Cochrane Collaboration • Nursing research reports • Research of other disciplines

  8. Clinical Experiences • Clinical experience related to: • Improved clinical judgment • Intuition • Holistic perspectives • Recognition of complexities • Fewer platitudes & easy answers • Essential ingredient: Reflective practice

  9. EBN Approaches and Methods • System • Describe the meaning of nursing • Conduct literature searches • Collaborate on relevance of evidence for specific practices • Cite research evidence • Support nurse-patient partnerships

  10. EBN Approaches and Methods • Individual nurses and units • Develop partnerships with patients • Collaborate with patients, families and others • Obtain the research evidence for specific clinical situations (Library, Internet) • Critique the research evidence • Change daily practices based on evidence

  11. Collaboration: A Key Element • Nurses working together: • Decreases the workload • Minimizes the responsibility • Contributes to comradery • Benefits greater number of patients/families • Improves overall results

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