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Sources of information in the assessment process
Published in Helen Taylor, Ian Stuart-Hamilton, Assessing the Nursing and Care Needs of Older Adults, 2021
Indeed, research conducted by Thompson et al.11 sought to investigate the sources of information that nurses cited as being most useful in guiding a specified clinical question. A case study was performed on a convenience sample of 108 nurses working on six surgical wards, six medical wards and three coronary care units in hospitals in northern England. The nurses were of various ages, and participated in a semi-structured interview. In addition, 56% of these nurses were also observed in practice by the researchers. The findings indicate that even within the culture of evidence-based nursing, the use of research-based evidence plays only a small role in informing the decisions of the sample nurses, who preferred instead to rely on ‘human’ information such as that received from nursing and other colleagues. This was perceived as more useful than the text and electronic research-based resources available to them.
Evidence-based practice in mental health care
Published in Chambers Mary, Psychiatric and mental health nursing, 2017
Fifteen years ago a Canadian physician called David Sackett wrote and spoke about ‘evidence-based medicine’ (EBM)6 (p.19). Soon after this, some nurses took up the baton and wrote about ‘evidence-based nursing’.7 Shortly after, the term ‘evidence-based health’ emerged, as did ‘ evidence-based management’ and ‘evidence-based policy’8 (p.62). It seemed that the mere act of putting the words ‘ evidence-based’ in front of something added to its credibility and made it seem more serious and scientific.
Evidence-based practice and practice-based evidence
Published in Martin Lipscomb, Exploring Evidence-based Practice, 2015
I am suggesting, then, that the term ‘practice’ can be used to refer to at least two distinct and quite different nursing activities. On the one hand, nursing practice can sometimes be a rational procedure that can be planned in advance and implemented on the high hard ground more or less as expected. On the other hand, a great deal of everyday nursing practice takes place in the swampy lowlands where messy problems must be dealt with on the spot, and where evidence about what is and is not effective only emerges after an intervention has been made. In a great deal of the debate and discussion about evidence-based nursing, this distinction is not fully (or even partially) articulated, leading often to exaggerated and inflated claims about the benefits or otherwise of qualitative or quantitative research methods as sources of ‘best evidence’, with little or no consideration of the nature of the practice to which this evidence will be applied. Indeed, some of the more assertive and emphatic statements from the ‘high hard ground’ which promote the rigorous and at times rigid application of ‘gold standard’ quantitative research findings appear to be written by professional researchers and academics with little or no first-hand experience of the messy world of nursing practice.
Forensic mental health nursing and evidence-based practice: a quantitative study
Published in Contemporary Nurse, 2020
Claire Newman, Karen Patterson, Michelle Eason
Respondents in the current study reported being least skilled at finding, reviewing and using research evidence to change practice. This finding is not limited to forensic mental health nurses as similar findings have been reported in nursing-based study samples (Fairbrother et al., 2016; Gerrish et al., 2008; Gerrish & Cooke, 2013; Malik et al., 2015; Tomotaki et al., 2020; Yadav & Fealy, 2012a). The perception of nurses that limitations related to their application and practice of evidence-based research is associated with a skilled based deficit is a longstanding mantra. The contradiction between the cohort’s educational background and the ‘unskilled’ survey findings suggests a potential lack of professional accountability in relation to research-based nursing practice. Standing (2008) argued that in the absence of a common language and ritual within nursing practice to explain the processes by which clinical decisions and judgements are made, the medical model of inquiry is often applied which does not adequately reflect nursing perspectives. Nurses engage in abroad range of complex decision making processes that are more likely to be encountered in the reality of practice, nurses tend to struggle to identify with these skills when examined as abstract concepts. Raising awareness of evidence-based nursing judgements and decisions and the integrative practices that inform clinical judgements is critical for professional accountability, collaborative practice and ultimately patient safety.
Patient safety and bedrail use as a global phenomenon: A prevalence study
Published in Contemporary Nurse, 2020
Tsz Kiu Yu, Lorna Kwai-Ping Suen, Yong-Bing Liu, Adrienne Lei Yung Wong, Claudia Kam Yuk Lai
A high percentage of bedrail use may be related to the resistance of local nurses to changing their practices (Kor et al., 2018). Such resistance could be associated with the limited time to implement a new nursing practice, inadequate organisational support, and staff under-valuation of evidence-based nursing practices (Chien et al., 2013). Implementing changes on bedrail practice could be particularly challenging in Chinese societies, as Chinese nurses are more unwilling to change their practices than nurses in Western countries – even if a change in such practices is backed by research (Chien et al., 2013). Reportedly, Hong Kong nurses have difficulty raising objections to routine and traditional nursing practices that have long been used to protect patient safety (Chau et al., 2010). Chau et al. (2010) attributed this observation to the feeling of subordination of nurses to authoritarian figures in the local nursing culture and the traditional Chinese value of ‘respect’. Future studies investigating the influence of cultural values and norms affecting the behavioural performance of nurses can further explain the phenomenon or relegate better judgement to authoritative figures. Such investigations will surely benefit global cultures that place high importance on respecting authority at work and in life.
Promoting evidence-based practice – perceived knowledge, behaviours and attitudes of Polish nurses: a cross-sectional validation study
Published in International Journal of Occupational Safety and Ergonomics, 2020
Jarosława Belowska, Mariusz Panczyk, Aleksander Zarzeka, Lucyna Iwanow, Ilona Cieślak, Joanna Gotlib
The attitudes towards evidence-based nursing practice were positive, even though supplementation of knowledge is required.Difficulties in using EBP in clinical practice are objective and require changes in the Polish system of nursing care.Education affected the level of knowledge, behaviours and attitudes of nurses in the area of the application of EBP in professional practice. Insufficient knowledge of issues related to the use of scientific evidence in everyday practice and understanding of research terminology with secondary-level education may result from the system of the education of nurses in Poland which had been in force prior to its entry into the European Union.Irrespective of the level of education, there is a necessity for life-long updating of knowledge by nurses in the area of EBP through participation in various forms of postgraduate education and seeking new information to create a powerful and positive EBP profile in nursing.