Impatagonia mapplementing evidence
During the brief time that we have been engaged in developing Evidence Based Nursing we have been fascinated by the reactions of friends, professional patagonia better sweater fleece coatcolleagues, and the media. The overwhelming majority of
responses to the concepts of evidence based nursingpatagonia guide pants 14w2 and the creation of this journpatagonia guide pants 14w0al have been positive. But there have also
encountered in person and in print: (1) evidence based practice isn t new: it s what we have been doing for years, (2) evidence based nursing leads to cookbook nursing and a disregard for individualised patient care and, (3) there is an over emphasis on randomised contropatagonia insulated better sweater hoody uklled trials and systematic reviews in evidence based health care. We intend the paper to generate, rather than close the debate!
Evidence based practice isn t new; it s what we havepatagonia camp reviews been doing for yepatagonia down sweater special edition fogars
The plpatagonia down sweater new fitea that each nurse must care enough about her own practice to want to make sure it is based on the best possible information
is not new. It was written more than 15 years ago. In the same article, Hunt noted that the phrase nursing should become
a research based profession had already become a clich!1 Over 20 years ago, Gortner et al lamented the lack of research evidence in many areas of nursing practice,2 and the year after, Roper spoke of nursing performing far too many of its tasks on a traditional base and not within a framework
of scientific verificatipatagonia messenger bag reviewons .3
While the recognition of the patagonia men's better sweater fleece jacketimportance of evidence based practice is not new, much of the past 20 years has focused on the
identification of the barriers to evidence based practice and the consideration of strategies to overcome these barriers.
These barriers include time constraints, limited access to the literature, lack of training in information seeking and critical
appraisal skills, a professional ideology that emphasises practical rather than intellectual knowledge, and a work environment
that does not encourage information seeking.4
We have learned that it is not sufficient to give nursing students a few lectures on the process of doing research and then
expect them to use that knowledge throughout their careers in an ongoing process of gathering and interpreting research evidence
and implementing findings. Nurses and midwives have been telling researchers for years that they want to deliver research
based care, but that they find it difficult to access the research. In a study of health agencies in Ontario, Canada, Mitchell
et al found that only 35% of small hospitals (5
Although we have advocated evidence based nursing for many yeapatagonia everlong review of goners, we have struggled with how to make it happen. This struggle
is not unique to nursing but common to all health professions, including medicine. Challengpatagonia guide pants 14w3ed to address this important issue,
an international commitment to evidence based health care has resulted in a number of initiatives to improve access to research
findings such as the Cochrane Collaboration, the Evidence Based Medicine Working Group, critical appraisal skills teachingEvidence based nursing leads to cookbook nursing and a disregard for individualised patient care
In practising evidence based nursing, a nurse has to decide whether the evidence is relevant for the particular patient. The
incorporation of clinical expertise should be balanced witpatagonia guide pants 14wh the risks and benefits patagonia guide pants 14w1of alternative treatments for each patient
and should take into account the patient s unique clinical circumstances including comorbid conditions and preferences. Those
