[Evidence-based nursing--a comprehensive term].

Area of Science:

• Nursing Science
• Healthcare Decision-Making
• Evidence-Based Practice

Context:

• The integration of Evidence-Based Nursing (EBN) with patient-centered care and healthcare decision-making is explored.
• A distinction between Evidence-Based Medicine and Evidence-Based Nursing, including evidence hierarchies, is necessary.
• Recent EBN concepts incorporate practical expertise and patient choice.

Purpose:

• To present the connotation of Evidence Based Nursing, patient-centered care, healthcare decisions, intuition, and evidence from international research.
• To clarify the differences between Evidence-Based Medicine and Evidence-Based Nursing regarding evidence and its hierarchy.
• To highlight the evolution of EBN to include practical expertise and patient choice, and the significance of Evidence-Based Patient Choice.

Summary:

• EBN selection of research for implementation considers not only the evidence hierarchy but also models like Rycroft-Malone et al. (2002).
• Evidence-Based Patient Choice emerged in response to patient rights declarations, emphasizing accurate information for active patient involvement in disease management.
• Nurses are encouraged to systematically reflect on and verbalize the intuition guiding their decisions, incorporating comprehensive evidence for future cases.

Impact:

• Enhances the integration of research evidence, clinical expertise, and patient preferences in nursing practice.
• Promotes active patient participation in healthcare decisions, aligning with patient rights.
• Establishes a framework for nurses to systematically incorporate intuition and broad evidence into decision-making processes.