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Related Experiment Videos

Beyond evidence-based nursing: tools for practice.

Annemarie Jutel1

  • 1Otago Polytechnic, Dunedin, New Zealand. jutel@clear.net.nz

Journal of Nursing Management
|April 15, 2008
PubMed
Summary
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Evidence-based practice (EBP) in nursing has limitations. Nurses require a broader skill set beyond EBP, incorporating diverse appraisal tools for robust clinical decision-making and improved patient outcomes.

Area of Science:

  • Nursing
  • Clinical Decision-Making
  • Evidence-Based Practice

Background:

  • Evidence-based nursing (EBN) principles are increasingly influential in nursing education, policy, and management.
  • This growing adoption necessitates a critical examination of decision-making tools subordinated by the EBN approach.

Purpose of the Study:

  • To critique the limitations of evidence-based practice (EBP) within nursing.
  • To propose an expanded framework for clinical decision-making that incorporates a wider array of appraisal tools.

Main Methods:

  • Commentary and critique of the current application of EBP in nursing.
  • Identification of skills and tools necessary for robust clinical decision-making.

Main Results:

Related Experiment Videos

  • Nursing simultaneously relies on and critiques EBP, often in the context of inadequate critical reasoning.
  • EBP alone has limitations; an alternative view emphasizes broader decision-making precepts.
  • Nurses can develop skills for informed critique of practices and their underlying rationale.

Conclusions:

  • Effective nursing decision-making requires skills extending beyond EBP, including information literacy, humanities, social sciences, public health, statistics, marketing, and ethics.
  • Nursing managers should consider whether an overemphasis on EBP may neglect other crucial decision-making skills.