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Clinical significance as it relates to evidence-based practice
Susan Bruner1, Cynthia Corbett, Brian Gates
1Spokane Resource Group, PLLC, Spokane, Washington, USA. spokaneresourcegroup@yahoo.com
International Journal of Nursing Knowledge
|January 4, 2013
Summary
Clinical significance (CS) terminology is inconsistent in nursing literature, hindering evidence-based practice (EBP). A standardized definition of CS is crucial for clear interpretation of research and its application in practice.
Area of Science:
- Nursing Research
- Evidence-Based Practice (EBP)
Background:
- The concept of clinical significance (CS) is central to interpreting research findings in nursing.
- Inconsistent terminology surrounding CS complicates its application in evidence-based practice (EBP).
Purpose of the Study:
- To analyze the concept of clinical significance (CS) within the nursing literature.
- To demonstrate the inconsistency of CS terminology and its impact on EBP.
- To argue for the necessity of an operational definition for CS in nursing.
Main Methods:
- A comprehensive review of current literature and research studies.
- Searches conducted across major electronic databases including CINAHL, Web of Knowledge, PubMed, and Cochrane.
- Concept analysis of clinical significance (CS) in nursing research.
Main Results:
- Disparate uses of CS negatively impact the standardization and quantification of research outcomes for EBP.
- A proposed definition of CS is offered, encompassing its various uses found in the literature.
- A need for professional nursing consensus on a standard operational definition of CS is identified.
Conclusions:
- Solidifying terminology and measurements for CS is essential for interpreting research and applying it to nursing practice.
- National nursing agencies should prioritize funding for standardizing CS definitions and measures.
- A common conceptual definition of CS will reduce confusion, enhance clarity, and bridge the gap between research and practice for improved EBP.
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