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Using evidence to demonstrate the value of nursing
1RCN Institute, London.
Summary
This study examines nursing
Area of Science:
- Nursing Science
- Evidence-Based Practice
- Healthcare Management
Background:
- Evidence-based medicine (EBM) and clinical effectiveness (CE) are key healthcare initiatives.
- Nursing's role within these initiatives requires examination.
- Implicit assumptions underpin EBM and CE.
Purpose of the Study:
- To explore the position of nursing within EBM and CE.
- To identify and analyze the implicit assumptions of EBM and CE.
- To facilitate greater nurse involvement in evidence-based practice and CE.
Main Methods:
- Conceptual analysis of EBM and CE initiatives.
- Examination of underlying assumptions in healthcare research and practice.
- Literature review on nursing's role in evidence-based healthcare.
Main Results:
- EBM and CE rest on at least three core, often unstated, assumptions.
- Understanding these assumptions is crucial for nurses.
- Nurses can enhance their engagement with evidence-based practice through this understanding.
Conclusions:
- Nurses' active participation in evidence-based practice and CE is vital.
- Critical examination of EBM/CE assumptions empowers nurses.
- This analysis provides a framework for increased nursing involvement in shaping healthcare evidence and practice.