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Will evidence-based nursing practice make practice perfect?

C A Estabrooks1

  • 1Institute for Clinical Evaluative Sciences, Toronto, Ontario.

The Canadian Journal of Nursing Research = Revue Canadienne De Recherche En Sciences Infirmieres
|September 3, 1998
PubMed
Summary
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Evidence-based nursing (EBN) is growing, but nurses utilize diverse knowledge, often experiential, not solely research-based. Further examination of practice knowledge and evidence is needed.

Area of Science:

  • Nursing
  • Health Professions
  • Evidence-Based Practice

Background:

  • Evidence-based practice is a growing field in health professions, originating from Archie Cochrane's work.
  • Recent Canadian initiatives emphasize a culture of evidence-based decision-making.
  • The study examines the origins and implications of evidence-based nursing (EBN).

Purpose of the Study:

  • To critically evaluate the concept of evidence-based nursing (EBN).
  • To explore the nature and structure of practice-based knowledge.
  • To analyze the nature and structure of evidence in healthcare.

Main Methods:

  • A survey of nurses in western Canada was conducted.
  • The study analyzed the types of knowledge nurses utilize in practice.

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  • Qualitative and quantitative data on knowledge sources were gathered.

    • Main Results:

    • Nurses employ a wide spectrum of practice knowledge.
    • Experiential knowledge is frequently used by nurses, often more than research-based knowledge.
    • The findings highlight a gap between EBN ideals and current nursing practice.

    Conclusions:

    • Evidence-based nursing requires a broader understanding of knowledge sources.
    • The study suggests that practice-based knowledge, including experiential, is crucial in nursing.
    • Further research is needed to integrate diverse knowledge forms into EBN.