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Evidence-based practice, research, peer review, and publication

I P Gunn

    CRNA : the Clinical Forum for Nurse Anesthetists
    |December 29, 1998
    PubMed
    Summary

    Concerns about the quality and relevance of published biomedical research have grown, impacting evidence-based practice. Greater accountability and CRNA involvement in developing clinical guidelines are crucial for credible healthcare.

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    Area of Science:

    • Biomedical Research Integrity
    • Evidence-Based Practice in Healthcare

    Background:

    • Long-standing concerns exist regarding the quality of published biomedical research.
    • Increased instances of research fraud have heightened scrutiny, particularly impacting evidence-based practice.
    • Much research in electronic databases since the early 1990s fails to meet quality standards, questioning peer review and publication processes.

    Purpose of the Study:

    • To highlight critical issues in the quality and credibility of published biomedical research.
    • To emphasize the importance of reliable research for clinical guidelines and evidence-based practice.
    • To call for greater accountability in healthcare practice, including quality and cost.

    Main Methods:

    • This column addresses problems in biomedical research publication.
    • It discusses the evolution of evidence-based practice and clinical guideline development.
    • It advocates for consumer and CRNA (Certified Registered Nurse Anesthetist) engagement with research.

    Main Results:

    • Published biomedical research quality is a persistent concern, exacerbated by fraud.
    • Electronic databases contain suboptimal research, affecting the reliability of clinical practice.
    • The movement towards evidence-based practice necessitates high-quality, relevant research.

    Conclusions:

    • CRNAs and other healthcare professionals must be aware of research quality issues.
    • Consumers of research need to critically evaluate information for practice changes.
    • Active CRNA involvement in developing and implementing anesthesia-related clinical guidelines is essential for ownership and quality assurance.

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