Reading

Schmidt & Brown (2021). Evidence-Based Practice for Nurses:

• Chapter: Preface

• Chapter 1.1: What is evidence-based practice?

Objective

• Define evidence-based practice (EBP)

• List the three components of EBP

• List sources of evidence for nursing practice

• Identify barriers to the adoption of EBP and pinpoint strategies to overcome them

Bachelor's of Science in Nursing (BSN)

Let's listen to your story first (we'll come back to your responses at the end of the quarter):

• What motivated you to earn your BSN degree?

  • In other words, how would you with BSN be different from you without BSN?

  • Or simply, why do you want to earn your BSN?

Type your response in this document!

Expectations for BSN-prepared nurses:

• By the American Association of Colleges of Nursing (AACN)

  • Basic understanding of the processes of nursing research

  • Apply research findings from nursing and other disciplines in their clinical practice

• Critical thinking

  • Know what sources of information are reliable and credible and how to gain access to them

  • Know how to differentiate poor quality from good quality reports of studies, systematic reviews, and clinical guidelines

Although it would be nice to claim that all nursing practice is based on substantial and reliable evidence, this is not the case...

• Sources of Evidence

  • Tradition

    • Has been an accepted basis for information

    • e.g. Why are vital signs taken routinely every 4 hours on patients who are clinically stable?

      • "This is the way we have always done it"

  • Authority

    • "Because I said so"

    • Various sources of authority, including books, articles, web pages, individuals, and groups

  • Trial and Error

    • Although we all use this approach in our everyday problem solving, it is often not the preferred approach for delivering nursing care

    • Not a systematic scientific approach --> patient outcomes may not be a direct result of the intervention

    • Can lead to reduced critical thinking and wasted time and resources

  • Personal experiences

    • Experiences are biased by perceptions and values that are frequently influenced by tradition, authority, and trial and error

  • Intuition

    • Quick perception of truth without conscious attention or reasoning

      • or "gut feeling"

    • Nurses are expected to use logical reasoning as critical thinkers and clinical decision makers

  • Borrowed evidence

    • Because of the holistic perspective used in nursing and the collaboration that occurs with other healthcare providers, it is not uncommon for nurses to borrow evidence from other disciplines

    • Because nursing offers a unique perspective on patient care, nurses cannot rely solely on borrowed evidence and must build their own body of evidence through scientific research

  • Scientific research

    • Considered to yield the best source of evidence

Discussion

• What clinical problems do you see that could be better managed if EBP was used?

  • Click here or below and type your responses!

Strategies for Overcoming Barriers to Adopting EBP

• Without strategies to overcome those barriers in the tables below, EBP will never be fully adopted