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Posted: April 29th, 2018
Misconceptions Nursing Professionals Have About EBP
Evidence-based practice (EBP) is the integration of the best available research evidence with clinical expertise and patient values to guide decision making in health care. EBP has been shown to improve patient outcomes, reduce costs, and enhance professional development. However, many nursing professionals still have misconceptions about EBP that hinder its adoption and implementation. Some of the common misconceptions are:
– EBP is too time-consuming and complex. Some nurses think that EBP requires extensive literature searches, critical appraisal, and statistical analysis that are beyond their scope and skills. However, EBP does not have to be complicated or burdensome. There are many resources and tools available to help nurses access, appraise, and apply evidence in their practice settings. For example, clinical practice guidelines, systematic reviews, and pre-appraised databases can provide synthesized and reliable evidence that can be easily used in practice.
– EBP is not relevant or applicable to my practice. Some nurses think that EBP is only for academic or research settings, or that it does not take into account the individual needs and preferences of patients. However, EBP is not a one-size-fits-all approach. EBP recognizes that evidence is only one component of the decision making process, and that it should be balanced with clinical expertise and patient values. EBP also encourages nurses to ask relevant and specific questions that address their practice problems, and to seek evidence that is applicable to their patient population, setting, and context.
– EBP undermines my autonomy and experience. Some nurses think that EBP is a top-down or prescriptive approach that dictates what they should do in their practice, or that it devalues their clinical judgment and experience. However, EBP is not a rigid or authoritarian approach. EBP empowers nurses to use their critical thinking and problem solving skills to make informed decisions based on the best available evidence. EBP also respects and values the clinical expertise and experience of nurses as a source of evidence, and encourages them to reflect on their practice and evaluate the outcomes of their interventions.
References:
– Melnyk BM, Fineout-Overholt E. Evidence-based practice in nursing & healthcare: a guide to best practice. 4th ed. Philadelphia: Wolters Kluwer; 2019.
– Stokke K, Olsen NR, Espehaug B, Nortvedt MW. Evidence based practice beliefs and implementation among nurses: a cross-sectional study. BMC Nurs. 2014;13:8.
– Ubbink DT, Guyatt GH, Vermeulen H. Framework of policy recommendations for implementation of evidence-based practice: a systematic scoping review. BMJ Open. 2013;3:e001881.
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