Evidence based nursing practice

Evidence based nursing practice

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  EVIDENCE BASED NURSING PRACTICE BY Mrananthakrishnan asst.professor Teerthanker mahaveer university college of nursing
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   EVIDENCED BASEDNURSING PRACTICE is the process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient preferences.
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   30-45% ofpatients not receiving care according to scientific evidence  20-25% of care provided is not needed or potentially harmful (Schuster et al., 1998; Grol 2001)
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  Evidence Based nursingpractice solves problems encountered by nurses by carrying out four Steps. 1. Clearly identify the issue or problem based on accurate analysis of current nursing knowledge and practice
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  2. Perform literaturesearch for relevant information . 3.Evaluate the research evidence for scientific merit , using enabling criteria 4.Select interventions and justify them ,with the most valid evidence
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   These selectedmodels and frameworks can be used to understand the contextual factors that could play important roles in the success or failure of the knowledge translation effort should be taken into consideration in all stages of the knowledge translation( KT) process.
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  Conceptual Model • Aset of relatively abstract & general concepts that address phenomena of central interest to a discipline •Broad descriptions those concepts •Propositions that state relatively abstract & general relations between 2 or more of the concepts
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  Assess + EvaluateMonitor Practice Environment Potential Adopters Innovation Interventions Adoption Outcomes
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   Stetler modelof research utilizatiion  Iowa model of research in practice  Ottawa model of research use  Evidence based multi-disiplinary practice model.  Model for change to evidence based practice.  Centre for advanced nursing practice model
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   The OttawaModel of Research Use (OMRU) is an interactive model developed by Logan and Graham (1998). The feasibility and effectiveness of using the OMRU in actual practice contexts was supported by findings from a number of studies .
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  Cont…  The OMRUviews research use as a dynamic process of interconnected decisions and actions by different individuals relating to each of the model elements (Logan & Graham, 1998). This model addresses the implementation of existing research knowledge.
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   The modelhas gone through some revisions since its inception. The most recent version of the OMRU (Graham & Logan, 2004) Includes six key elements:  Evidence-based innovation  Potential adopters  The practice environment  Implementation of interventions  Adoption of the innovation  Outcomes resulting from implementation of the innovation
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   Critical thinker Culturally competent  Knowledgeable co-ordinator  Politically aware  Ethically and Legally grounded  Effective communicator  Competent provider of health care  Responsible manager  Understands relationshiprelationships
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  Everything has changedbut ourways of thinking.if thesedo not changewe drift towards unparalleled catastrophe (Albert Einstein)