References

Al Khalaileh M, Al Qadire M, Musa AS, Al-Khawaldeh OA, Al Qudah H, Alhabahbeh A. Closing the gap between research evidence and clinical practice: Jordanian nurses' perceived barriers to research utilisation. Journal of Education and Practice. 2016; 7:(8)52-57

Al Qadire M. Undergraduate student nurses' knowledge of evidence-based practice: A short online survey. Nurse Educ Today. 2019; 72:1-5 https://doi.org/10.1016/j.nedt.2018.10.004

André B, Aune AG, Brænd JA. Embedding evidence-based practice among nursing undergraduates: results from a pilot study. Nurse Educ Pract. 2016; 18:30-35 https://doi.org/10.1016/j.nepr.2016.03.004

Barker J, Linsley P. Introduction: what is evidence-based practice?, 3rd edn. In: Barker J, Linsley P, Kane R (eds). London: Sage Publications; 2016

Barker J, Ortega M. Finding the evidence, 3rd edn. In: Barker J, Linsley P, Kane R (eds). London: Sage Publications; 2016

Beyea SC, Slattery MJ. Historical perspectives on evidence-based nursing. Nurs Sci Q. 2013; 26:(2)152-155 https://doi.org/10.1177/0894318413477140

Carley S, Horner D, Body R, Mackway-Jones K. Evidence-based medicine and COVID-19: what to believe and when to change. Emerg Med J. 2020; 37:(9)572-575 https://doi.org/10.1136/emermed-2020-210098

Curtis K, Fry M, Shaban RZ, Considine J. Translating research findings to clinical nursing practice. J Clin Nurs. 2017; 26:(5-6)862-872 https://doi.org/10.1111/jocn.13586

Disler RT, White H, Franklin N, Armari E, Jackson D. Reframing evidence-based practice curricula to facilitate engagement in nursing students. Nurse Educ Pract. 2019; 41 https://doi.org/10.1016/j.nepr.2019.102650

Edward KL, Mills C. A hospital nursing research enhancement model. J Contin Educ Nurs. 2013; 44:(10)447-454 https://doi.org/10.3928/00220124-20130801-45

Florin J, Ehrenberg A, Wallin L, Gustavsson P. Educational support for research utilization and capability beliefs regarding evidence-based practice skills: a national survey of senior nursing students. J Adv Nurs. 2012; 68:(4)888-897 https://doi.org/10.1111/j.1365-2648.2011.05792.x

Haines A, Kuruvilla S, Borchert M. Bridging the implementation gap between knowledge and action for health. Bull World Health Organ. 2004; 82:(10)724-732

Haynes B, Haines A. Getting research findings into practice: barriers and bridges to evidence based clinical practice. BMJ. 1998; 317:(7153)273-276 https://doi.org/10.1136/bmj.317.7153.273

Ingersoll GL. Evidence-based nursing: what it is and what it isn't. Nurs Outlook. 2000; 48:(4)151-152 https://doi.org/10.1067/mno.2000.107690

International Council of Nurses. Closing the gap from evidence to practice. 2012. https://tinyurl.com/p3pwfsns (accessed 9 August 2021)

Kalavani K, Mohebbifar R, Rafiei S. Evidence based practice among healthcare providers: a cross-sectional study. Int J Health Care Qual Assur. 2019; 32:(5)867-878 https://doi.org/10.1108/IJHCQA-08-2017-0162

Lake ET. How effective response to COVID-19 relies on nursing research. Res Nurs Health. 2020; 43:(3)213-214 https://doi.org/10.1002/nur.22025

LoBiondo-Wood G, Haber J, Titler MG. Evidence-based practice for nursing and healthcare quality improvement.Maryland Heights (MO): Elsevier; 2019

Mackey A, Bassendowski S. The history of evidence-based practice in nursing education and practice. J Prof Nurs. 2017; 33:(1)51-55 https://doi.org/10.1016/j.profnurs.2016.05.009

Mantzoukas S. A review of evidence-based practice, nursing research and reflection: levelling the hierarchy. J Clin Nurs. 2008; 17:(2)214-223

McCracken SG, Marsh JC. Practitioner expertise in evidence-based practice decision making. Research on Social Work Practice. 2008; 18:(4)301-310 https://doi.org/10.1177/1049731507308143

Melnyk BM, Fineout-Overholt E, Stetler C, Allan J. Outcomes and implementation strategies from the first US evidence-based practice leadership summit. Worldviews Evid Based Nurs. 2005; 2:(3)113-121 https://doi.org/10.1111/j.1741-6787.2005.00022.x

Melnyk BM, Fineout-Overholt E, Stillwell SB, Williamson KM. The Steven Steps of Evidence-Based Practice. Am J Nurs. 2010; 110:(1)51-53 https://doi.org/10.1097/01.NAJ.0000366056.06605.d2

Melnyk BM, Gallagher-Ford L, Long LE, Fineout-Overholt E. The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews Evid Based Nurs. 2014; 11:(1)5-15 https://doi.org/10.1111/wvn.12021

Melnyk BM. The difference between what is known and what is done is lethal: evidence-based practice is a key solution urgently needed. Worldviews Evid Based Nurs. 2017; 14:(1)3-4 https://doi.org/10.1111/wvn.12194

Melnyk BM, Gallagher-Ford L, Zellefrow C, Tucker S, Van Dromme L, Thomas BK. Outcomes from the first Helene Fuld Health Trust National Institute for Evidence-Based Practice in Nursing and Healthcare invitational expert forum. Worldviews Evid Based Nurs. 2018; 15:(1)5-15 https://doi.org/10.1111/wvn.12272

Nursing and Midwifery Council. The code. Professional standards of practice and behaviour for nurses, midwives and nursing associates. 2018a. https://tinyurl.com/gozgmtm (accessed 9 August 2021)

Nursing and Midwifery Council. Future nurse: Standards of proficiency for registered nurses. 2018b. https://tinyurl.com/4k7uttrt (accessed 9 August 2021)

Oh EG, Yang YL. Evidence-based nursing education for undergraduate students: A preliminary experimental study. Nurse Educ Pract. 2019; 38:45-51 https://doi.org/10.1016/j.nepr.2019.05.010

Pawson R, Tilley N. Realistic evaluation.London: Sage Publications; 1997

Payne C, Brown MJ, Guerin S, Kernohan WG. EMTReK: An Evidence-based Model for the Transfer & Exchange of Research Knowledge—five case studies in palliative care. SAGE Open Nursing. 2019; 26 https://doi.org/10.1177/2377960819861854

Pooler A. An introduction to evidence-based practice in nursing and healthcare.London: Routledge; 2012

Rees C. Understanding evidence and its utilization in nursing practice. In: Holland K, Rees C (eds). New York (NY): Oxford University Press; 2010

Richardson WS, Wilson MC, Nishikawa J, Hayward RSA. The well-built clinical question: a key to evidence-based decisions. ACP J Club. 1995; 123:(3)A12-A13

Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS. Evidence based medicine: what it is and what it isn't. BMJ. 1996; 312:(7023)71-72 https://doi.org/10.1136/bmj.312.7023.71

Saunders H, Vehviläinen-Julkunen K. The state of readiness for evidence-based practice among nurses: an integrative review. Int J Nurs Stud. 2016; 56:128-140 https://doi.org/10.1016/j.ijnurstu.2015.10.018

Schlosser RW, Koul R, Costello J. Asking well-built questions for evidence-based practice in augmentative and alternative communication. J Commun Disord. 2007; 40:(3)225-238 https://doi.org/10.1016/j.jcomdis.2006.06.008

Siminoff LA. Incorporating patient and family preferences into evidence-based medicine. BMC Med Inform Decis Mak. 2013; 13 https://doi.org/10.1186/1472-6947-13-S3-S6

Smith R, Rennie D. Evidence based medicine—an oral history. BMJ. 2014; 348 https://doi.org/10.1136/bmj.g371

Workforce Development

Addressing the current challenges of adopting evidence-based practice in nursing

09 September 2021

Professional

02 September 2021

Volume 30 · Issue 16

ISSN (print): 0966-0461

ISSN (online): 2052-2819

Abstract

This aim of this article is to explore the current position of evidence-based practice (EBP) in nursing. The article provides an overview of the historical context and emergence of EBP with an outline of the EBP process. There is an exploration of the current challenges facing the nursing profession as it endeavours to adopt EBP into care delivery, along with actions to address these challenges. There will also be a discussion on how to integrate EBP into undergraduate nursing curricula as academic institutions implement the Future nurse standards of proficiency from the Nursing and Midwifery Council.

It has been suggested that the idea of delivering care based on evidence had its early foundations in the 1800s with Florence Nightingale, who aimed to provide better outcomes for patients who experienced unsanitary conditions (Mackey and Bassendowski, 2017). However, it is generally agreed that Professor Archie Cochrane, whose work inspired the Cochrane Collaboration (Smith and Rennie, 2014; Barker and Linsley, 2016), is credited for being at the forefront of the modern evidence-based practice (EBP) approach. The concept of evidence-based medicine (EBM) emerged from researchers at McMaster University, Canada, who redefined the practice of medicine to move from a culture based solely on clinical experience, to one which is more inclusive of medical evidence (International Council of Nurses, 2012). Smith and Rennie (2014) noted that the phrase EBM was coined by Gordon Guyatt in 1991, so has had a relatively short life span. Although a number of individuals contributed to the development of EBM, David Sackett is regarded as the father of EBM as in 1996 he distinguished EBM as one that combines research evidence with clinical skills, and patient values and preferences (Smith and Rennie, 2014).

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