Evidence-based practice: implications and concerns

Journal of Nursing Management
Peter Nolan, Eleanor Bradley

Abstract

The aim of this paper was to undertake a brief critical appraisal of evidence-based practice (EBP) as it is currently perceived in health care settings. The past two decades have seen EBP become increasingly important in health care planning, clinical thinking, and choice of treatments. It is based on scientific rationalism and adherents claim that decisions based on EBP are superior to those based on other approaches to care. Concerns are now being expressed that positivistic approaches to health care fail to take into account people's preferences, their internal resources and their personal understandings of health and wellbeing. It has been argued that there may be multiple types of evidence, all of which have a part to play in the formulation and execution of health care. After a literature search, this paper argues that whereas EBP may be useful in treating conditions that have a biological cause, it may be less helpful in understanding and treating conditions that have their origins in the social, psychological or spiritual domains. The nature, strengths and limitations of evidence-based practice is discussed in this paper. Nurses are encouraged to develop the critical skills of evaluating EBP in the lives and experiences...Continue Reading

References

Nov 4, 1992·JAMA : the Journal of the American Medical Association·UNKNOWN Evidence-Based Medicine Working Group
Jan 13, 1996·BMJ : British Medical Journal·D L SackettW S Richardson
Mar 11, 1998·BMJ : British Medical Journal·R D Fox, N L Bennett
Jul 24, 1998·BMJ : British Medical Journal·B Haynes, A Haines
Jul 3, 1999·Journal of Clinical Epidemiology·S van RooyenF Godlee
Mar 17, 2001·Journal of Advanced Nursing·H A Cahill
Mar 27, 2001·BMJ : British Medical Journal·P Bracken, P Thomas
Apr 16, 2002·BMJ : British Medical Journal·Leonard Leibovici, Michel Lièvre
Jun 8, 2002·BMJ : British Medical Journal·R Brian HaynesGordon H Guyatt
Dec 21, 2005·International Journal of Nursing Studies·Gary Rolfe, Lyn Gardner
May 18, 2006·Journal of Health Organization and Management·Maria Goddard, Russell Mannion

❮ Previous
Next ❯

Citations

May 2, 2012·Journal of Health Care Chaplaincy·Chris R Schlauch
Nov 6, 2012·Journal of Clinical Nursing·Austyn Snowden, Glenn Marland
Jun 16, 2012·Journal of Advanced Nursing·Sheila HauckJudy Kuric
Nov 11, 2011·Journal of Psychiatric and Mental Health Nursing·C Essen
May 15, 2010·Journal of Nursing Management·Birgitta JohanssonBarbro Wadensten
May 15, 2010·Journal of Nursing Management·Peter O'HalloranBronagh Blackwood
Mar 25, 2017·Physiotherapy Theory and Practice·Sarah BatsfordDenis J Martin
Sep 16, 2010·Journal of Infusion Nursing : the Official Publication of the Infusion Nurses Society·Jeanette S Adams
Jan 25, 2013·Computers, Informatics, Nursing : CIN·Heather Carter-Templeton
Apr 21, 2009·British Journal of Nursing : BJN·Jenny Tagney, Caroline Haines

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Nursing Philosophy : an International Journal for Healthcare Professionals
Stefanos Mantzoukas
Journal of Nursing Management
Kathy HudsonGayle Varnell
© 2022 Meta ULC. All rights reserved