There are major criticisms associated with the use or implementation of evidence-based nursing. First of all, the nurses are already doing it, as such, many nurses engage in evidence-based practices to some extent that this is possible given the constraints of time and the availability of quality evidence. Evidence-based nursing on the other hand refers to the “cookbook” care which aims to coalesce the individual professional’s clinical expertise with the best available evidence in order to produce the best possible outcome for a particular patient or client.
This necessarily involves taking into account the circumstances of the recipient of care. As such, it can be said that ideally, a client-centered approach which, when properly practiced, is highly individualized. Evidence-based practice relies on randomized clinical trails and meta-analyses, which is the nub of nursing’s difficulty with the current style of evidence-based health care, focusing as it generally does on effectiveness. At the heart of the issue lies the critique of new paradigms for knowledge.
While the randomized clinical trial is probably the “best” approach to generating the evidence of effectiveness, nurses are concerned with more than the cause and efforts to question, and this is reflected in the wide range of research approaches utilized by nurses to generate knowledge for practicing nurses (Munroe, 2008). With regards to the term that evidence-based medicine or evidence-based nursing in a more comprehensive term, confirmation carry out have a number of definitions.
Sackett (2000) maintain that it is the “conscientious, explicit and judicious use of present most excellent evidence, indication or proof in making decisions about the care of individual patients. ” However, evidence from systematic research is not enough. Fineout-Overholt, Melnyk and Schultz (2005) pertain to evidence-based nursing as a problem-solving approach to clinical care that integrates the meticulous use of evidence from “well-designed studies, the clinician’s expertise and the patient’s values and preferences”.
In the perspective of practice development, evidence-based nursing would pertain to the recognition of detailed and definite nursing practices that should be enhanced and then accessed and appraise existing evidences in order to make recommendations for development or improvement (Lewenson and Truglio-Londrigan, 2007). Their classification or meaning includes patient preferences and the application of clinician’s expertise as necessary to creating the best clinical decisions.
Moreover, evidence-based nursing calls for a nurse to select and review appropriate research studies from the health-related literature and apply relevant findings to patient care (Banning, 2005; Dale, 2005). Suitable or necessary selections take into account the studies that warrant immediate concentration or awareness by nurses who are attempting to keep pace with important advances in the profession. More specifically, evidence-based nursing aims to use predefined criteria in identifying or locating the best evidences, resources or studies, either quantitative or qualitative on quality assurance.
It also aims in continuing professional development; and especially the meaning cause, course, diagnosis, prevention, treatment or economics of health problems managed by nurses. Moreover, it aims to provide conclusions and reproducible, as well as accurate, abstracts, objectives, materials and methods in the studies pertaining to nursing. It aims to provide summaries and brief, highly expert commentary on the context of each study, its methods and clinical applications that its findings warrant. Lastly, it aims to distribute these summaries in a timely manner to nurses.