AACN Clinical Issues Advanced Practice in Acute & Critical Care · 2001 · 105 citations · 17 references
NursingAdvanced Practice NursingEvidence-based PracticeHealthcare Quality ImprovementNursing Knowledge ManagementDissemination Of Research FindingsEvidence SynthesisEvidence-based Nursing KnowledgeEvidence-based Practice ImplementationScientific EvidenceTranslating Evidence Into PracticeBarriers To Evidence UseBest Practice DevelopmentBest Practices ManagementClinical Judgment DevelopmentEvidence-based Decision MakingExpert Opinion EvidencePatient Outcomes Measurement
Evidence-based practice has gained momentum in nursing, and definitions vary widely. Research findings, knowledge from basic science, clinical knowledge, and expert opinion are all considered "evidence"; however, practices based on research findings are more likely to result in the desired patient outcomes across various settings and geographic locations. The impetus for evidence-based practice comes from payor and healthcare facility pressures for cost containment, greater availability of information, and greater consumer savvy about treatment and care options. Evidence-based practice demands changes in education of students, more practice-relevant research, and closer working relationships between clinicians and researchers. Evidence-based practice also provides opportunities for nursing care to be more individualized, more effective, streamlined, and dynamic, and to maximize effects of clinical judgment. When evidence is used to define best practices rather than to support existing practices, nursing care keeps pace with the latest technological advances and takes advantage of new knowledge developments.
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Evidence based medicine: what it is and what it isn't
David L. Sackett, William Rosenberg, J. A. Muir Gray et al. · BMJ · 1996 · 15.7K citations · Full text
Why we need observational studies to evaluate the effectiveness of health care
BMJ · 1996 · 1.6K citations
Evidence-Based Disease Management
Gray Ellrodt · JAMA · 1997 · 365 citations
Will evidence-based nursing practice make practice perfect?
Carole A. Estabrooks · PubMed · 1998 · 252 citations