Evidence based nursing
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Evidence based nursing is the new wave in nursing which has spread widely in the United States in the past 16 years (Swan, McGinley and Lang, 2002). The national Guidelines Clearinghouse (NGC) is a comprehensive database of evidence-based clinical practice guidelines and related documents which provides physicians, nurses and other healthcare professionals with a mechanism by which to obtain detailed information on clinical practice guidelines. While few nurses submit guidelines to this database, the Journal Evidence-Based Nursing provides a forum for nurses to access high-quality, clinically-relevant research to incorporate into their practice. Another resource for nurses is Sigma Theta Tau International, which provides the Registry of Nursing Research online, offering nurses abstracts from over 13,000 research studies. Evidence based nursing often comes under heavy criticism from many in the nursing profession (Wiechula, 1998). One criticism is that many nurses are not trained to interpret research data in a meaningful way, and this leads to erroneous implementation of research data. Evidence-based nursing has developed in an attempt to integrate current research into nursing practice so that patients have the latest treatments available to them to improve their outcomes. While the goal is admirable, just what information is given to nurses and how it is presented is of considerable concern. The Joanna Briggs Institute of Evidence Based Nursing and Midwifery has
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plete. They believe that strictly evidence-based nursing practice is too isolated from the real-life situation and is not what nursing practice should be about. It becomes too removed and impersonal when it is practiced in isolation from nursing theories.
Goode et al (2000) describe a study on evidence-based nursing which relied strictly on empirical research. They describe a project which was used to generate guidelines for the treatment of uncomplicated cystitis in a female population. Cystitis is the most common infectious disease treated by physicians and nurse practitioners in an ambulatory setting, resulting in approximately three- to five-million office visits a year in the United States. Evidence has been gathered since the 1980s indicating that the optimal treatment for this problem is trimethoprim-sulfamethoxazole and that three days was the optimal treatment time, based on four principles: patterns of resistance among uropathogens; duration of urinary excretion of the drug; antimicrobial effects on vaginal flora; and safety and cost.
A practice guideline was developed after retrospective chart reviews of uncomplicated cystitis in women pre- and post-implementation of the guidelines (Goode et al, 2000). For a t
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Approximate Word count = 1363
Approximate Pages = 5 (250 words per page)
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