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Will Evidence-Based Nursing Practice Make Practice Perfect?

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TLDR
Findings of a recent survey of nurses in western Canada are used to illustrate that nurses use a broad range of practice knowledge, much of which is experientially based rather than research-based.
Abstract
Evidence-based practice, or evidence-based decision-making, is rapidly developing as a growth industry in nursing and the health professions more widely. It has its origins in the work of the British epidemiologist Archie Cochrane and has recently been re-energized in Canada by the National Forum on Health and its call for a culture of evidence-based decision-making. Before we adopt evidence-based nursing (EBN) as a mantra for the 21st century, we should examine its origins and its consequences, and we should probe related concepts, 2 of which are the nature and structure of practice-based knowledge and the nature and structure of evidence generally. Findings of a recent survey of nurses in western Canada are used to illustrate that nurses use a broad range of practice knowledge, much of which is experientially based rather than research-based.

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The integrative review: updated methodology

TL;DR: Data analysis methods of qualitative research are proposed as strategies that enhance the rigour of combining diverse methodologies as well as empirical and theoretical sources in an integrative review.
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Individual determinants of research utilization by nurses: a systematic review update

TL;DR: This review reinforced conclusions in the previous review with respect to positive relationships between general research utilization and: beliefs and attitudes, and current role and found methodological problems inherent in many of the studies that necessitate their findings be replicated in further research.
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The Iowa Model of Evidence-Based Practice to Promote Quality Care.

TL;DR: The revisions made in the original Iowa Model are based on suggestions from staff at UIHC and other practitioners across the country who have implemented the model, and are set forth for evaluation and adoption by others.
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Readiness of U.S. nurses for evidence-based practice: many don't understand or value research and have had little or no training to help them find evidence on which to base their practice.

TL;DR: In this article, evidence-based practice is defined as "a systematic approach to problem solving for health care providers, including RNs, characterized by the use of the best evidence currently available for clinical decision making, in order to provide the most consistent and best possible care to patients".
References
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Journal ArticleDOI

Mail and telephone surveys : the total design method

Don A. Dillman
- 01 Mar 1979 - 
Abstract: Develops a theoretically based system guided by principles of social exchange and administration that ensure high quality surveys at low cost. Presents step-by-step procedures and shows why each step is important. Contains many examples and, where appropriate, contrasts acceptable and unacceptable procedures.
Journal ArticleDOI

From novice to expert : excellence and power in clinical nursing practice

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Journal ArticleDOI

Fundamental patterns of knowing in nursing.

TL;DR: It is the general conception of any field of inquiry that ultimately determines the kind of knowledge the field aims to develop as well as the manner in which that knowledge is to be organized, tested, and applied.
Journal ArticleDOI

The many meanings of research utilization.

TL;DR: A review of the literature reveals that a diverse array of meanings are attached to the term "using research" and that much of the ambiguity in the discussion of "research utilization" derives from conceptual confusion as discussed by the authors.

Survey research methods, 2nd ed.

Fowler, +1 more
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