B71P02 - Foundations in Evidence Based Practice. Evidence for Decision-making – different perspectives . Session Outcomes. At the end of this session you will be able to: Identify a range of perspectives that influence evidence based nursing practice
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Evidence Based Practice
At the end of this session you will be able to:
Evidence based practice is ‘the process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient preferences, in the context of available resources’ (DiCenso et al, 1998)
Patient / User perspectives
‘… practitioners do not necessarily know what is in the best, personal interests of an individual patient..’ (Closs & Cheater, 1999)
‘…there is abundant evidence demonstrating wide discrepancies between patient’s and professional’s judgements about what constitute desirable or successful outcomes…’ (Closs & Cheater, 1999)
‘…past experience, individual beliefs, family/peer pressure or greater access to information may lead patients to request a particular intervention…’ (Closs & Cheater, 1999)
Kitson et al (1998) have argued that implementing research into practice may be expressed in this equation:
Where SI=successful implementation;
E=evidence; C=context; F=facilitation;
and f=function of.
‘...Evidence based practice is not simply a pragmatic, logical process, involving access to, and the subsequent use of best research evidence. There is an interplay of multiple factors that influence decisions about patient care; an amalgam of evidence, context, expert practice/experience and patients’ preferences and wishes…’ (Closs & Cheater, 1999)