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Evidence-Based Nursing. Margaret Lunney, RN, PhD College of Staten Island, CUNY Paper presented at Hackettstown Hospital, Hackettstown, NJ, August 2004. Reaching for the Top: Quality-Based Care. Knowledge is essential Knowledge changes rapidly Knowledge is illusive

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Evidence based nursing

Evidence-Based Nursing

Margaret Lunney, RN, PhD

College of Staten Island, CUNY

Paper presented at Hackettstown Hospital, Hackettstown, NJ, August 2004


Reaching for the top quality based care
Reaching for the Top: Quality-Based Care

  • Knowledge is essential

  • Knowledge changes rapidly

  • Knowledge is illusive

  • Knowledge is multi-dimensional

  • Knowledge is evidence for care


What is evidence based nursing ebn
What is Evidence-Based Nursing (EBN)?

  • Nursing care is deliberately based on knowledge or evidence

  • Historical context: EBP, EBM, EBN

  • International and national efforts

  • EBN is an essential aspect of ANA’s Magnet program


Sources of evidence for ebn
Sources of Evidence for EBN

  • Knowledge of what is nursing

    • Philosophy of nursing

    • Theories of nursing

    • Standardized nursing languages

  • Patient preferences and values

  • Nursing & other research

  • Clinical experiences


Knowledge of what is nursing
Knowledge of What is Nursing

  • Many different beliefs and explanations

    • Nursing is complex and diverse

    • Select beliefs & explanations with best fit

    • System-oriented beliefs and expectations

  • Concrete terms in literature & practice

    • Diagnoses of human responses

    • Nursing interventions

    • Nursing-sensitive patient outcomes


Patient preferences and values
Patient Preferences and Values

  • People are individuals with unique needs

    • Pattern of Unknowing (Munhall, 1993)

  • Goal of EBP: Partnership with patients

  • Helping role of nurses

  • Human response model & partnerships


Research findings
Research Findings

  • Systematic reviews

  • National guidelines

  • International sources, e.g., Cochrane Collaboration

  • Nursing research reports

  • Research of other disciplines


Clinical experiences
Clinical Experiences

  • Clinical experience related to:

    • Improved clinical judgment

    • Intuition

    • Holistic perspectives

    • Recognition of complexities

      • Fewer platitudes & easy answers

  • Essential ingredient: Reflective practice


Ebn approaches and methods
EBN Approaches and Methods

  • System

    • Describe the meaning of nursing

    • Conduct literature searches

    • Collaborate on relevance of evidence for specific practices

    • Cite research evidence

    • Support nurse-patient partnerships


Ebn approaches and methods1
EBN Approaches and Methods

  • Individual nurses and units

    • Develop partnerships with patients

    • Collaborate with patients, families and others

    • Obtain the research evidence for specific clinical situations (Library, Internet)

    • Critique the research evidence

    • Change daily practices based on evidence


Collaboration a key element
Collaboration: A Key Element

  • Nurses working together:

    • Decreases the workload

    • Minimizes the responsibility

    • Contributes to comradery

    • Benefits greater number of patients/families

    • Improves overall results