Evidence-Based Nursing Practice Guide

Is Evidence-Based Nursing different from Evidence-based Medicine?

Is it Cook Book Medicine?

• Is EBP is just "cookbook" medicine?
•  Evidence Based Practice does more than just identify research
• It integrates the best possible evidence with individualized patient care.
• Clinicians using evidence based practice do not simply "follow a recipe",
• They use their own clinical experience and apply the evidence to the specific clinical situation. The DiCenso article addresses other questions that clinicians may have regarding EBP.
• In recent years, the opposite phenomenon has been observed
• Some nurses sing the praises of evidence based nursing without really understanding what the term entails. 
• Read the article by Jennings and Loan for more details.
• Further Reading:
  • DiCenso A, Cullum N, Ciliska D. "Implementing evidence-based nursing: some misconceptions" [editorial]. Evidence-Based Nursing 1998 Apr;1:38-40.
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  • Jennings B.A., & Loan L.A.  "Misconceptions Among Nurses About Evidence-Based Practice." Journal of Nursing Scholarship 2001; 33(2); 121-7. 

Evidence-Informed Practice or Evidence-Based Practice

• McSherry (in Evidence-Informed Nursing: A Guide for Clinical Nurses (eds: Abbott, McSherry & Simmons, Routledge, 2002) has a different take on how working nurses can view nursing practice:  as "Evidence Informed Nursing Practice".  
• He means that working nurses might not be able to do research, but their practice should be based on evidence, not custom.  (see Chapter 1, pp1-12).  
• Melnyck in "Evidence-based Practice Versus Evidence-informed Practice: A Debate That Could Stall Forward Momentum in Improving Healthcare Quality, Safety, Patient Outcomes, and Costs" strongly disagrees. 

The Second Triennial Systematic Literature Review of European Nursing Research: Impact on Patient Outcomes and Implications for Evidence-Based Practice.(2018)

• The authors look at European nursing research
• They criticize it's poor quality in regards to developing best evidence.  

What is the Value of Patient Values in Evidence-Based Nursing Practice?

• This is the introduction to an interesting  chat about patient preferences vs. patient values. 
• The chat starts off at the BMJ Evidence Based Nursing Blog and continues on Twitter

Culture Eats Strategy Every Time: What Works in Building and Sustaining an Evidence-Based Practice Culture in Healthcare Systems.

• This is an editorial discussion of what institutions need to do truly embrace evidence-based practice. 
• It is written by Bernadette M. Melnyk.