EBN implements the most up to date methods of providing care, which have been proven through appraisal of high quality studies and statistically significant research findings.
EBN is a process founded on the collection, interpretation, appraisal, and integration of valid, clinically significant, and applicable research.
To properly implement EBN, the knowledge of the nurse, the patient's preferences, and multiple studies of evidence must all be collaborated and utilized in order to produce an appropriate solution to the task at hand.
[1] Muriel Skeet, a British nurse, was an early advocate for the development of the evidence base for health care.
[4] Key Elements to Foster EBP PICOT formatted questions address the patient population (P), issue of interest or intervention (I), comparison group (C), outcome (O), and time frame (T).
Once results have been found on the intervention or treatment, the research can be rated to determine which provides the strongest level of evidence.
It is important to evaluate the outcomes in a real-world clinical setting to determine the impact of the evidence-based change on healthcare quality.
This will help to show the researchers were unbiased and were not trying to hide negative results from readers, and actually makes it possible to objectively understand the phenomenon under investigation.
The inclusion of this negative information will strengthen the researchers' initial study, and may actually work in favor to support the hypothesis.
Dates, times and gender of the sample may be needed, providing background on subjects, such as breast cancer in women over thirty-five.
In addition, attention to "quality" in qualitative research has been identified as an area worthy of renewed focus.
The approach suggested provides a framework for developing and evaluating qualitative research that would have both defensible scholarly merit and heuristic value.
This will help solidify the argument in favor of incorporating qualitative research findings as part of the empirical "evidence" upon which evidence-based nursing is founded.
Informed consent is "the legal principle that governs the patient's ability to accept or reject individual medical interventions designed to diagnose or treat an illness".
The institutional review board is responsible for protecting subjects from risk and loss of personal rights and dignity.
The use of evidence-based practice depends a great deal on the nursing student's proficiency at understanding and critiquing the research articles and the associated literature that will be presented to them in the clinical setting.
According to, Blythe Royal, author of Promoting Research Utilization in nursing: The Role of the Individual, Organization, and Environment, a large amount of the preparation requirements of nursing students consists of creating care plans for patients, covering in depth processes of pathophysiology, and retaining the complex information of pharmacology.
Evidence-based nursing in an attempt to facilitate the management of the growing literature and technology accessible to healthcare providers that can potentially improve patient care and their outcomes.
[6] Nancy Dickenson-Hazard states, "Nurses have the capacity to serve as caregivers and change agents in creating and implementing community and population-focused health systems.
"[7] There is also a need to overcome the barriers to encourage the use of research by new graduates in an attempt to ensure familiarity with the process.
There is a definite need for nurses, and all practitioners, to have an open mind when dealing with the modern inventions of the future because these could potentially improve the health of patients.
This includes having a considerable amount of research evaluation skills, access to journals, and clinic/hospital support to spend time on EBN.
[13] Practices do not have the means to provide workshops to teach new skills due to lack of funding, staff, and time; therefore, the research may be tossed dismissed.
Another barrier to introducing newly learned methods for improving treatments or patients' health is the fear of "stepping on one's toes".
Tversky and Kahneman gave people the two identical problems (with the same probabilities of life and death outcomes – see fig 1) but framed the outcome choices as either lives saved or as deaths.10 Most people wanted to avoid taking risks with gains which could be safeguarded, but would take risks with losses which might be avoided; this is a framing effect.