EVIDENCE BASED PRACTICE IN NURSING

EVIDENCE BASED PRACTICE IN NURSING

EVIDENCE BASED PRACTICE IN NURSING;INTRODUCTION Research studies are conducting all over the world, throughout the year .Research is conducted to improve the existing practices. If the study findings are implemented to practice only , the study is effective. Evidences getting from the study which are utilized into practice makes the profession more fruitful, bright and effective. Most nurse researchers want their findings to contribute to nursing practice and there is growing interest among nurses in basing their practice on solid research evidence

RESEARCH UTILIZATION IN NURSING; The terms research utilization and evidence based practice are used synonymously. Although there is overlap between these two concepts they are in fact distinct. Research Utilization is: “A process of using findings from conducting research to guide practice” (Titler, Mentes, Rake, Abbott, and Baumler, 1999). “The process by which scientifically produced knowledge is transferred to practice” (Brown, 1999) DIFFERENCES:Nurses should not confuse EBP [Evidence Based Practice] with research utilization. While research utilization overlaps with some of the same philosophic threadworks of EBP, EBP goes beyond just the rigorous scientific research steps. Research Utilization refers to the review and critique of scientific research, and then the application of the findings to clinical practice. Evidence-Based Practice (EBP) represents a broader concept. When clinicians use the EBP approach, they go beyond the expertise of clinicians and researchers, and consider the patient’s preferences and values to guide patient care.

THE RESEARCH UTILIZATION CONTINUUM; The start point of research utilization is the emergence of new knowledge and new ideas. Research is conducted and over time knowledge on new topic accumulates. In turn knowledge works its way to use to varying degrees and different rates. Theorists who have studied the phenomenon of knowledge development and diffusion of ideas typically recognize a continuum in terms of the specificity of the use to which research findings are put At one end of the continuum are discrete , clearly identifiable attempts to base specific actions on research findings. . This type of utilization has been referred to as instrumental utilization. Research findings can be used in a more diffuse manner. In a way that promote cumulative awareness, understanding or enlightment. Caplan and Rich [1975] refer to this as the end of the utilization continuum as conceptual utilization.

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Conceptual utilization then refers to situations in which users are influvanced in their thinking about an issue based on their knowledge of studies but do not put this knowledge to any specific , documentable use. The middle ground of this continuum involves the partial impact of research findings on nursing activities. This middle ground is the result of a slow evolutionary process that does not reflect a conscious decision to use an innovative procedure but rather reflects what Weiss termed knowledge creep and decision accretion. knowledge creep refers to an evolving percolation of research ideas and findings.

Decision accretion refers to the manner in which momentum for a decision builds over time based on accumulated information gained through informal discussions , readings , meetings and so on. Increasingly now a days nurses are making conscious decisions to use research in their clinical practice and the EBP movement has contributed to this change. Estrabooks [1999] studied research utilization and found evidence to support three distinct types of research utilization. Indirect research utilization: involving changes in nurses thinking and therefore analogous to conceptual utilization. Direct research utilization: involving the…;

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