Discussion – Week 1 Basing Nursing Practice on Evidence Definition

Discussion- Week 1 Basing Nursing Practice on Evidence


Evidencebased practice (EBP) refers to the integration of patients’ values,clinical expertise, as well as best research evidence into theprocess of making any decision that aim at improving the overallhealthcare of patients (Katsikis, 2014). Nurses use EBP to improvethe outcome, quality, and safety of their patients.

Differencesbetween research and EBP

Researchaims at developing new knowledge and validating existing knowledgewhile evidence based practice focus at the translation andapplication of evidence to clinical decision-making (Fortney, Pyne, &ampBurgess, 2014). Even though the best evidence emanates from research,EBP make use of this evidence to make patient-care decisions. EBPgoes beyond research since it incorporates patients’ values andpreferences as well as clinical expertise (Keele, 2010).

Whynurse do not use EBP in their practice

Nursesdo not use EBP findings in their practice since they face extremelyhigh resistance from most nursing leaders. Drisko (2014) posits thatmost of these nursing leaders have little or no interest in learningmore about EBP since they have worked in the healthcare for quite along time. As a result, most nurses tend to practice they way theywere taught in the tradition of their healthcare systems. Inconnection to this, new graduates, who have learned to embrace anevidence-based approach, find it hard to apply EBP in any healthcaresetting. The new graduates are forced to adopt the culture of nursingleaders.

Howto overcome the aforementioned barriers in my agency

Thesebarriers can be reduced or overcome in the agency that I work inthrough adopting widespread cultural changes in various healthcaredepartments of our organization (Fitchett, Nieuwsma, Bates, Rhodes, &ampMeador, 2014). For instance, the organization should set a newdirection in its nursing education it should use research findingsin clinical practice settings rather than teaching several rigorousmethods as well as constant critique of existing research.


Drisko,J. (2014). Research Evidence and Social Work Practice: The Place ofEvidence-Based Practice. ClinicalSocial Work Journal,42(2),123-133.

Fitchett,G., Nieuwsma, J. A., Bates, M. J., Rhodes, J. E., &amp Meador, K. G.(2014). Evidence-Based Chaplaincy Care: Attitudes and Practices inDiverse Healthcare Chaplain Samples. Journalof Health Care Chaplaincy,20(4),144-160.

Fortney,J. C., Pyne, J. M., &amp Burgess, J. F. (2014). Population-LevelCost-Effectiveness of Implementing Evidence-Based Practices intoRoutine Care. HealthServices Research,49(6),1832-1851.

Katsikis,D. (2014). Evidence-Based Research: The Importance for the Presentand Future of Evidence-Based Practice. Journalof Evidence-Based Psychotherapies,14(2),259-270.

Keele,R. (2010). NursingResearch and Evidence-Based Practice.New York: Jones &amp Bartlett Learning.