Importance Of Evidence Based Nursing

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The definitions of evidence-based nursing are borrowed from those of evidence-based medicine, which is defined by Sackett as the conscientious, explicit and judicious use of current best external and scientific evidence in making decisions about the medical care of individual patients (Sackett, 1996). Correspondingly, this means that evidence-based nursing is a method of critically selecting and appraising scientific literature and applying the scientific evidence that has been found to a specific nursing situation. Gibbs(2003)- takes this idea further, stating, "Placing the client 's benefits first, evidence-based practitioners adopt a process of lifelong learning that involves continually posing specific questions of direct practical importance…show more content…
Competence is measured by the nurse’s ability to incorporate EBP in the care of the individual. However, in critically analyzing the concept of EBP, there is evidence to suggest that EBP over emphasizes the value of scientific evidence while underplaying the role of clinical judgement and individual nursing expertise (Avis & Freshwater, 2006; Hardy, Garbett, Titchen & Manley, 2002). As Benner (1984, p. 36) pointed out, “knowing how to practice is a matter of expertise.” Because expertise embodies an approach to intuitive and reasoned decision making, competent practices must not be solely judged on the application of EBP, but on the application of ‘knowledge based practice’, that is acquired not only through the ‘light of theory’, but through the ‘light of experience’ (Avis & Freshwater, 2006). This signifies the importance of clinical governance models, and the importance of ensuring that infrastructure, support systems, and processes are in place that supports the development of competent nursing practices (Avis & Freshwater, 2006). Nurses of today and historically, are still in conflict as to whether ongoing academic studies do in fact result in competent practice, however there have been very few studies to assess this (Avis & Freshwater, 2006). It is essential that money be invested in ensuring that infrastructure, support systems and processes are in place in order to successfully implement clinical governance models (Avis&
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