Shallie V Witt, RN, COHN
Submitted to Jo Ann Wegmann, RN, PhD. in partial fulfillment of NR 460R Evidenced Based Practice
Evidence Based Nursing Practice
The purpose of this paper is to explore the impact of Evidence Based Research (EBR) on nursing practice. Included in the review will be research examples as related to the author’s field of practice in occupational health, both qualitative and quantitative. Also reviewed will be a brief discussion on barriers to the use of EBR and possible interventions to overcome those barriers. Importance of Evidenced Based Research
In 2002 Brown gave a definition of Evidence Based Practice (EBP) as “professional understanding and action that is based on the thoughtful use of knowledge and information from available, reliable, and dependent sources.” In 2008 Houser gave a further definition to EBP as the balance of clinical experience, proven evidence from scientific studies with patient input. This input from patients will incorporate their values, preferences, and systems influence. Evidence Based Practice is a fluent process that requires nursing professionals to be current and correct on information as it pertains to their daily practice. Regardless of who defines EBP, the intent is to ultimately improve quality of the care that is delivered to the client. Today’s consumers of health care have increased access to information via public sources. This increased knowledge, whether it is correct or incorrect, is a motivating factor for nursing professionals to have current and correct information available when working with clients in making health care decisions. The consumer’s increased information access in conjunction with the increasing demand for quality cost effective health care from third party pay sources are some driving forces for the promotion of EBP (Salmond, 2007). Healthcare professionals, especially nurses are the touch point of health care and are the key to cost effective quality care. To ensure that decisions are based on sound information nurses must utilize EBR.
Research and the use of evidence are applicable to all areas of nursing. The growth in available information over the past few decades has lead to a wealth of knowledge that is available and has also highlighted areas that require further investigations. After a brief review of databases the field of occupation health nursing has limited information when compared to other fields such as cardiac, oncology, and orthopedic nursing. Even with the limited information pool, two examples were chosen for the purpose of this article, as pertaining to the author’s field of practice in occupational health management. In 2010 a quantitative study that was published on the demographics of occupational health nurses. This study, titled “Review of Occupational Health Nurse Data from Recent National Sample Surveys of Registered Nurses-Part 1”, was performed with the goal to aide in the development of strategies to promote entry in to the field of occupational health and the retention of nurses (Thompson & Strasser). Although the nursing shortage concerns have recently been decreased due to economic changes, with more nurses delaying retirement, as the economy improves these concerns will return. The information given in this study will help nurse managers to develop strategies to promote healthy work environments for the attraction and retention of nurses. Qualitative research is also applicable to the area of occupational health management. In 2010 a qualitative study by Simons and Mawn titled “Bullying in the Workplace-A Qualitative Study of Newly Licensed Registered Nurses” also gives evidence to use in the development and promotion of a health work environment. As stated above, the creation of healthy work environments will be crucial with the nursing shortage that is only expected to worsen.