Evidence‐based practice: A framework for clinical practice and research design
International Journal of Nursing PracticePublished 22 August 2006
Matthew Leach
Citations71
SJR quartileQ1
SJR score0.79
SNIP0.91
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
The evidence-based practice framework emerged in the early 1970s as a means of improving clinical practice and despite the many advantages, many practitioners remain cautious about embracing the model.
Abstract
The evidence-based practice (EBP) framework emerged in the early 1970s as a means of improving clinical practice. This shift towards EBP allowed health professionals to move from a culture of delivering care based on tradition, intuition and authority, to a situation where decisions were guided and justified by the best available evidence. Despite the many advantages of EBP, many practitioners remain cautious about embracing the model. Part of this opposition is due to a misunderstanding of EBP, which this paper aims to address.
Keywords
Health Professions
BMJEvidence based medicine: what it is and what it isn't
15,683 Citations1996David L. Sackett, William Rosenberg +3 more
As evidence based medicine continues to evolve and adapt, now is a useful time to refine the discussion of what it is andWhat it is not.
The Medical Journal of AustraliaWhat drives change? Barriers to and incentives for achieving evidence‐based practice
1,411 Citations2004Richard Grol, Michel Wensing
To bridge the gap between scientific evidence and patient care the authors need an in‐depth understanding of the barriers and incentives to achieving change in practice, and potential barriers at various levels need to be addressed.
Journal of the Royal Society of MedicineThe Need for Evidence-Based Medicine
620 Citations1995David L. Sackett, William Rosenberg
PubMedEvidence-based medicine: a commentary on common criticisms.
397 Citations2000Sharon E. Straus, Finlay A. McAlister
Ways to achieve evidence-based practice are reviewed here and the most common criticisms described.
The British Journal of PsychiatryThe case against ‘the evidence’: A different perspective on evidence-based medicine
199 Citations2002D. D. R. Williams, Jane Garner
Too great an emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care and a degree of professional consensus is necessary.
Journal of Advanced NursingEvidence for nursing practice: a clarification of the issues
157 Citations1999S. José Closs, Cheater
This paper attempts to clarify the main issues surrounding evidence-based nursing, including its epidemiological origins and purpose, the meaning and limits of 'evidence', the need for individual skills and expertise in the use of evidence, and the strengths and weaknesses of different kinds of evidence.
International Journal of Nursing StudiesBarriers to evidence based practice in primary care: a review of the literature
95 Citations2003Hugh McKenna, Sue Ashton +1 more
This paper shows that primary care research has been the 'poor relation' in terms of research funding and this has resulted is a dearth of high quality research results to underpin practice.
Endocrinology and Metabolism Clinics of North AmericaWhat is evidence-based medicine?
93 Citations2002Víctor M. Montori, Gordon Guyatt
Evidence-based practice requires clinical expertise, common sense, understanding of the circumstances and values of the patient, and judicious application of the best available evidence.
Journal of Clinical EpidemiologyArchie Cochrane and his legacy
60 Citations2000Gerry Hill
His name lives on in the Cochrane Collaboration, a network of researchers devoted to clinical trials, and the torch which he lit had been carried forward by the groups promoting evidence-based medicine.
Nursing InquiryWhy evidence‐based practice now?: a polemic<sup>1</sup>
54 Citations2003Kim Walker
This exegesis is an attempt to outline how the combined effects of the four forms of rationality allow for both the methods and objectives of EBP to be constructed as they are, while at the same moment producing the particular effects of knowledge and power in the culture of contemporary healthcare.
Evidence-Based PracticeThe Anatomy of Evidence‐based Practice: Principles and Methods
54 Citations2000Shirley Reynolds
International Journal of Nursing PracticeEvidence‐based practice: To be or not to be, this is the question!
48 Citations2003Kathryn Zeitz, Helen McCutcheon
It is time to change the focus to real strategies that will assist in achieving best practice, including the creation of rigorous relevant evidence, the valuing of clinical expertise and the changing of the cultures in which nurses develop and practice.
The Journal of Continuing Education in NursingEvidence-Based Nursing Practice: To Infinity and Beyond
40 Citations2003Tess M. Pape
Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach and will help ensure safe, high-quality, and cost-effective care will be more likely to occur consistently.
British Journal of NursingEvidence-based practice is a time of opportunity for nursing
29 Citations2004Angela Tod, Simon Palfreyman +1 more
It is suggested that a fundamental change in attitude is required by nurses in order for the nursing profession to progress and there is a need to recognize that the nature of health services are changing and that nurses need to grasp the opportunities this makes available, but in order to do this nurses need support.
Journal of Professional NursingThe notion of evidence in evidence-based practice by the nursing philosophy working group
27 Citations2003Donna M. Romyn, Marion Allen +9 more
It is imperative that the nursing profession continue to explore the philosophic perspectives that underscore evidence-based practice and their implications for decision making in nursing practice.
Asia Pacific Journal of Public HealthEvidence-based practice revisited
21 Citations2001GM Leung
The origins and definition of EBP and how clinicians should go about incorporating it into routine practice are described, and reasons for adopting the EBP philosophy are outlined and the way to learn the process described.
Journal of the American Academy of Nurse PractitionersIntegrating the Principles of Evidence‐Based Practice Into Clinical Practice
13 Citations2004Kathleen Klardie, Judith A. Johnson +3 more
The use of interventions selected from CPGs are explored and the potential effects of recommended interventions on patient outcomes are investigated and commonly encountered statistical concepts are reviewed.
Journal of Wound CareClinical governance 1: Evidence-based practice
11 Citations2002Raymond J. Baxter, Helen Baxter
Practitioners have a responsibility to ensure their practice is based on sound clinical evidence and that the care delivered is of a high quality and the best ways of achieving this in the reality of the modern NHS.
BMJ Quality & SafetyRandomised controlled trials in nursing.
10 Citations1997Kate Seers, Ruairidh Milne
The role of RCTs and other types of research design in evaluating all aspects of nursing care must be considered as must the need to review systematically the current state of knowledge.
Clinical journal of oncology nursingEvidence-Based Practice and Research Methodologies: Challenges and Implications for the Nursing Profession
5 Citations2003Diane Cope, Gwen Wyatt
Research methods for evidencebased practice are explored and their applications and implications for nursing research and evidence-based practice in nursing are discussed.