![]() It requests a major overhaul of our healthcare system. In 2001, the Institute of Medicine (National Academy of Medicine as of 2015) released a report titled Crossing the Quality Chasm: A New Health System for the 21st Century. Why Is Evidence-Based Practice Necessary? ![]() Sharing clinical experiences with colleagues.Assessing the outcome of implementing evidence-based practice.Integrating the evidence with clinical expertise and patient preferences to make the best decision.Critically appraising the evidence to determine its value.Searching for the best evidence to answer the question.Asking a focused, searchable, clinical question designed to find the best data in an efficient manner.Cultivating a spirit of inquiry and evidence-based practice culture.The Handbook of Behavioral Medicine describes evidence-based practice as a seven-step process that includes the following: Instead of basing care and treatments plans on past experiences, anecdotal evidence and outdated textbooks, nurses can instead rely on research and knowledge. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” As the authors of Evidence-Based Practice in Nursing explain, it is a tool nurses can use to provide the best possible care for their patients. Sackett and his colleagues described evidence-based practice as the “conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. Sackett was also responsible for proving aspirin’s value in preventing heart attacks and strokes. An early advocate of evidence-based practice, Dr. There are various definitions of “evidence-based practice,” but many accept David Lawrence Sackett’s interpretation. For instance, according to McDonald, the best possible research, statistics and expertise influenced Florence Nightingale’s work. As clinicians realized the value of incorporating scientific evidence into their own decision-making processes, the term evolved to “evidence-based practice.” Although the term first appeared in the 20th century, Lynn McDonald, writing for BMJ, theorizes that it has been in use since the 19th century. The term “evidence-based medicine” emerged in the 1980s as way to define how the use of scientific evidence can help determine best patient care practices, according to the authors of Evidence-Based Practice in Nursing: A Guide to Successful Implementation. During a time of unprecedented healthcare system change and growth, it is essential that nurses use strong critical thinking skills and the best available scientific research. Based on the judicious use of scientific evidence, evidence-based practice provides nurses with a reliable method for ensuring the best possible patient outcomes. Nurses must increasingly incorporate evidence-based practice into their care routines.
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