Evidence-based practice: fad or functional paradigm?
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Biomedical subjects
Publications and source records attributed to G A DeBourgh.
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Evidence-based practice is emerging as a widely accepted paradigm for contemporary professional nursing practice. Institutions and providers of healthcare services are adopting this framework to guide the structure, process, and outcomes of patient care delivery. Advanced practice nurses are ideally prepared and positioned within healthcare delivery systems to champion the integration of this practice as a model for evidence-based patient care. This article highlights opportunities and suggests strategies for advanced practice nurses to serve as catalysts for optimizing patient care through evidence-based practice.
With increasing interest in evidence-based healthcare, nurses are finding the need to improve skills in locating current, valid evidence to support clinical practice. Because of the holistic nature of nursing, gathering evidence requires searching a variety of sources within many different scientific disciplines. The diverse nature of this task requires effective skills for finding information from both print and electronic sources. This article identifies informational databases available to advanced practice nurses, reviews search terminology, and suggests practical strategies for successful database searches in support of evidence-based practice.
Course management software (WebCT Lynnfield, MA) can be used to link baccalaureate nursing students, the instructor, and the course content to build professional community and develop clinical knowledge. Communication, collaboration, coaching, and cognitive apprenticeship strategies are integrated into the infrastructure of a clinical nursing course to support the transition from student to novice nursing practitioner