Hong Kong Emergency Nurses Association 香港急症科護士學會

19
Jun

Evidence Based Practice

The concept of Evidence-based practice in nursing is not new. It has been implemented in other countries for over several decades. In Hong Kong, although, we have talked about evidence-based nursing for many years, there is very little impact on our daily nursing practice. By the development of advanced practice role in the field, independent decision making is expected to be one of the key attributes of this role. Advanced practice nurses should take their accountability of clinical decisions and make reasonable nursing actions. Evidence-based decision making is an approach that can serve to meet this aim.

When talking about evidence-based practice, what is the first thought come up in your mind? Is that about clinical research? Or is it about complicated statistics and critical appraisal? However, don’t forget that clinical research evidence is only one of the components of evidence-based practice. The aim of evidence-based practice is the integration of clinical expertise, patient preference for alternative form of care, clinical evidence, and available resources to provide us a new insight and a better solution in patient problem management. Sometimes we can note that in some clinical situations your clinical expertise and patient preference may override other components for a given decision.

In order to enhance your own knowledge and skills in evidence-based practice, we suggest that you should:

  1. Understand what evidence-based practice is and have your own standpoints before you are trying to accept or reject this approach.
  2. Develop critical thinking and explore the knowledge-practice gap in your clinical area.
  3. Start to master skills that help you to find out sources of clinical information you needed.
  4. Don’t look down on yourself. Evidence-based practice can be implemented by you!

It’s time to equip yourself to be an independent clinical decision maker. Listed below are some recommended articles that may help to broaden your insight on the implementation of evidence-based practice in your clinical area

List of interesting journals reviewed

  • Kathryn, Z & McCutcheon, H (2003) Evidence-based practice: To be or not to be, this is the question!
    International Journal of Nursing Practice 9(5), pp. 272-279.
    The author used an example of vital signs collection to critically analysis issues on implementation of evidence-based practice, and identified some essential factors that help to achieve best practice. This article brings us a good reflection on our daily regular practice. A long article, but it is worth reading.
  • Ciliska, D. (1998) Implementating evidence-based nursing: some misconceptions.
    Evidence-Based Nursing 1(2), pp. 38-40.
    This article has been published 10 years ago but the concepts inside the article are still applicable to our practice. The author was trying to criticize some misunderstandings about evidence-based practice. She indicated that evidence based practice is not “Cookbook” nursing and each research design has its own strengths and limitations. It is easy to read.
  • Thompson, D. N. & Bernardo, L. M. (2008) Reflection: An essential element of evidence-based practice.
    Journal of Emergency Nursing 34(3), pp. 246-248.
    Reflection is an important element of nursing practice. The authors reminded us a treasure that actually is embedded in our daily clinical life. Make good use of it!! This is a highly recommended article.
  • Hoss, B & Hanson, D. (2008) Evaluating the evidence: Web Sites.
    AORN Journal 87(1), pp. 124-141.
    If you are frequently searching clinical evidence on the web, this is a good article to tell you how to evaluate the accuracy of the clinical information in the internet world. Moreover, you can find some useful and credible evidence-based web sites in this article.
  • Critical appraisal of the journal literature (University of Kent)
    A useful web site guiding you to appraise different types of research articles step by step, and it also includes information on how to appraising qualitative study.