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Article
Navigating the Evidence-based Practice Maze
Journal of Nursing Management (2008)
  • Kathy Hudson
  • Gloria Duke
  • Barbara K Haas, University of Texas at Tyler
  • Gayle Varnell
Abstract
Aim This article's purpose is to provide nurses with key points to consider in facilitating informed decision making while navigating the evidence-based practice (EBP) maze. Background EBP in nursing evolved from the medical model and continues developing within the holistic nursing paradigm. Inconsistent terminology, multiple applications, and lack of a unifying theory create challenges for nurses. Key issues Recognition that multiple knowledge sources to support clinical decision making have merit for facilitating 'best' patient outcomes; EBP must be an internalized value of professional nursing. Conclusions Multiple ways of knowing, or evidence, for informed clinical decision making must be considered based on situational context. No hierarchy fits all situations. Nurses must provide support and resources to facilitate nurse empowerment; nurses are accountable for using EBP to enhance patient outcomes. Implications for nursing management Effective EBP implementation relies on nurses being cognizant of what current nursing EBP trends are based on and where they are going. Nurses have a key role in facilitating consensus regarding evidence to be used in EBP, and ensuring availability of resources for empowering nurses to be accountable for outcome-oriented patient care through utilizing EBP.
Keywords
  • clinical nursing research,
  • nurse administrators,
  • nurses,
  • evidence-based nursing practice
Disciplines
Publication Date
May, 2008
DOI
http://dx.doi.org/10.1111/j.1365-2834.2008.00860.x
Publisher Statement
First published in the Journal of Nursing Management.
Citation Information
Kathy Hudson, Gloria Duke, Barbara K Haas and Gayle Varnell. "Navigating the Evidence-based Practice Maze" Journal of Nursing Management Vol. 16 Iss. 4 (2008) p. 409 - 416 ISSN: 09660429
Available at: http://works.bepress.com/barbara-haas/35/