Download Evidence-based clinical practice in nursing and health care by Alan Pearson, John Field, Zoe Jordan PDF

By Alan Pearson, John Field, Zoe Jordan

Evidence-Based scientific perform in Nursing and Healthcare examines the Joanna Briggs Institute version for evidence-based perform which recognises study, concept and perform as assets of proof and takes a realistic method of constructing, enforcing and comparing perform, in line with 'evidence' in its broadest sense.

Evidence-based medical perform in Nursing and Healthcare addresses the character of proof in scientific perform, producing and synthesising facts, and moving and employing facts in scientific perform. It describes the improvement of perform info sheets and medical instructions and offers useful counsel at the implementation of evidence-based perform and its review utilizing medical audit.

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Clinicians argue that the nature of everyday practice demands an eclectic, pragmatic approach to conceptualising evidence. The ‘consumers’ of systematic reviews – those who practice within the health system – regard the opinion of experts and the views of experienced clinicians and their professional bodies as valid forms of evidence for practice. This is so particularly when some intervention or activity is required in practice, even though no evidence from research exists to indicate what, if any, intervention or activity will be most effective.

Evidence of ‘meaningfulness’ Meaningfulness is the extent to which an intervention or activity is positively experienced by the patient. Meaningfulness relates to the personal experience, opinions, values, thoughts, beliefs and interpretations of patients or clients. Evidence of ‘effectiveness’ Effectiveness is the extent to which an intervention, when used appropriately, achieves the intended effect. Clinical effectiveness is about the relationship between an intervention and clinical or health outcomes.

Thus, evidence for practice takes many forms, and relates to the four practice interests of health practitioners. Feasibility, appropriateness, meaningfulness and effectiveness The term ‘evidence’ is generally used to mean the basis of belief; the substantiation or confirmation that we need in order to believe that something is true. When used in relation to clinical practice, health professionals seek evidence to substantiate the worth of a very wide range of activities and interventions. This means that in each case the type of evidence needed will depend upon the nature of the activity and its purpose.

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