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Evidence-based nursing (EBN) is an approach to making quality decisions and providing nursing care based upon personal clinical expertise in combination with the most current, relevant research available on the topic. This approach is using evidence-based practice (EBP) as a foundation.
Nursing research is research that provides evidence used to support nursing practices. Nursing, as an evidence-based area of practice, has been developing since the time of Florence Nightingale to the present day, where many nurses now work as researchers based in universities as well as in the health care setting.
The STAR Model is composed of five major stages: knowledge discovery, evidence summary, translation into practice recommendations, integration into practice, and evaluation. The model is one of the most commonly used frameworks that have shaped evidence-based nursing. [2]
Evidence-based practice is the idea that occupational practices ought to be based on scientific evidence.The movement towards evidence-based practices attempts to encourage and, in some instances, require professionals and other decision-makers to pay more attention to evidence to inform their decision-making.
The nursing process uses clinical judgement to strike a balance of epistemology between personal interpretation and research evidence in which critical thinking may play a part to categorize the clients issue and course of action. Nursing offers diverse patterns of knowing. [5] Nursing knowledge has embraced pluralism since the 1970s. [6]
Evidence-based assessment is a component of the broader movement towards evidence-based practices. The concept of evidence-based assessment originated in the field of medicine , [ 3 ] and has since been adopted in several other disciplines, notably clinical psychology .
The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 8(2), 4. (open access) Stevens, K. R. (2011). National Institute of Nursing Research has widened the Flue Highway of translation research [Letter]. Research & Theory for Nursing Practice: An International Journal. 25(3), 157–159.
The GRADE approach separates recommendations following from an evaluation of the evidence as strong or weak. A recommendation to use, or not use an option (e.g. an intervention), should be based on the trade-offs between desirable consequences of following a recommendation on the one hand, and undesirable consequences on the other.