Welcome to Open Science
Contact Us
Home Books Journals Submission Open Science Join Us News
Evidence-Based Decision Making in Nursing: A Concept Analysis
Current Issue
Volume 5, 2018
Issue 1 (January)
Pages: 1-7   |   Vol. 5, No. 1, January 2018   |   Follow on         
Paper in PDF Downloads: 127   Since Jan. 8, 2018 Views: 1654   Since Jan. 8, 2018
Authors
[1]
Catherine Haulesi Chiwaula, Directorate of Nursing and Midwifery Services, Ministry of Health Head Quarters, Lilongwe, Malawi.
Abstract
Low implementation of evidence based decision making (EBDM) among nurses in Malawi pauses a great risk for effective nursing care delivery. This compromises provision of safe, effective and quality care. The purpose of this concept analysis (CA) was to clarify the concept of EBDM to promote mutual understanding among nurses and provide precise operational definition in nursing care delivery. Walker and Avant’s strategic method of CA was used to analyse EBDM concept. The framework comprised of seven steps: selecting the concept; determining the aims of the analysis; identifying uses of the concept; determining, defining attributes; constructing a model, borderline and contrary case; identifying antecedents and consequences, and defining empirical referents. EBDM is defined as the process of applying research evidence in combination with clinical expertise in making nursing care decisions while integrating patients’ desires. EBDM comprises of the following attributes: gathering evidence; interpreting evidence and applying what has been learned from evidence in making nursing care decisions. Prior to EBDM, antecedents are: an answerable clinical question, availability of evidence and necessary equipment, nurses with necessary knowledge, skills and confidence to access evidence. This will eventually lead to anticipated consequences like: safe, effective, cost-effective, quality care which can lead to desired patient outcomes. In conclusion, this analysis has clarified the definition and the approach to EBDM as: gathering evidence; interpreting evidence and applying what has been learned from evidence in making nursing care decisions. However, further studies are needed to try out the actual EBDM process and its attributes.
Keywords
Evidence Based Practice, Evidence Based Decision Making, Evidence Informed Decision Making, Concept Analysis
Reference
[1]
Laibhen-Parkes N. Evidence-Based Practice Competence: A Concept Analysis. International journal of nursing knowledge. 2014 Oct 1; 25 (3): 173-82.
[2]
Stokke K, Olsen NR, Espehaug B, Nortvedt MW. Evidence based practice beliefs and implementation among nurses: A cross-sectional study. BMC nursing. 2014 Mar 25; 13 (1): 8.
[3]
Dalheim A, Harthug S, Nilsen RM, Nortvedt MW. Factors influencing the development of evidence-based practice among nurses: a self-report survey. BMC health services research. 2012 Oct 24; 12 (1): 367.
[4]
Gerrish K, Ashworth P, Lacey A, Bailey J. Developing evidence-based practice: experiences of senior and junior clinical nurses. Journal of advanced nursing. 2008 Apr 1; 62 (1): 62-73.
[5]
Melnyk BM, Gallagher-Ford L, Thomas BK, Troseth M, Wyngarden K, Szalacha L. A Study of Chief Nurse Executives Indicates Low Prioritization of Evidence‐Based Practice and Shortcomings in Hospital Performance Metrics Across the United States. Worldviews on Evidence‐Based Nursing. 2016 Feb 1; 13 (1): 6-14.
[6]
Boström AM, Ehrenberg A, Gustavsson JP, Wallin L. Registered nurses' application of evidence-based practice: a national survey. Journal of evaluation in clinical practice. 2009 Dec 1; 15 (6): 1159-63.
[7]
Agbedia C, Okoronkwo I, Onokayeigho E, Agbo MA. Nurses’ perspective of the research-practice gap in nursing. Open Journal of Nursing. 2014 Feb 7; 4 (02): 95.
[8]
Corluka A, Cohen M, Lanktree E, Larocque R. Uptake and impact of research for evidence-based practice: lessons from the Africa Health Systems Initiative Support to African Research Partnerships. BMC health services research. 2014 May 12; 14 (1): I1.
[9]
Forland F, Rohwer AC, Klatser P, Boer K, Mayanja-Kizza H. Strengthening evidence-based healthcare in Africa. Evidence-based medicine. 2013 Dec 1; 18 (6): 204-6.
[10]
World Health Organization. Health Information, Research, Evidence and Knowledge. 2010 - 2014. Available at: http://www.aho.afro.who.int/profiles_information/index.php/Malawi:Health_information,_research,_evidence_and_knowledge
[11]
Stevens K. The impact of evidence-based practice in nursing and the next big ideas. OJIN: The Online Journal of Issues in Nursing. 2013 May 31; 18 (2): 1-3.
[12]
Titler MG. The evidence for evidence-based practice implementation. 2008.
[13]
Walker LO, Avant KC. Strategies for theory construction in nursing. 2005.
[14]
Yazdani S, Hosseini F, Ahmady S. System based practice: a concept analysis. Journal of advances in medical education & professionalism. 2016 Apr; 4 (2): 45.
[15]
Baldwin MA, editor. Concept analysis as a method of inquiry: Many researchers begin their studies without clearly defined concepts. Moyra Ann Baldwin explains why researchers need to consider what it is they’re researching using concept analysis before starting work. Nurse researcher. 2008 Jan 1; 15 (2): 49-58.
[16]
Dictionary O. Oxford dictionaries: Language matters.
[17]
Bradt DA. Evidence-based decision-making (part 1): Origins and evolution in the health sciences. Prehospital and disaster medicine. 2009 Aug; 24 (4): 298-305.
[18]
Mosby's Medical Dictionary, 9th edition. 2009.
[19]
Tiffen J, Corbridge SJ, Slimmer L. Enhancing clinical decision making: development of a contiguous definition and conceptual framework. Journal of Professional Nursing. 2014 Oct 31; 30 (5): 399-405.
[20]
Fineout-Overholt E, Melnyk BM, Schultz A. Transforming health care from the inside out: advancing evidence-based practice in the 21st century. Journal of Professional Nursing. 2005 Dec 31; 21 (6): 335-44.
[21]
Canadian Best Practice Portal. Evidence-Informed Decision-Making: Information and Tools. 2014 Available at: http://cbpp-pcpe.phac-aspc.gc.ca/resources/evidence-informed-decision-making/
[22]
Forrest JL, Overman P. Keeping Current: A Commitment to Patient Care Excellence through Evidence Based Practice. American Dental Hygienists Association. 2013 Jan 1; 87 (suppl 1): 33-40.
[23]
Forrest JL, Miller SA. Translating evidence-based decision making into practice: EBDM concepts and finding the evidence. Journal of Evidence Based Dental Practice. 2009 Jun 30; 9 (2): 59-72.
[24]
Hmurovich J. Understanding Evidence: Evidence Based Decision-making Summary President & CEO, Prevent Child Abuse America. 2012 Available at: https://vetoviolence.cdc.gov/apps/evidence/ docs/EBDM_82412.pdf 20/3/2017
[25]
Public Health agency of Canada. (2017) Evidence Informed Decision Making: Building capacity for evidence-informed public health. 2017 Available at from: http://www.nccmt.ca/uploads/media /media/0001/01/4504c27e14836059b8fd3ce3b3eaac2ed2ce6edd6.pdf
[26]
Ciliska D. Introduction to Evidence-Informed Decision Making. 2012. Canadian institute for health research.
[27]
Biesta G. Why “what works” won’t work: Evidence‐based practice and the democratic deficit in educational research. Educational theory. 2007 Feb 1; 57 (1): 1-22.
[28]
Majid S, Foo S, Luyt B, Zhang X, Theng YL, Chang YK, Mokhtar IA. Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers. Journal of the Medical Library Association: JMLA. 2011 Jul; 99 (3): 229.
[29]
Melnyk BM, Fineout-Overholt E, Gallagher-Ford L, Kaplan L. The state of evidence-based practice in US nurses: critical implications for nurse leaders and educators. Journal of Nursing Administration. 2012 Sep 1; 42 (9): 410-7.
[30]
Panagiari D. Barriers and Facilitators for implementing evidence-based practice among German nurses working in a general hospital (Master's thesis, University of Twente).
[31]
Correa-de-Araujo R. Evidence-based practice in the United States: Challenges, progress, and future directions. Health care for women international. 2016 Jan 2; 37 (1): 2-2.
[32]
Ellen ME, Léon G, Bouchard G, Lavis JN, Ouimet M, Grimshaw JM. What supports do health system organizations have in place to facilitate evidence-informed decision-making? A qualitative study. Implementation Science. 2013 Aug 6; 8 (1): 84.
[33]
Peirson L, Ciliska D, Dobbins M, Mowat D. Building capacity for evidence informed decision making in public health: a case study of organizational change. BMC Public Health. 2012 Feb 20; 12 (1): 137.
[34]
Duke University. Introduction to Evidence- Based Practice: What is Evidence-Based Practice (EBP). 2017 Available at: http://guides.mclibrary.duke.edu/ebmtutorial
[35]
Cummings GG, Hutchinson AM, Scott SD, Norton PG, Estabrooks CA. The relationship between characteristics of context and research utilization in a pediatric setting. BMC health services research. 2010 Jun 16; 10 (1): 168.
[36]
Estabrooks CA, Midodzi WK, Cummings GG, Wallin L. Predicting research use in nursing organizations: a multilevel analysis. Nursing research. 2007 Jul 1; 56 (4): S7-23.
[37]
Thompson CJ. What Does “Clinical Expertise” Mean in Evidence-Based Practice. 2016 December 27. Available at https://nursingeducationexpert.com/what-does-clinical-expertise-mean-ebp/
[38]
Supplee L. H. Interpreting Evidence for Policy and Practice. Available at https://www.acf.hhs.gov/sites/default/files/cb/es2011_session_215.pdf
[39]
OPHLA. Critical Appraisal of Research Evidence: A Guide from the Ontario Public Health Libraries Association. Available at http://ophla.ca/pdf/CriticalAppraisal ResearchEvidenceApril2014.pdf
[40]
Cooper H, Hedges LV, Valentine JC, editors. The handbook of research synthesis and meta-analysis. Russell Sage Foundation; 2009 Feb 5.
[41]
Langer L, Tripney J, Gough D. The science of using science: researching the use of Research evidence in decision-making. UCL Institute of Education, EPPI-Centre; 2016.
[42]
Mohsen MM, Safaan NA, Okby OM. Nurses’ perceptions and barriers for adoption of evidence based practice in primary care: Bridging the gap. American Journal of Nursing Research. 2016 Jul 5; 4 (2): 25-33.
[43]
Agbedia C, Okoronkwo I, Onokayeigho E, Agbo MA. Nurses’ perspective of the research-practice gap in nursing. Open Journal of Nursing. 2014 Feb 7; 4 (02): 95.
[44]
Ajani K, Moez S. Gap between knowledge and practice in nursing. Procedia-Social and Behavioural Sciences. 2011 Jan 1; 15: 3927-31.
[45]
Mohsen MM, Safaan NA, Okby OM. Nurses’ perceptions and barriers for adoption of evidence based practice in primary care: Bridging the gap. American Journal of Nursing Research. 2016 Jul 5; 4 (2): 25-33.
[46]
Brown CE, Wickline MA, Ecoff L, Glaser D. Nursing practice, knowledge, attitudes and perceived barriers to evidence‐based practice at an academic medical center. Journal of advanced nursing. 2009 Feb 1; 65 (2): 371-81.
[47]
Proctor EK, Knudsen KJ, Fedoravicius N, Hovmand P, Rosen A, Perron B. Implementation of evidence-based practice in community behavioral health: Agency director perspectives. Administration and Policy in Mental Health and Mental Health Services Research. 2007 Sep 1; 34 (5): 479-88.
[48]
Shaibu S. Evidence-based nursing practice in Botswana: issues, challenges, and globalization. Primary Health Care Research & Development. 2006 Oct; 7 (4): 309-13.
[49]
Black AT, Balneaves LG, Garossino C, Puyat JH, Qian H. Promoting evidence-based practice through a research training program for point-of-care clinicians. The Journal of nursing administration. 2015 Jan; 45 (1): 14.
[50]
Melnyk BM, Fineout-Overholt E, Mays MZ. The evidence-based practice beliefs and implementation scales: psychometric properties of two new instruments. Worldviews on Evidence-Based Nursing. 2008 Dec 1; 5 (4): 208-16.
[51]
Young T, Garner P, Clarke M, Volmink J. Series: Clinical Epidemiology in South Africa. Paper 1: Evidence-based health care and policy in Africa: past, present, and future. Journal of clinical epidemiology. 2017 Mar 31; 83: 24-30.
Open Science Scholarly Journals
Open Science is a peer-reviewed platform, the journals of which cover a wide range of academic disciplines and serve the world's research and scholarly communities. Upon acceptance, Open Science Journals will be immediately and permanently free for everyone to read and download.
CONTACT US
Office Address:
228 Park Ave., S#45956, New York, NY 10003
Phone: +(001)(347)535 0661
E-mail:
LET'S GET IN TOUCH
Name
E-mail
Subject
Message
SEND MASSAGE
Copyright © 2013-, Open Science Publishers - All Rights Reserved