Worldviews on evidence-based nursing
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Worldviews Evid Based Nurs · Jun 2014
ReviewKnowledge translation strategies for enhancing nurses' evidence-informed decision making: a scoping review.
Nurses are increasingly expected to engage in evidence-informed decision making (EIDM); the use of research evidence with information about patient preferences, clinical context and resources, and their clinical expertise in decision making. Strategies for enhancing EIDM have been synthesized in high-quality systematic reviews, yet most relate to physicians or mixed disciplines. Existing reviews, specific to nursing, have not captured a broad range of strategies for promoting the knowledge and skills for EIDM, patient outcomes as a result of EIDM, or contextual information for why these strategies "work." ⋯ There are a sufficiently high number of studies to conduct a more focused systematic review by care settings, study design, implementation strategies, or outcomes. A focused review could assist in determining which strategies can be recommended for enhancing EIDM knowledge, skills, and behaviours among nurses in tertiary care.
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Worldviews Evid Based Nurs · Jun 2014
ReviewNutrition support protocols and their influence on the delivery of enteral nutrition: a systematic review.
Malnutrition remains prevalent in critically ill adults and is associated with poor outcomes and increased cost of hospitalization. ⋯ The use of a nutrition support protocol appears to increase the efficacy of enteral nutrition delivery. Further research is needed to determine the effect of increased enteral nutrition adequacy on patient outcomes. The use of an evidenced-based protocol is recommended to improve protein and energy delivery in the critically ill.