Worldviews on evidence-based nursing
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Worldviews Evid Based Nurs · Jan 2004
Multicenter Study Controlled Clinical TrialTranslation research in long-term care: improving pain management in nursing homes.
Pain prevalence in nursing homes remains high, with multiple resident, staff, and physician barriers presenting serious challenges to its improvement. ⋯ Pain is a complex problem in the nursing home setting. Multiple factors must be considered in both the design and implementation of interventions to improve pain practices and reduce pain prevalence in nursing homes.
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Worldviews Evid Based Nurs · Jan 2004
ReviewWeight loss interventions for adult obesity: evidence for practice.
One out of three adults is obese, making obesity the most common presenting chronic medical condition in the primary care setting. Obesity is associated with an increased risk of developing secondary illnesses resulting in a higher rate of morbidity. This chronic condition is a constant challenge facing international health care systems. A need for a systematic approach to treatment is essential to conquering obesity and improving patients' outcomes and quality of lives. Despite the existence of evidence-based guidelines, the proportion of primary care clinicians implementing weight loss counseling is low. ⋯ Finally, the feasibility of applying these findings to practice and the practical implications of these findings are discussed.
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Worldviews Evid Based Nurs · Jan 2004
ReviewOutcomes of adoption: measuring evidence uptake by individuals and organizations.
The translation and diffusion of findings into health care validate the potential of evidence-based innovation to improve clinical practice and affirm the benefits of society's investment in advancing science. ⋯ Efforts to change practice in order to enhance evidence-based patient care must integrate monitoring and evaluation of specific target outcomes of adoption as the basis for validating the impact of the change.
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Worldviews Evid Based Nurs · Jan 2004
ReviewStrategic collaborative model for evidence-based nursing practice.
To describe a model that has been developed to guide nurses and other health professionals in collaborative efforts toward evidence-based nursing practice. ⋯ Barriers in the areas of nursing education and administrative support appear to be major. A need was identified for a pragmatic model that encourages cooperation and collaboration between educators/researchers in academia and the administrative leaders in the clinical facilities if evidence-based nursing practice is to become the norm. FRAMEWORK OF MODEL: The Tyler Collaborative Model is based on an eclectic approach to planned change for creating evidence-based practice. This model identifies a step-by-step process for change, while allowing for the opportunity to integrate any of the previously available methods of critical appraisal to determine the best evidence for practice in each clinical setting.
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Worldviews Evid Based Nurs · Jan 2004
Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: implications for accelerating the paradigm shift.
The paradigm shift to evidence-based nursing practice in the United States has been slow. Although multiple barriers to evidence-based practice (EBP) have been identified through prior studies, there is a gap in the literature specifically identifying key variables (e.g., belief that EBP produces quality outcomes) that are correlated with the extent to which nurses engage in EBP. ⋯ Health care systems need to implement interventions that not only increase nurses' EBP knowledge and skills, but also strengthen their beliefs about the benefit of evidence-based care. EBP mentors may be key in accelerating a more rapid shift toward evidence-based nursing practice. Theoretically driven randomized controlled trials are urgently needed to test the effectiveness of interventions on advancing evidence-based care.