Cleary (2014) EBP in PMHN.pdf - Guest Editorial The “Buzz” About Evidence-Based Practice in Psychiatric-Mental Health Nursing I nterest in the

Cleary (2014) EBP in PMHN.pdf - Guest Editorial The...

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Guest Editorial I nterest in the implementation of evidence-based practice (EBP)— considered the “gold standard” in changing practice—has continued to grow. Typically, EBP is reflected in our professional codes, standards of practice, and organizational mission, and managers/leaders, academians, researchers, and policy makers are actively promoting EBP to improve consumer outcomes and facilitate staff accountability. So what are the implications for clinical nurses, and how implementable is EBP in every- day practice? EBP involves the integration of the current best available research evidence with clinical expertise and patient values to facilitate clinical decision making (Roe & Whyte- Marshall, 2012; Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996). Custom, authority, expert opinion, and ritual are no longer acceptable or defensible for clinical decision mak- ing, and there is an expectation that the latest research evidence will in- form practice (Rice, 2008b). Further, the values and preferences of patients must also be taken into account. When viewed this way, EBP can be seen as a clinical strategy for problem solving, with an emphasis on identifying the best available research evidence and integrating this so that clinicians can have “confidence that they are provid- ing the highest care to meet the needs of patients and their families” (Roe & Whyte-Marshall, 2012, p. 177). Developing skills and expertise for searching the literature for current ev- idence is important, as is framing the search question. For clinical nurses, however, finding the time to appraise the evidence can be challenging, and specialist skills may be required to evaluate the evidence. Approximately 2 decades ago (1995), it was estimated that medical practitioners would need to read 17 articles per day to remain up-to-date with all the “evidence”
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