The evolution of evidence-based practice.pdf - Nursing...

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Nursing ManagementBy Nancy Robert, PhD, MBA-The evolution of14September 2019• Nursing Management 50th AnniversaryCopyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
Nursing ManagementBA-DSS, BSNevidence-based practiceBy Amy McMenamin, BSN, RN, CEN; Carolyn Sun, PhD, RN,ANP-BC; Patricia Prufeta, DNP, RN, NEA-BC;and Rosanne Raso, MS, RN, NEA-BC, FAANWhen the first issue ofSupervisorNursewas published, Apollo 11 andWoodstock were still fresh in everyone’sminds. Although the term evidence-based practice (EBP) didn’t exist then,EBP can most certainly be traced back to none otherthan Florence Nightingale in the 1850s. Her bookNotes on Nursingclearly reflects an evidence-basedframework.1During the Crimean War, 10 times as many sol-diers died from disease as from their wounds onthe battlefield, which Nightingale attributed to thedeplorable conditions in the hospital, documentingher use of hot water and soap in patient care andpresenting statistics to predict patient morbidityand mortality.2Another example of Nightingale’sEBP is her landmark study on increased maternalmortality from puerperal fever.3Nightingale understood the importance of pre-senting data in color to make her points clearly sothe necessary changes could be made to public pol-icy. She was ahead of her time in the use of tables,pie charts, and bar graphs.3She championed the ideaof creating a statistical department to track mortalityand disease, advocating to standardize the way hos-pitals collected data so outcomes could be comparedby hospital, region, and country.3,4Nightingale’s pro-posal to the government was considered the “firstmodel of systematic collection of hospital data,” anauspicious beginning to EBP in nursing.3The evidence base for nursing practice has acceler-ated at a steady rate since Nightingale’s time. Oneof the first articles that addressed EBP inNursingManagement,“About Evidence-Based Nursing Prac-tice,” was published in 1999.5The author, MarjorieBeyers, PhD, RN, FAAN, discussed the benefits andrequirements of implementing an EBP nursing model.Benefits included improved quality of patient care,enhanced nursing skills to define problems and evalu-ate research/evidence, and the development of nurses’skills to embrace new technologies. RequirementsNursing Management 50th Anniversary •September 201915Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
16September 2019• Nursing Management 50th AnniversaryNursing Managementwere organizational commitment to review, appraise,and apply research to change practice, includingresources such as nurse experts and researchers toaccess evidence, disseminate information, and guidepatient care to achieve the best outcomes. In this work,we see the solid beginning of EBP inNursing Manage-ment20 years ago. EBP implies a foundation of anever-expanding knowledge base, which begs the ques-tion: How do we “know” and how does that knowl-

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