Nursing practice has been said to have the potential to be increasingly evidence-based in the next ten years. What are the impediments to enacting EBP? (Select all that apply.)
a. A misunderstanding of what EBP is has resulted in mandates and policies; bedside nurses sense that their expertise is being overridden.
b. Only about one-seventh of published nursing research is experimental or quasi-experimental.
c. Systematic reviews and meta-analyses in nursing are limited.
d. Most hospitals do not have computer access to practice evidence.
e. Population-based knowledge may or may not translate to the care of individual patients.
ANS: A, B, C, E
Barriers to the EBP movement have been both practical and conceptual. One of the most serious barriers is the lack of research evidence available regarding the effectiveness of many nursing interventions. Between 2000 and 2006, published research in major journals was only 7% experimental and 6% quasi-experimental; interventional studies are required for EBP. The systematic reviews and meta-analyses conducted in nursing have been limited. Another concern of the EBP movement is that the development of evidence-based guidelines has led to a "cookbook" approach to health care. Health professionals are expected to follow these guidelines in their practice as developed. However, the definition of EBP describes it as the conscientious integration of best research evidence with clinical expertise and patient values and needs.
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