The experienced staff nurse complains that use of evidence-based practice (EBP) guidelines has "reduced nursing to a cookbook profession." What is meant by this comment?
1. Some people believe that the guidelines are too easy to follow and take the challenge out of nursing.
2. Some people believe that the guidelines are written so that they could be followed by anyone, despite their educational level.
3. Some people believe that EBP guidelines are too proscriptive and do not allow for consideration of individual needs.
4. Some people believe that too many factors are left to the interpretation of the person who is reading the guidelines.
3
Explanation: 1. This is not the meaning of "cookbook" in this scenario. The EBP guidelines are not always easy to follow and the profession remains challenging. The challenge is in individualizing the guidelines to the specific patient and situation.
2. This is not the meaning of "cookbook" in this scenario. The guidelines require professional education and clinical decision making. There is no indication that using EBP will reduce the required education level of nurses or that other, less educated persons will have the clinical decision making skills to employ EBP guidelines.
3. The term "cookbook" has been used to complain that using guidelines results in care that is too prescribed and directed. This should not be true of EBP guidelines as they are written to be patient-centered and to be modified to fit the particular patient and patient situation.
4. The purpose of EBP guidelines is to provide the best interventions or treatments to the individual patient, given the individual situation. This does require some interpretation, but the purpose of the guidelines is also to limit this need.
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