Funneling evidence into practice

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Every day in their practice settings, nurses encounter questions, problems, and patient needs that require effective clinical decision making for appropriate intervention. To address these situations, nurses have historically applied knowledge and skills acquired from various mechanisms, including healthcare instruction, ritual and tradition, and personal choice.1
In the early 2000s, a call for greater clinical effectiveness (outcomes) required healthcare providers to enhance their knowledge and skills by incorporating research-based evidence into decision making instead of relying only on what they already knew or had seen others doing. However, because evidence-based practice (EBP) wasn't fully included in nursing curricula until 2003, many tenured, experienced practicing nurses may be novices at utilizing EBP as a component of their practice.2 Tenured nurses' lack of knowledge or understanding of the EBP process may result in a shortage of strong role models for EBP skills development as a component of new nurses' professional nursing practice.
This article reviews the evolution of evidence-based nursing practice and provides a stepwise EBP process for integrating best practices into daily nursing care.
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