Evidence based practice dilemma

ESP.. The two most frequently cited barriers to EBPP, however, were a lack of time and an organizational culture that didn’t support it?getting past workplace resistance and the constraining power of the phrase, “That’s the way we’ve always done it here. The key seems to lie in creating a context and support system under which EBPP efforts can be sustained. Nurse Leaders who want to encourage EBPP among their staff, we need to realize that a one- or two-day workshop isn’t likely to cause sustainable change. ” To really make it happen, I believes, nurse leaders need to place enough EBPP mentors at the bedside who can work hand in hand with clinicians to help them earn these skills and implement them consistently.

It would appear that non- evidence-based practice suffers from an inability to either confirm or refute non- maleficent (October 2011, Allan Baseline) How do we know that this treatment doesn’t cause harm? Worse yet, and perhaps more important, non-evidence-based practice suffers from an inability to confirm or refute beneficence. How can we truly stand by the statement that the treatment is serving the best interests of the patient when there is no evidence to substantiate it?

If efficacy isn’t a good enough reason to pursue evidence-based practice, then perhaps the ethics of the issue should provide an even greater need to pursue it. As clinicians, it is our ethical and clinical responsibility to do so – for the benefit of the patient, and for our own professional integrity Reference: Melvyn MM, et al. J Nurse Adam. 2012; 42(9):410-7… JAN, American Journal of Nursing: http://lankiness’s. Com/blob/smart/854-is-non-evidence-based-clinical-practice-an- ethical-dilemma Evidence based practice dilemma By gladdening

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