Evidence Based Nursing Practice in Nursing
"Doing the right things right" (Craig & Smyth, 2002, p.4)
Used to improve the experiences associated with health care and illness
Early examples
o Infection control (aseptic technique)
o DVT (deep vein thrombosis) prevention
Development of the EBP Concept
Began with medicine
o Archie Cochran, a British epidemiologist in 1972 published a book criticizing the medical profession for not reviewing medical research studies
o Believed that the strongest evidence came from RCT (randomized clinical trials). RCT are the most strict kind of research design.
A RCT has to have three things:
Control group
Placebo group
Experimental group
o Founded the Cochran Foundation in 1992 after his death
Defined as "the conscientious, explicit and judicious use of current best evidence in making decisions about the health care of patients" (Sackett, et al)
Focused on findings of randomized clinical trials only
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