Nurses strive for evidence based practice according to Gray et al 2016 Evidence based

Nurses strive for evidence-based practice, according to Gray et al (2016).  Evidence-based practice includes appraising studies critically, synthesizing research finding, and the sound evidence into practice.  Studies are also appraised critically in selected areas, according to Gray et al (2016).  They develop summaries of current knowledge and identify areas to study subsequently.  Critically appraised research is needed for all nursing skill (Gray et al, 2016).  Critical appraisal involves careful examination of research to judge the strengths, limitations, meaning, trustworthiness, and practice applicability (Gray et al, 2016).

According to Smith-Strom et al (2008), training students in evidence-based practice should include three steps: formulate a question, search the evidence, and appraise the evidence critically (Smith-Strom et al, 2008).

Nurses need to know how to do this to secure the best care for patients.  Patients and their family demand that nurses have the best, up to date evidence for their care (Smith-Strom, 2008).  Decisions must be based on the best evidence available.  One way to ensure nurses are prepared is to train them while in school on evidence-based practice (Smith-Strom, 2008).

Clinical significance and credibility have an influence in every area nursing.  I work with patients who have a need in post-settings.  I must make decisions for patients in acute settings based on clinical significance.  I must use evidence-based information to help me make the best decision for their post-acute setting and discharge plans.  There are a variety of settings for post- acute care such as nursing homes, rehabilitation facilities, and home health agencies (Bryant et al, 2004).  Measuring outcomes of evidence- based practice helps implement changes that are designed to improve patient outcomes and care process (Bryant et al, 2004).