“The impact of evidence-based practice in nursing and the next big ideas” is the article written by Kathleen Stevens, professor and director of the ACE and ISRN. This work was published in The Online Journal of Issues in Nursing. It is a qualitative study, historical research, in particular, that focuses on the evidence-based practice movement and its influence on different spheres of nursing such as practice, education, and science.
The purpose of this article is to underline “some of the responses and initiatives that those in the profession of nursing have taken to maximize the valuable contributions that nurses have made, can make, and will make, to deliver on the promise of EBP” (Stevens, 2013).
The author claims that evidence-based practice has a great influence on nursing practice, models and frameworks, education and research. On the basis of federal initiatives, she describes forthcoming concepts in evidence-based practice.
The paper deals with the educational-based practice movement and its influence on nursing. It is said that this practice is targeted at the enhancing of healthcare outcomes and the care process itself by dint of utilizing research evidence in the sphere into decision-making. Evidence-based practice is based on the quality of healthcare, which involves three main elements:
- Services
- Intended outcomes
- Research evidence
Thus, it may be understood that the aim of quality is the cohesiveness of interventions and evidence. The gap between them occurred to be the reason for the beginning of the evidence-based movement. A range of positive changes made due to this movement is undeniable. The nurses started to think about the results of the studies and participated in the enhancing of healthcare. Unfortunately, they still face difficulties, as a carefully thought up plan is needed before utilizing evidence-based intervention.
To deepen into the aspects of evidence-practice and realize all its peculiarities, a number of models and frameworks were created. The ACE Star Model of Knowledge Transformation “explains how various stages of knowledge transformation reduce the volume of scientific literature and provide forms of knowledge that can be directly incorporated in care and decision making” (Stevens, 2013).
It was reported that nurses are not taught to provide the patients with high-quality healthcare. That is why the concepts of evidence-based practice were implemented, and Teaching IOM was created.
Nursing researches tend to bring current knowledge into practice. Thus, new scientific fields occur, such as health delivery systems science, and studies, such as patient-centered outcomes research.
Federal initiatives are also associated with the evidence-based practice. They focus on the utilizing knowledge that the nurses receive by dint of quality enhancing. The first is NIH’s expansion of “the program on Dissemination and Implementation science; the second is the development of the research network, the Improvement Science Research Network” (Stevens, 2013).
On the basis of the gained information, the author considers opportunities and challenges that the professionals are likely to face.
Thus, the study considers the evidence-based practice regarding nursing practice, models and frameworks, education, research and federal initiatives.
The author did her study on the basis of the literature review. She evaluated valid sources to examine the influence of evidence-based practice and consider opportunities and challenges.
Her findings are significant to nursing as the author described the changes that were made in various spheres, such as nursing practice, education and research, which was mentioned above. Kathleen Stevens does not provide any recommendations for further research.
The limitations of this study include the sphere of nursing (practice, models and frameworks, education), which is considered only in connection with evidence-based practice.
Reference
Stevens, K. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2), 4. Web.
