Evidence-based nursing is acknowledged as an attack to nursing attention that guides to heighten patient results. Qouting McEwen ( 2002 ) Kelly L. Penz and Sandra L. Bassenski pointed out that in nursing pattern. formalities. remote. unsystematic clinical experiences and ungrounded sentiments. and traditions as the footing of pattern should be de-emphasized by integrating into clinical pattern evidence-based attack to nursing attention.
In explicating what evidence-based attack agencies. Penz and Bassendowski cited Estabrook’s ( 1998 ) account that evidence-based nursing “is a subject in which nurses make clinical determinations utilizing current best research grounds. which is so blended with sanctioned policies and clinical guidelines. clinical expertness and judgement. and patient preferences” ( Penz & A ; Bassendowski 2006. P 250 ) . In other words. evidence-based nursing pattern is more than merely a research ; it is more than a theory or pattern.
However. evidence-based pattern of nursing is presently capable of argument among nursing bookmans and pedagogues. Gail J. Mitchell ( 1999 ) contends that the construct of evidence-based pattern “is non merely a bare possibility but besides obstructs nursing procedure. human attention. and professional accountability” ( Mitchell 1999. p. 271 ) . Mitchell argued that the utility of the grounds has been “wrongfully cast in the context of legalizing nursing as a profession alternatively of depicting grounds as one possible resource for back uping client’s determination making” ( Mitchell. p. 271 ) .
The Relationship between Theory and Evidenced-Based Nursing Practice
In nursing pattern. theory is a form of cognizing. Jacqueline Fawcett noted that theory comes from Grecian wordtheoria. “To see” which means to uncover phenomena that is antecedently hidden from our consciousness and attending. Deborah Upton ( 1999 ) pointed out that theory. pattern. and research identify the scientific discipline of nursing. Upton emphasized that theories embrace nursing as a scientific discipline. which. in the instance of evidence- based pattern. the basic dogma is on sound information anchored on research findings and scientific development.
Fawcett pointed out that theories constitute much of the cognition of a subject and theory and experiences are the lenses through which we conduct enquiry. The result of the enquiry comprises the grounds that finds out the adequateness of the theory. In nursing pattern. theory guided pattern means the traditional scientific attack to clinical attention while in evidence-based pattern a nurse can make up one’s mind on the relevancy of the grounds for the patient attention.
Harmonizing to Penz and Baseendowski evidence-based pattern fills the spread between theory. research. and pattern. It means that theory entirely or grounds entirely is deficient footing of clinical attention. but uniting the two make a utile clinical attack that has possible “to better patient attention in all clinical pattern setting” ( Penz & A ; Bassendowski p. 251 ) . The relationship therefore of theory and evidence-based nursing pattern is that evidence-based pattern absorbed theories and integrating it including research. patient’s penchants. and other approved guidelines of the clinical pattern.
Penz and Bassendowski noted the survey of Alligood and Tomey ( 2002 ) proposing that theoretical cognition when blended into the pattern of nursing. consequences to enhanced professional liberty. Alligood and Tomey pointed out that when nursing theory is used to direct clinical sentiment and determination devising. nurses can grok what they do and why. and they are capable to explicate this to other wellness professional.
Further account of the relationship between theory and evidence-based pattern can be established in the significance and intent of theory it self. Lynn Rew pointed out that it is theory that framed or determined what truly count as grounds. Based on the premiss that “theory is the ground for and the value of the grounds. ” Rew provided a model based on three factors: Components. Purpose. and Outcomes. which depicts ideal relationship between theory and evidence-based nursing pattern.
Rew pointed out that the constituents of theory are constructs and statement. while pattern. is phenomena of concern and jobs to be solved. The Purpose oftheoryis to form thoughts. while Practice delimits thoughts. the Outcomes aretheorybuilding model for pattern. and policies while inpattern. evidence-based pattern. generalizable plans. and intercessions.
She explained that constructs oftheoryreflect the phenomena of concern in a pattern subject. while the definition and intent are abstractions of the practical jobs to be solved in the pattern sphere. The results oftheorybuilding usherspatternand policy development. Thus theory is extremely related to evidence-based pattern by virtuousness of finding the grounds.
Despite of the different accent of theory based nursing and evidence-based nursing pattern. the purpose of both cantonments is to progress the clinical attention of the nursing pattern for the benefit of the patient. However. the struggle of accent threatened to get rid of the long constituted procedures of clinical attention in favour of grounds based nursing pattern which are non truly wholly proved really successful in clinical intervention.
Tracing hence the relationship between theory and evidence-based nursing pattern helps non merely to understand what the struggle was all about but besides it gives proper apprehension of the nursing pattern peculiarly the evidence-based nursing. Whether theory guided pattern or evidence-based nursing pattern. what is of import is that the nursing pattern should be apprehensible to nurses and to the patient.
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