Evidence-based nursing

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Evidence-based nursing or Evidence-based Nursing ( EBN ) describes evidence-based procedures for the objective assessment of nursing measures . The primary goal of evidence-based care is to create a foundation to provide the best and most effective care to those in need of care. The nursing activity should not be based solely on traditions, traditions or experience, but also on scientific evidence. When making a nursing decision, in addition to the scientific evidence, which is of particular importance, the existing knowledge and practical experience, i.e. the expertise of the nursing staff, in conjunction with their intuitive understanding of the situation, the Tacit Knowledge. to consider.

Evidence-based care means proceeding systematically and can be presented as a set of instructions with six individual steps. They are:

  • Order clarification
  • Question
  • Literature research
  • Critical assessment
  • Implementation and adaptation
  • Evaluation

Originally only five steps were described in the literature. In order to achieve results that are as practical as possible when using the EBN method, these five steps were modified so that the definition of the task was added as the first step and the step of implementation was supplemented by the question of adaptation.

In the last step of the EBN method, the evaluation, it is to be checked whether the implementation of the knowledge gained in nursing practice has led to success. Suitable methods of evaluation such as the structure, process and outcome evaluation proposed by Avedis Donabedian are to be used for this purpose .

See also

literature

  • J. Behrens, G. Langer: Evidence-based Nursing. Confidence-building disenchantment of "science". "Qualitative" and "quantitative" methods in daily care decisions. Hans Huber, Bern 2004, ISBN 3-456-83623-6 .

Web links

Individual evidence

  1. ^ G. Schlömer: Evidence-based Nursing. In: Care. 13 (1), 2000, pp. 47-53.
  2. ^ DL Sackett et al: Evidence-Based Medicine. 2nd Edition. Chirchill Livingstone, London 2000.
  3. ^ A. Donabedian: Explorations in Quality Assessment and Monitoring. Health Administration Press, Ann Arbor, Michigan 1982, p. 9.