Evidence-Based Practices in Nursing

By Miller, Lois L.; Ward, Deborah et al. | Generations, Spring 2010 | Go to article overview

Evidence-Based Practices in Nursing


Miller, Lois L., Ward, Deborah, Young, Heather M., Generations


The evidence base in gerontological nursing has made important strides in the past 25 years and has had a far-reaching impact on the quality of care for older adults.

Evidence-based nursing arguably began in the century with the founder of modern nursing, Florence Nightingale. Raised in an upperclass atmosphere of independent scholarship (albeit undertaken almost exclusively by gentlemen), and motivated by a desire to improve health, Nightingale initiated and carried out a program analyzing hospital data before both her training as a nurse and eventual assignment to the Crimea. Her scientific skills became more widely known through her development of statistical methods and her collection and analysis of soldier morbidity and mortality data during the Crimean War (McDonald, 2001). Her research resulted in remarkable changes in military medicine, including characterizing the sick and/or wounded soldier as having the right to adequate food, suitable quarters, and appropriate treatment. Her work resulted in a dramatic reduction in the mortality rate in the British military.

Nightingale went on to employ research knowledge to make significant changes in public health, such as testing the public water supply, improving sanitation, and preventing starvation (Palmer, 1977). Nonetheless, Nightingale is not best remembered for her extraordinary accomplishments as a statistician and researcher, but as the Lady with the Lamp, providing loving care to distressed soldiers.

After Nightingale, nursing research efforts to improve practice were often small, separate, and unfocused. This lasted until the 1970s, when the profession began to advocate for advanced graduate and doctoral education for nurses and for the development of a scientific base for nursing practice. As a result, efforts to generate the evidence base for nursing practice intensified and expanded dramatically worldwide. An increasing number of nursing studies began to focus on clinical problems and produced findings that have a direct impact on nursing practice and patient outcomes (Burns and Grove, 2007).

The first major nursing evidence-based practice project (EBP) began through the Western Interstate Commission for Higher Education (Krueger, 1978), with the goal of using research in the clinical setting. In the late 1970s, the CURN Project (Conduct and Utilization of Research in Nursing) identifed 10 areas of nursing research that had adequate evidence to use in practice (for example, structured pre-operative teaching, prevention of pressure ulcers) (Horsley, Crane, and Bingle, 1978). In 1986, the body of nursing science knowledge had matured to the point that the National Center for Nursing Research was added to the National Institutes of Health. This Center became the National Institute of Nursing Research (NINR) in 1994. Nursing's first EBP journal, Evidence Based Nursing, was published in 1998, and a second journal dedicated to EBP, Worldviews on Evidence-Based Nursing, was launched in 2004.

Nursing research encompasses a wide scope of scientific inquiry, including clinical research, health systems and outcomes research, and nursing education research. Nurse researchers study how to assist individuals and groups as they respond to health and illness experiences (for example, reducing side effects of illness and treatment) and address social and behavioral aspects of illness and quality of life. Much nursing research is seeking to understand the relationships among biological, behavioral, psychological, and sociological factors. The scope of clinical research ranges from acute to chronic care experiences across the entire life span; health promotion and preventive care to end-of-life care; and care for individuals, families, and communities in diverse settings (American Association of Colleges of Nursing, 2006). The inclusion of nursing science as a sanctioned field for doctoral study in the National Academy of Sciences in 2005 heralded the recognition of the scientific contributions of the discipline. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

Evidence-Based Practices in Nursing
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.