Evidence-Based Nursing Practice and the Significance of Nursing Sensitive Outcomes:
Yesterday, Today, and Tomorrow...
WIKI-Authored by: Judy Godbey, Gwen Hubbard, Nancy Jaimon, Natalie Lu, Jo Noble

Introduction
Welcome to our WIKI space! This WIKI space was developed for and by current nurses in practice and in pursuit of advanced degrees in nursing. We invite you to take a journey through the history, present-day application, and future horizon of Evidence Based Nursing Practice and Nursing Sensitive Outcomes. This WIKI space defines Evidence Based Nursing Practice and Nursing Sensitive Outcomes through written commentary, video, and links to other helpful websites. We acknowledge the importance of Evidence Based Nursing Practice and Nursing Sensitive Outcomes as we aim to grow the nursing profession. We hope you enjoy your journey of discovery in this site as much as we enjoyed creating it!


What is Evidence-Based Nursing Practice?
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Evidence-based nursing practice (EBP) is integrating the best available research evidence, clinical knowledge, and patient values to promote positive patient outcomes through nursing interventions. Evidence-based nursing is a systematic process of forming a research question, searching the literature, appraising the literature, implementing the findings into nursing practice, and evaluating the outcomes of the interventions.

Follow this link to learn more about the steps in EBP:
Evidence-Based Nursing Process

A cyclic change process
A cyclic change process
















If you followed the link above to the tutorial on EBPN, you are primed to understand the significance of nursing sensitive outcomes.

Follow this link to understand the significance of Nursing Sensitive Outcomes:

Nursing Sensitive Outcome Indicators



















EBP is growing
EBP is growing

HISTORICAL VIEW OF

EVIDENCE-BASED NURSING PRACTICE


We need evidence based nursing practice to achieve nursing sensitive outcomes. Evidence based practice originated in the medical field. Today it is essential that there is a respect, acceptance and complement among medicine, nursing, and all healthcare providers as evidence-based practice becomes the gold standard for care.


Take a look at the following timeline to see how Evidence Based Nursing Practice has progressed from yesterday to today:


1972: British epidemiologist A. L. Cochrane raised the question of why the healthcare profession did not know the outcome of medical treatments.

1980: the McMaster University Medical School in Canada identified the term, evidence-based practice. These two events lead to the development of the Cochrane Collaboration.

1993: The Cochrane Collaboration lead to the establishment of the Cochrane Collections.

1998: The National Database of Nursing Quality Indicators ( NDNQI) was established by the American Nurses Association. The NDNQI primary purpose is to aid Registered nurses in patient safety and quality improvement.

It was almost 30 years ago that the first major nurse-base practice project was initiated in a nursing setting, by the Western Interstate Commission for Higher Education (WICHE). This regional program for nursing research development was the first federally funded research utilization project. The six year study examined the feasibility of fostering research activities through regional collaborative activities. And thus began the journey of nurse-based practice. It has been a journey that has meet resistance in the beginning due to the low number of nurses involved in research. Today evidence -based nursing is the standard in which patient safety and outcomes are measured and provided. It was in this study that five components to the evidence-based nurse practice model were identified; the components are: 1.) the definition of the care problem;2.) retrieved relevant research;3.) critically reviewed the research;4.) developed a research-based care plan; and 5.) evaluated the effects of the change.


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Today's EBPN and Nursing Sensitive Outcomes

To put your finger on the pulse of Evidence Based Practice and Nursing Sensitive Outcomes in today's clinical context, the American Nurses Association maintains a national database of Nursing Quality Indicators. This unit-specific collection and evaluation of Nursing Sensitive Outcomes and nurse-sensative data from hospitals throughout the United States is a hotbed of information and exemplary models of today's applications of EBPN and Nursing Sensitive Outcomes.

Follow this link to explore TODAY'S applications of Nursing Sensitive Outcomes:
Nursing Sensitive Outcome


The Future of Evidence-Based Practice
Nurse educators play an impotant role in the future of healthcare and evidence-based nursing practice. Research opens opportunities for nursing to develop clinical guidelines, care pathways, and increase patient-sensitive outcomes through nursing-sensitive indicators. Clinical nurse leaders and nurse educators empower and encourage nurses to increase evidence-based practice skills, partner with health care organizations, and the community to advance the body of nursing knowledge. Nursing indicators reflect outcomes of nursing care, and growing in research and nursing sensitive indicators will only enhance our ability as nurses to grow with today's demands in health care.

Follow these links to learn more about the role of nurse educators in the future of evidence-based nursing practice and how nursing-sensitive indicators are the wave of the future of nursing:

Nurse Educators and Evidence-Based Nursing in Clinical Practice

Nursing-Sensitive Indicators

In Conclusion...

Evidence-based nursing practice is not a choice but mandatory to ensure best nursing practice, which enhances nursing as a profession. EBP by nurses exhibits positive patient outcomes. An evolving arena such as the EBP in nursing presents the need for more education and awareness. Nursing is based on scientific methods and proven research and not just an art of caring for the sick. Nurses are in the forefront on an ever-evolving health care.