EVIDENCE-BASED PRACTICE

Ns. Jum Natosba, M.Kep.,

Sp.Kep.Mat
• The link between poverty as a risk factor and the
health outcomes of obesity, violence, asthma,
lead poisoning, teen pregnancy, and mental
disorders has been demonstrated through
epidemiologic, controlled quantitative, and
qualitative studies and nursing research
• Nurses and others interested in improving the
health of these vulnerable groups have taken
research findings and developed evidence-based
practices (EBPs) that promote, prevent, and
protect health behaviors in vulnerable
populations.
• This scientific literature helps nurses not only stay current
in their technical clinical abilities, but also in their choice of
the most effective interventions.
• Professional organizations such as AWHONN, SPN, ANA,
NAPNAP, and NANN have developed evidence-based
clinical practice guidelines (CPGs) for the safest, most
consistent, and effective provision of family-centered
nursing care.
• Not only are these evidence-based practice guidelines
beneficial to the individual nurse’s practice, but they can
also be used by the nurse to advocate for change in the
ritualistic, unverified, rules-oriented, and opinion laced
traditions (i.e., accustomed practice) of institutional
nursing. With an everincreasing level of patient knowledge
and health-seeking sophistication, the demand for higher
level nursing knowledge quickly becomes evident
• Evidence-based guidelines are available for a
number of interventions including newborn
bathing, use of adhesives on premature
newborns, positioning and snuggling of
premature newborns, childhood asthma
management, HIV/AIDS treatment, childhood
cancer treatments, hypertension management,
pregnancy weight gain, play therapy, and family-
centered care
EVIDENCE-BASED NURSING
• To practice EBN, a nurse is expected to
combine the best research evidence with
clinical expertise while taking into account the
patients’ preferences and their situation in the
context of the available resources.
• Evidence-based decision making should
include consideration of the patients’ clinical
state, clinical setting, and clinical
circumstances.
 Research Utilization Challenges
• Many innovations have become common practice
in perinatal nursing:
■ Fetal monitoring
■ Mother/baby care
■ Early postpartum discharge

• These changes in care were influenced by:

■ Social context of the time
■ Medical and technological innovations
■ Families’ desires for the best possible care
jumnatosba_bayd@yahoo.co.id