For reasons of patient safety and the improvements in the quality of healthcare, nurses are urged to base their practice on evidence (Barker, 2009). Evidence too may be argued as a basis for arrangi ... ng the most cost effective care, using limited resources to best effect. I define evidence here as consisting of that information that the nurse can point to as authoritative, being more than simple opinion or predilection to practice in a particular way. In practice, the availability of evidence may be limited, some evidence may contradict other evidence and the nurse must therefore make judgements about what is found (Jolley, 2009). It is necessary to note that different sorts of evidence may be used to different purpose. For example, evidence of how patients experience illness can tell the nurse about how patients feel and what matters most to them. It cannot guide the nurse on what sorts of care are most effective. Statistical evidence, especially that originating from robust experiments, might help the nurse to determine what causes a particular effect and to decide whether to arrange care differently. Not all evidence is the same then, some is more powerful than others, and a fit between evidence and practice... [Show More]
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