Scientific nursing literature is extensive (230 journals with impact factors indexed on the Web of Science). All scientific disciplines, including nursing research, should be based on scientific evidence to provide the best patient care (Cochrane, 1972; Ingersoll, 2000). It is important to continually monitor and improve quality of studies in health research. However, nursing research is often less valorized, especially in term of publication quality than others scientific disciplines such as medical or dentistry sciences (Adie et al., 2013; Karri, 2006; Lee et al., 2013, Lempesi et al., 2014). No study has provided a global overview of the quality of pediatric Randomized Controlled Trials (RCTs) in nursing research. Medical studies related …show more content…
The methodological quality of articles in nursing journals has never been compared to those of another discipline. However, it is necessary to position nursing validity in health scientific discipline.
RCTs provide a high level of scientific evidences, allowing valid conclusions concerning cause and effect (Sibbald and Roland, 1998). Indeed, RCTs are the basis for the adoption of new techniques or treatments, irrespective of the field. One measure of the quality of an RCT, whatever the discipline, is its adhesion to the CONsolidated Standards of Reporting Trials (ConSORT) statement (Altman et al., 2001; Moher et al., 1995).
The purpose of the present study was to compare the methodological quality of pediatric RCTs published in nursing journals to those published in medical journals, based on the ConSORT statement. This study also aimed at identifying whether the reporting of ConSORT items was associated with type of journal, adherence of the journal to the ConSORT statement, or studies sample size.
Materials and
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This period had been chosen to focus on recently published papers.
2) Medical articles were extracted from PubMed using the same search terms and filters, but without the filter “nursing journal”. Medical sciences have been chosen as comparator due to the fact that medical sciences are considered as science with good methodological quality (Reed, 2016).
3) We randomly selected 200 papers from nursing journals and 200 from medical journals.
4) We included all articles of randomized controlled trials with pediatric population without restriction of disease. We excluded articles which did not meet the inclusion criteria following analysis of the title and abstract. Studies reporting parental intervention (ex : Bigelow et al., 2012; Franck et al., 2012; Jiang et al., 2014), protocols, editorial articles, and papers reporting only the results of a study (with context and methods of the study reported elsewhere) were excluded.
>>Figure 1 : Flow chart. nMed: number of medical articles, nInf: number of nursing
With these changes, we as nurses are able to provide the best care possible for our patients. In the BSN program, I learned the importance of having peer reviewed research for validity. Also, I would like to one day take part in a research study at my facility in order to contribute to the advancement of the nursing field. Sound peer reviewed research is very important in the nursing field.
The details of the study included literature review, purpose, method, data analysis, results, discussion, limitations, nursing implications, recommendations for future research and conclusion. The results were clearly presented. Study limitations were identified. The conclusion was based on study results. This review was of good quality.
I enjoyed reading your discussion post regarding bedside reporting and agree bedside reporting is an excellent example of evidence-based practice. The SBAR tool was originally developed to improve communication between nurses and physicians (Cornell, Yates, &Vardaman, 2014). Moreover, given the impact SBAR had on nurse-physician communication, bedside reporting utilizing the SBAR tool is now evidence-based practice for nurses (Cornell, Yates, &Vardaman, 2014). Bedside reporting gives nurses and patients’ opportunity to set mutual goals.
Evidence base practice (EBP) is a proactive methodology to improving patient care. Nurses are now called upon to research, identify and analyze practice problems so that questions can be answered on how to deliver care. Therefore, the translation of research into practice require strategies such as protocol and guideline to disseminate EBP within an organization (Yoder-Wise, 2015). By researching barriers to breastfeeding in the neonatal intensive care (NICU), policy changes are noted to be indicated.
Evidence-based practice will definitely be more likely to thrive in environments where nurses feel they are being supported by both management staff and available resources. When nurses are offered further resources such as hands on training or simulation training that is backed by evidenced based research they can feel more secure and confident in the job they are able to perform during their shift. Nurses can thrive in their work place organization by building onto their basic knowledge and therefor enabling the nurse to climb the clinical ladder. As our book states “continuing to apply learning contributes to ongoing evidence based practice as one uses newer research and theory as a part of one’s practice.” Nurses who take control of their
How hard is it to say that a child will never really progress further with intervention? Whether or not treating a child past the points of progress have been an ethical issue surrounding Occupational Therapy. There are few studies in the stagnancy of progress with children, so making a decision, while partially uninformed can be quite difficult. A 2004 National Center for Biotechnology Information Study found that waiting to see if further treatment will yield success can be detrimental to the psyche of not only the child but also the parents. This brings forth a critical decision of whether to continue heightening the hopes of a family in distress or to inform the family that treatment is futile.
Historically, nursing programs and medical schools have taught students to base their clinical decisions on expertise, experience, or single-sourced literature instead of a careful systematic review of all the available evidence (Pellegrini, 2006). Evidenced based practice recognizes that clinicians need to place less emphasis on scientific authority, custom, or ritual and more emphasis on the most current evidence that is present in literature. As more peer reviewed journals were available
Nursing research is providing evidence used to support nursing practices, generate new knowledge, and promote evidenced-based nursing practice, ensure credibility of nursing profession, provide accountability for nursing practice and document effectiveness of nursing care. Nursing research also focuses on the understanding and relieving of the symptoms
1. CONCEPT 1-EVIDENCE-BASED PRACTICE IN NURSING This concept was deducted from module 2 with the topic “Concept of Evidence-based practice”. Evidenced-based nursing is a way of making decision and providing nursing care that is based on clinical issues and combine it with the most current, relevant research that is available on that issue. Evidence based nursing utilize the most up to date method of providing care, which have been proven via assessing high quality studies and statistically with significant research findings.
In the clinical setting, the nurses’ expertise can be used to make clinical assessments and recommendations for routine care at a lower cost than a physician visit. This would increase the number of patients seen and increase the quality of the care provided. The advance practice nurse would be able to hone in on preventative measures and increase patient education. The advance practice nurse can also make recommendations about practice changes needed to facilitate better health outcomes through the use of evidence-based practice. Nursing leaders are aware of how important nursing science is to provide needed evidence to transform practice, even though, finding the time and resources to support any research activity is often challenging (Stone, 2017).
Over the past decade, the healthcare profession has changed tremendously with the support of the evidence-based nursing practice. The evidence-based nursing practice is a multidisciplinary approach which involves the integration of a problem-solving that lead to the context of patient caring, patient’s data analysis, clinical experience, and expertise, and patients’ preferences and values. The fundamental function of the evidence-based nursing practice is to reduce or eliminate the uncertain in the clinical care, in order to achieve efficient and effective service delivery. The fundamental concept of evidence-based nursing practice methodology can be effective in the application of practice guideline. In the effectiveness and the efficiency
It’s important to use evidence based practices in nursing because it creates solutions to the patient’s needs, it improves the overall care of the patients, reduces harm and helps support nurse’s actions and clinical judgments. Sackett (2000) says that evidence based practice is looking at the best evidence along with using your clinic expertise in helping you to make a decision about the patient’s individuals care. Outline the process undertaken when searching for credible and relevant evidence to support Part 2 of the workbook. (Justify and support answers with credible and relevant evidence whilst adhering to UWS referencing guidance). The first element of finding credible and relevant evidence would be to research journals and articles, as
According to University College London (UCL) (2011), critical evaluation helps to filter necessary information, identify studies that are applicable clinically and also for continuous professional development (CPD). However, evaluation of an article, is assessed using pre-designed instrument that encourages a more thorough and systematic method; it is designed for different study design and ask specific questions as pertain validity of the study such as: if the study has given an answer to the research question and has met its set aims and objectives, the methodology, analysis and interpretation of findings (Harder, 2014; Burls, 2009; Whiffin and Hasselder, 2013). It could be said that a good critical assessment plays a vital in evidence-based practice. Therefore, a critical appraisal skills programme (CASP, 2009) checklist will be used to evaluate the selected paper for this
Perhaps I am not the only person that is finding it difficult to distinguish between research nursing and evidence based nursing. Most of what we do comes from both sources. In research nursing we characterize the problem and through evidence based we close the gap between what we know and what we do every day (Stevens, 2013). By performing evidence based nursing we increase effectiveness, improve performance, efficiency and better patient outcomes. Yet when we perform evidence based nursing we are researching the effectiveness of already known knowledge to apply to present situations.