Accomplished and highly-qualified RN and Chief Professional Practical Officer Michelle Troseth writes The Case for an Evidence-Based Practice Framework for All Clinicians.
Ok, I'll bite. As nurses, how do we do evidence-based care? In the real world?
In nursing school, we were exhorted to make evidence the basis for our practice. In practice, that meant: look things up. Find the current research. Judge its quality, i.e. look for that "gold standard" -- double-blinded, randomized, preferably longitudinal, with good controls, big Ps and corroborated by meta-analyses. Make this the basis for our clinical decisions.
It is good advice in theory, but how do we make it our practice? More to the point, have we seen a single nurse who actually does any of this in real life? Are we supposed to sit in front of the computer instead of doing actual patient care? A pink slip would be waiting at the end of our shift!
So how do we get the best evidence into our hands, just-in-time, at the point of care, without losing time (of which we already have not nearly enough)?
I offer a modest proposal. Ms Troseth's company is a major provider of clinical information to nursing students. We used lots of their materials in nursing school, some on paper (e.g. text books) and some on-line (e.g. case studies and test prep modules). Linking the evidence upon which these materials are based to the real-world tasks that the NurseMind app tracks -- in real-time, on the hospital floor, while the nurse is working his or her shift -- will get it into his or her hands in a hospital-sanctioned way, at the point of care, and with virtually no overhead in terms of time taken away from patient care.
Need to review the best evidence for a particular task that you're about to do? E.g. you need to place an NG tube. It's a month or two since you last did one and you want a review of the best evidence so you can give the best possible care to your patient. A couple of taps on the NG tube task icon in your pending task list in the app and you're watching the one-minute NG tube video. The app put the link there because it knew you had this task coming up. The same support you had as a nursing student on your clinical rotations proves invaluable to you as a working nurse. Evidence-based practice is now realistic. Problem solved.
Let's make it happen!