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Evidence-based nursing: how far have we come? What’s next?
School of Nursing, McMaster University
Hamilton, Ontario, Canada
Key Words: evidence-based medicine
| The first 150 words of the full text of this article appear below. |
This text is based on the Joanna Briggs Oration, given at the 2005 Joanna Briggs International Conference, Adelaide, Australia. It is printed here with permission.
This paper provides an opportunity to reflect on evidence-based nursing. Where have we been? How far we have come? What are the current issues, and where are we going in terms of incorporating high quality evidence into clinical, education, management, and policy decisions? Is evidence-based nursing a passing fad, or does it contribute to quality, efficient health care?
Although the use of evidence is often recommended in relation to healthcare reform, institutional change, healthcare practitioner competence, or healthcare practitioner education, opponents argue that there is no evidence that evidence-based healthcare makes a difference. There are no sensitive system indicators; healthcare costs are highly influenced by the adoption and spread of technology; and mortality and morbidity are also influenced by many factors. Yet, evidence-based health care
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