Integration Evidence-Based Practice Professional Nursing Practice The concept of evidence-based practice -- EBP is becoming growingly significant in the sphere of nursing. (Stiffler; Cullen, 2010) Evidence-based practice is not entirely a novel concept; it is the manner in which nurses cater to the norms of care and practice efficiently. (Nysna, 2006) According to Linda Burnes Bolton, DrPH, RN, FAAN, vice president and chief nursing officer in the Cedars-Sinai Medical Center in Los Angeles, evidence-based practice -- EBP in reality it is only an alternative mode of viewing the conventional theme of the nurses maintaining their sanctified reliability with society. (Wessling, 2008) David Sackett, MD, a Canadian physician, is regarded the father of evidence-based practice. According to Sackett, "evidence-based practice is the conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. . .[by] integrating individual clinical expertise with the best available external clinical evidence from systematic research." (Wessling, 2008) Moreover, according to DiCneso Guyatt and Ciliska (2005) evidence-based practice is the "the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients." (DiCenso; Ciliska, 2005)

Growing health expenses, the management norms of formulating things correctly and the willingness for quality development have generated an environment for the evolution of evidence-based health care. (Rycroft-Malone; Bucknall; Melnyk, 2004) Several elements like authorizations of Government, the for accountability requirements of consumers, professional efforts to enhance quality and organizational necessities for financially liable patient care have catered to the growth of evidence-based practice. EBP necessitates basing decisions with regard to the nature of care which is being provided and the manner in which it is delivered based on clear evidence of what functions and not on conventional or unjustified opinions. Evidence-based practice has growingly significant in nursing. (VanBuskirk, 2005) EBP is fundamental to many doctors of nursing practice --DNP programs in the advanced practice nursing as well as organizational foci. (Stiffler; Cullen, 2010)

The professional nursing practice can give rise to the evidence-based practice. (Adams; McCarthy, 2005) One of the earliest analyses to evaluate the impact of research-based nursing practice with regard to patient results detected 84 studies and revealed sizeable gains in the knowledge, behavioral, psychological & physiological results of patients in comparison with the patients who have attained routine nursing care. The evidence-based nursing is much wider a concept than mere research utilization. It is the inclusion of the best chosen and selected research evidence along with patient choices, clinical environment; situation and healthcare facilities into conclusions regarding patient care. (Ciliska, 2006)

Evidence-based practice includes compiling the best evidences accessible with nursing skills and patient as well as family choices to find out optimum care. (Adams; McCarthy, 2005) Professional nursing practice can play a prominent role in implementing as well as achieving of evidence-based practice that incorporate to grow and further enlighten nurses professionally, construct professional networks depicting nurses interests and their profession, impact government and policy formulators and support as well as safeguard the fundamental values of nurses. (Holleman; Eliens; van Vliet; van Achterberg, 2006)

It is significant for nurses to be conscious of the connection among evidence-based practice and norms of caring. The basic norms of care are the expertise and education normally possessed by 'members of a profession.' (Nysna, 2006) The judiciary in King v. State of Louisiana -- 1999 further extended on the definition by indicating it as the "legal duty of care or standards of care means a nurse must have and use the knowledge and skill ordinarily possessed and used by nurses actively practicing in the nurse's specialty area. Professional and specialty organizations, state boards of nursing, federal organizations and regulatory bodies both at the federal and state levels formulate standards of care." (Nysna, 2006) The standards of care are regularly revised with the variations in the societal environment. So as to make the nurses cater to the standards of care, they need to be associated with...

In absence of experiencing the evidence-based nursing it is doubtful if the nurses can cater to the definition of standards of care. (Nysna, 2006)
Professional nursing experience can dominant the two primary EBP activities: such as (1) Growth of evidence-based fusions, guidelines & systematic reviews for EBP and (2) Implementation, development & testing processes for these EBP resources to be accessible and applied in clinical decision making. (Mallory, 2010) If an agency is to become evidence-based in its management & clinical experiences, then those placed in the leadership positions need to pave the path to support as well as integrate EBP into strategic plan, vision and language of the association. (VanBuskirk, 2005) What is evident is the liability of nurses to deliver care based on evidence, for nurses capable of accessing, assessing and assimilating and applying the best available evidence so as to develop experience and patient results. (Rycroft-Malone, Bucknall, Melnyk, 2004)

One of the biggest confrontations nurses confront in applying evidence-based practice to deal with minority health variations in discovering sufficient evidence that is associated to the demands of minority patients. There exist many fields of medical research wherein 'people of color are underrepresented in clinical analysis,' or even not incorporated at all. With its significance on developing interferences depending upon firm clinical evidence and tested best experiences, evidence-based practice is a perfect instrument for nurses to apply in their efforts to eliminate ethnic & racial health inequalities. Still applying EBP in the particular relevance of growing minority health results put forth unique challenges -- from where to discover research data which is inclusive of minority populations to comprehend how language & culture might impact the choice of patients. (Wessling, 2008)

'The Code of Ethics for Nurses with Interpretive Statements' states the ethical standards which nurses need to acquaint them with and experience. Section 5.2 entails for professional growth as well as maintenance of proficiency. "Continual professional growth, particularly in knowledge and skill, requires a commitment to lifelong learning. Such learning includes, but is not limited to, continuing education, networking with professional colleagues, self-study, professional reading, certification, and seeking advanced degrees. Nurses are required to have knowledge relevant to the current scope and standards of nursing practice, changing issues, concerns, controversies, and ethics." (Nysna, 2006) Such statement is not only a norm of care; it is the essence of evidence-based practice in nutshell. (Nysna, 2006)

Professional nursing practice can entail a strategically significant role in the execution and achievement of evidence-based practice. Nurses working at the bedside are enthusiastic to include evidence into their experience, but they require assistance to perform it. How could we generate processes & structures to support EBP? What could providers do so as to promote staff nurses & nursing leaders to conduct or apply research to guide their experience? Developed accessibility to computers on the nursing units as well as in the dialysis centers is considered the best to start with. Assistance and knowledge regarding proficient application of discussion groups, journal clubs, career incentives & role models can enhance awareness of the sources of evidence. (VanBuskirk, 2005)

Six norms of practice have been prescribed by the American Nurses Association as 'Scope & Standards of Practice' and nine norms of professional competency. Each norm entails quantification of criteria to guide nurses. One quantification norm for planning entails that it combines present trends and analysis influencing care in the planning process. Evidence-based experience is the mode of meeting such criterion. Another illustration of 'Scope and Standards of Practice' document is standard number eight of professional competency -- education. Two quantification criteria for such standard entails that nurses seek "experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge and acquire knowledge and skills appropriate to the specialty area, practice setting, role, or situation." (Nysna, 2006) For nurses to satisfy this standard of professional performance, evidence-based nursing practice is required…