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Evidence-Based Practice: Iranian Nurses' Perceptions
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DOI：10.1111/j.1741-6787.2009.00149.x.png)
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Abstract
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Background: During the past 2 decades, evidence-based practice has increasingly been proven as a means of standard and higher-quality health care. Nurses who base their practices on scientific evidence bring their clients and organization better and more cost-effective nursing care. However, little is known about Iranian nurses' perceptions of evidence-based practice. Aims: The present study was conducted to evaluate Iranian nurses' perceptions of evidence-based practice. Methods: A qualitative study was conducted on 21 participants from different groups of nurses at Kashan University of Medical Sciences. Semi-structured interviews were used to gather data. Content analysis was used to analyze the data according to the Cheevakumjorn's method. Findings: Two main categories, the concept of evidence-based nursing and nature and the source of evidence, emerged from the data. The participants used the term standard care as a synonym for evidence-based practice. According to the participants, the nurses implement evidence-based practice care for clients based on their professional knowledge and the patient's needs. The participants believed caring evidence includes five different types of knowledge: knowledge of patient, knowledge of the environment, learned (academic) knowledge, practice-based knowledge, and research-based knowledge. However, participants stated that, currently, the nursing practice is not based on scientific evidence. Conclusions: Nurses have a positive attitude concerning the use of scientific evidence to guide practice, but this evidence has little application in their current nursing practice. Implications: Nurses need support from both the organizational management and the educational system to help them apply evidence in practice.
Keywords:
nursing
evidence-based practice
qualitative research
Iran
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