Bedside, classroom and bench

Collaborative strategies to generate evidence-based knowledge for nursing practice

Charlotte A. Weaver, Judith J. Warren, Connie Delaney

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

The rise of evidence-base practice (EBP) as a standard for care delivery is rapidly emerging as a global phenomenon that is transcending political, economic and geographic boundaries. Evidence-based nursing (EBN) addresses the growing body of nursing knowledge supported by different levels of evidence for best practices in nursing care. Across all health care, including nursing, we face the challenge of how to most effectively close the gap between what is known and what is practiced. There is extensive literature on the barriers and difficulties of translating research findings into practical application. While the literature refers to this challenge as the "Bench to Bedside" lag, this paper presents three collaborative strategies that aim to minimize this gap. The Bedside strategy proposes to use the data generated from care delivery and captured in the massive data repositories of electronic health record (EHR) systems as empirical evidence that can be analysed to discover and then inform best practice. In the Classroom strategy, we present a description for how evidence-based nursing knowledge is taught in a baccalaureate nursing program. And finally, the Bench strategy describes applied informatics in converting paper-based EBN protocols into the workflow of clinical information systems. Protocols are translated into reference and executable knowledge with the goal of placing the latest scientific knowledge at the fingertips of front line clinicians. In all three strategies, information technology (IT) is presented as the underlying tool that makes this rapid translation of nursing knowledge into practice and education feasible.

Original languageEnglish (US)
Pages (from-to)989-999
Number of pages11
JournalInternational Journal of Medical Informatics
Volume74
Issue number11-12
DOIs
StatePublished - Jan 1 2005

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Evidence-Based Nursing
Nursing
Practice Guidelines
Nursing Assessment
Informatics
Translational Medical Research
Workflow
Electronic Health Records
Nursing Care
Information Systems
Economics
Technology
Delivery of Health Care
Education
Research

Keywords

  • Best practices
  • Data infrastructure
  • Effectiveness
  • Evidence-based practices
  • Levels of evidence
  • Meta analysis
  • Nursing knowledge
  • Quality

Cite this

Bedside, classroom and bench : Collaborative strategies to generate evidence-based knowledge for nursing practice. / Weaver, Charlotte A.; Warren, Judith J.; Delaney, Connie.

In: International Journal of Medical Informatics, Vol. 74, No. 11-12, 01.01.2005, p. 989-999.

Research output: Contribution to journalArticle

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