The practice of nursing research: appraisal, synthesis, and generation of evidence


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            Reliable sources are very crucial in the health care sector since they help students to stay updated as well as enhancing their success in their classes. Relevant sources include websites, books, appropriate publications as well as online library. An effective research requires the student to define the topic, identification of concepts, and selection of relevant sources. Prior to any research, students should assess the reliability of sources and examine the sources to be used for specific tasks. Students can easily identify dubious materials by comparing multiple sources as their search approach. Therefore, they will be able to evaluate the worth of the information. The rationale of this paper is to describe appropriate use of wisdom continuum in nursing.

            Access to updated, accurate and pertinent information is increasingly becoming crucial for the nurses to adopt evidence-based practice and ensure their knowledge is updated. Nurses use different information sources to realize their information requirements. The main question to be addressed in this paper is why it is vital to consider the clinical resolution making situation, when exploring the approaches that nurses connect with research based information. It is also crucial to consider the rapport between the usefulness and accessibility of date from distinct sources and the verdict made regarding the information. It may be argued that for people to persuade the nurses to effectively employ research evidence when making clinical decisions, they must acknowledge the rapport between verdict from the nurses and the data that enlightens them (Solomon, 2010).

            Evidence-based decision making entails combining the information that crop up from patient choices, clinical expertise, and research facts within the framework of accessible resources. When making decisions, nurses choose from discrete range of alternatives (Thompson, 2004). The process of employing clinical judgment involves making decision from informed choices by evaluating the accessible data. Nurses should give appropriate weight to research evidence depending on its external and internal legitimacy. Integrating research facts into decision making involves composing a strategic clinical question regarding certain information need, evaluating the most appropriate information to solve that need, proper scrutiny of the obtained data, integrating the information into a plan, and weighing up the impact of the actions and decisions taken (Polit & Beck, 2010).

            Decision making based on the information is a dogmatic method to making choices of how speculation can be employed to advance decision making. The central point is: how nurses utilize research based data in decision making? Little studies have been carried on this topic, apart from research that utilizes data from self report information from nurses as a basis of facts. Self report should not be considered as chief source of information to fill the gaps in support of ideal clinical observation and in-depth interviews, which nurses consider superior to address frequencies and types of varied decisions and practical information use (Polit & Beck, 2010). The major challenge of researching how individuals respond to inadequate evidence is that it is hard to identify the inadequacy of the needs. Researchers can only hypothesize nurses’ behavior by watching them or about what they say, since information need only subsist in the psyche of the person with the need. The need cannot be alienated from the intentions of evidence seeking actions. In developing motives, people make choices from values and beliefs that had formerly contented information requirements (Melnyk & Overholt, 2011).

            For proponents of fact based judgment making, the fundamental purpose for involving research based facts is to cut down uncertainty in clinical field. This implies that appropriate research increases the probability that the decision taken will give desired results. In some cases, new data can also elucidate or confirm present data, values and beliefs. Forms of clinical resolutions that nurses make offer an idea on how research information can help in decision making. Decisions are significant framework for utilization of information. The decisions that nurses are required make are work related, how they view their clinical duty, autonomy in operation, and the extent to which they believe they are influential and active decision makers. Nurses face decision complexity because of the following factors. Firstly, due to diverse and multiple decision objectives. Secondly, due to time constrain in decision making. Third, the conflicting decision aspects. Nurses face different challenges in decision making, since they have to make appropriate decision based on code of ethics. For a nurse to make appropriate decision making, rely on whether the decision lies within the continuum. The decision made also depend on the form of task appearance, the uncertainty of the task and the intricacy of the task. However, familiarity of a decision is not adequate to determine the form of reasoning involved (Burns & Grove, 2009).

            In conclusion, it is vital to understand the link between the decision to be made by the nurse and the facts that enlighten them. Nurses use different information sources to realize their information requirements. Nurses should assign weight to the research evidence depending on its interior and exterior validity. The major challenges that face the nurse are the fact that it is not easy to recognize the information needs. Information need is linked to the motive of the nurse, thus nurses must be focused as they make their decisions. Decisions are crucial framework for the nurses especially for information use.


Burns, N., & Grove, S. K. (2009). The practice of nursing research: appraisal, synthesis, and generation of evidence (6th ed.). St. Louis, Mo.: Saunders/Elsevier.

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Melnyk, B. M., & Overholt, E. (2011). Evidence-based practice in nursing & healthcare: a guide to best practice (2nd ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Polit, D. F., & Beck, C. T. (2010). Essentials of nursing research: appraising evidence for nursing practice (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Solomon, J. (2010). New look Evidence-Based Nursing. Evidence-Based Nursing, 13(1), 2-2.

Thompson, C. (2004). Nurses, Information Use, And Clinical Decision Making–the Real World Potential For Evidence-based Decisions In Nursing. Evidence-Based Nursing, 7(3), 68-72.

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