The moved to evidenced-based practice from a clinical nursing question.
Registered nurses on a medical unit questioned whether current practice adequately met the emotional needs of patients with chronic obstructive pulmonary disease hospitalized for acute dyspnea. The unit's education committee surveyed nursing staff regarding priority nursing activities during dyspneic episodes. After discussion with staff development educators, several registered nurses met with the center's nurse researcher, formed a research team, and designed a descriptive study. Findings of the study gave evidence for clinical practice change and revision of care guidelines.
Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio 44106-4904, USA. marjorie.heinzer@case.edu
Marjorie M V
MM
Heinzer
Catherine
C
Bish
Ruth
R
Detwiler
D000208:Acute Disease; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D019985:Benchmarking; D002983:Clinical Competence; D004059:Diffusion of Innovation; D004417:Dyspnea / Q000209:etiology / Q000451:nursing* / Q000523:psychology; D004509:Education, Nursing, Continuing / Q000458:organization & administration*; D019317:Evidence-Based Medicine / Q000193:education / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006694:Holistic Health; D006801:Humans; D009511:New England; D024802:Nurse's Role / Q000523:psychology; D009723:Nurse-Patient Relations; D009730:Nursing Assessment; D015403:Nursing Evaluation Research / Q000193:education / Q000458:organization & administration; D009741:Nursing Staff, Hospital / Q000193:education* / Q000523:psychology; D018802:Patient-Centered Care; D017410:Practice Guidelines as Topic; D011367:Professional Staff Committees / Q000458:organization & administration; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications*; D012107:Research Design; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires