title: [The historical background and present development of evidence-based healthcare and clinical nursing].
abstract: Evidence-based healthcare (EBHC) emphasizes the integration of the best research evidence with patient values, specialist suggestions, and clinical circumstances during the process of clinical decision-making. EBHC is a recognized core competency in modern healthcare. Nursing is a professional discipline of empirical science that thrives in an environment marked by advances in knowledge and technology in medicine as well as in nursing. Clinical nurses must elevate their skills and professional qualifications, provide efficient and quality health services, and promote their proficiency in EBHC. The Institute of Medicine in the United States indicates that evidence-based research results often fail to disseminate efficiently to clinical decision makers. This problem highlights the importance of better promoting the evidence-based healthcare fundamentals and competencies to frontline clinical nurses. This article describes the historical background and present development of evidence-based healthcare from the perspective of modern clinical nursing in light of the importance of evidence-based healthcare in clinical nursing; describes the factors associated with evidence-based healthcare promotion; and suggests strategies and policies that may improve the promotion and application of EBHC in clinical settings. The authors hope that this paper provides a reference for efforts to improve clinical nursing in the realms of EBHC training, promotion, and application.
authors.affiliation: Department of Nursing, Mackay Memorial Hospital, Taiwan, ROC. jungmei56@gmail.com.
authors.forename: Jung-Mei
authors.initials: JM
authors.lastname: Tsai
mesh_terms: D002983:Clinical Competence; D055317:Evidence-Based Practice; D006801:Humans; D009729:Nursing
keywords: clinical nursing; evidence-based healthcare; history