NUR3300 Clinical Inquiry And Evidence Based Practice


Over the past few years, the significance of using evidence-based care in the healthcare, has been increased. It is believed that the EBP results in to the higher care quality, reduced costs, improved outcomes of patient, and much greater satisfaction of nurse compared to the conventional approaches to care.  Still, some of the nurses continues to be inconsistent in implementing the evidence-based care (Ruzafa-Martínez et al. 2016). Hence, the main aim of this paper is to discuss that why is evidence generated from the research is important in the EMP?

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EBP And Research

Figure 1: Evidence Based Practice

In the contemporary health care environment, EBP is the term people frequently encounter. EBP is referred as the incorporation of the best research evidence with patient values and clinical expertise, which when applied by practitioners of the healthcare, will ultimately results the improved patient outcome (Rousseau & Gunia, 2016). There are mainly three main components of the EBP, which are as follows:

Best evidence in the research relevant to the clinical area has been conducted by using the methodology that are sound.
The clinical skill is referred to as the overall experience, skills, and education of the clinicians.
The values of patients are unique preferences, expectations, and concerns. Each patients brings the clinical challenges.

An integration of these components helps in defining a clinical decision based on evidence. If used consistently, an optimal patient outcome is more likely to be achieved. The use of EBP implies rejecting the outdated practices of care delivery, and choosing the scientifically validated and effective methods to meet the requirements of individuals patient. The providers of healthcare using EBP should be skilled enough at discerning the research value for the specific population of the patient. It can be effectively achieved through carrying out the different steps involved in the EBP (Taylor, Priefer & Alt-White, 2016).

The main purpose of conducting the research is creating the new knowledge or confirming or validating the current knowledge on the basis of the theory. On the other hand, EBP is not regarding producing new knowledge or justifying any present knowledge, rather it is all regarding translating the evidence as well as using it for making clinical decision. Further, research-based practice is the systematic process and it is planned to make investigation. Compared to which, there is no any planned and systematic way of making investigation, as all proposition are mainly carried out based on the evidence (CHIEN, 2019).

Importance Of Assessing The Quality Of Evidence Generated From Research

The guideline developers use different systems to assess and rate the quality of evidence that is fundamental to their recommendations. In 2004, the GRADE offered 4 different levels of the evidence quality, which are quite low, moderate and high. This makes it quite simpler for the users to assess judgements that are behind recommendations. The clinical practice guidelines’ users and the other recommendations require to know the confidence level they can put in the recommendations (Meader et al. 2014).

The evidence quality indicates the degree to which confidence in estimation of the effects is enough to support the particular recommendation. For assessing the evidence quality involved in the systematic review is considered to be as important as the analysis of data within the research. The finding from poorly conducted research study can be twisted by biases from the methodology of the research and must be interpreted with huge caution. A quality may be reduced as an outcome of the limitations in the design of study of its implementation, publication bias, variability in results, or imprecision of the estimates. A quality may be upgraded due to quite high magnitude of the effects, if all the plausible biases would lessen an apparent effect of the treatment, and a dose-response gradient. The critical outcomes help in determining the overall quality of evidence. Clinicians is having the intuitive sense of the significance of designating evidence as lower or higher quality. It is believed that influences are clearly stronger for the higher quality than for the lower quality (Harrison et al. 2016).

Benefits Of Using Research To Deliver Safe And Effective Clinical Outcomes

Research has long been recognized and supported by the clinicians for its significance in the healthcare. It is considered as one of the main drivers in providing the evidence-based enhanced care options and treatment for the patients. The main issue is that the clinicians are feeling over-stretched and not able to get time enough time for doing the research. But there are numerous benefits of using research in delivering the effective and safe clinical outcomes. It has become prerequisite in the healthcare (Hamine et al. 2015).

Health research provides high value to the society, since it can help in providing key information relating to the trends of disease and the risk factors involved, outcomes of the treatment or the interventions of the public health, care patterns, functional abilities, and costs and use of the healthcare. Further, various approaches to the research helps in providing the complementary insights. The different areas of the health research have caused the noteworthy discoveries, the new remedies development, and the notable improvement in the public health as well as the health care (Jacobson & Krupinski, 2021).


Therefore, it can be concluded that the EBP is the combination of the clinical expertise or expert opinion; internal and external evidence; and the perspectives of the client, patient, and caregivers. EBP has now been widely recognized practices, and is a key to enhance the quality of healthcare and the patient outcomes. While research aims to conduct new research to produce new knowledge or validate the existing research, the EBP involves translating the evidences and using it to the clinical decision-making. Further, it has been analyzed that the quality of the evidence is quite important in the research, as it indicates the degree to which the confidence in estimation of the effect, is enough to support the particular recommendation.  Lastly, it has been analyzed that there are numerous sets of benefits in using research in delivering safe and effective clinical outcomes.


CHIEN, L. (2019). Evidence-Based Practice and Nursing Research. Journal Of Nursing Research, 27(4), e29.

Hamine, S., Gerth-Guyette, E., Faulx, D., Green, B., & Ginsburg, A. (2015). Impact of mHealth Chronic Disease Management on Treatment Adherence and Patient Outcomes: A Systematic Review. Journal Of Medical Internet Research, 17(2), e52.

Harrison, J., Reid, J., Quinn, T., & Shenkin, S. (2016). Using quality assessment tools to critically appraise ageing research: a guide for clinicians. Age And Ageing, 46(3), 359-365.

Jacobson, F., & Krupinski, E. (2021). Clinical Validation Is the Key to Adopting AI in Clinical Practice. Radiology: Artificial Intelligence, 3(4), e210104.

Meader, N., King, K., Llewellyn, A., Norman, G., Brown, J., & Rodgers, M. et al. (2014). A checklist designed to aid consistency and reproducibility of GRADE assessments: development and pilot validation. Systematic Reviews, 3(1).

Rousseau, D., & Gunia, B. (2016). Evidence-Based Practice: The Psychology of EBP Implementation. Annual Review Of Psychology, 67(1), 667-692.

Ruzafa-Martínez, M., López-Iborra, L., Armero Barranco, D., & Ramos-Morcillo, A. (2016). Effectiveness of an evidence-based practice (EBP) course on the EBP competence of undergraduate nursing students: A quasi-experimental study. Nurse Education Today, 38, 82-87.

Taylor, M., Priefer, B., & Alt-White, A. (2016). Evidence-based practice: Embracing integration. Nursing Outlook, 64(6), 575-582.