Comparing and Contrasting Traditional Practice to Evidence-Based Practice for the Experienced Advanced Practice Nurse

Tuesday, 14 July 2009: 1:45 PM

Donna M. Hallas, PhD, PNP-BC, CPNP
College of Nursing, New York University, New York City, NY
Mary M. Brennan, MSN, ACNP-BC
College of Nursing, New York University, New York, NY
Mary Beth Koslap-Petraco, MS, PNP-BC, CPNP
Pediatrics, Department of Health Services Suffolk County, Hauppauge, NY

Learning Objective 1: compare and contrast traditional practice to evidence-based practice for care management of clients in adult acute care, pediatric primary care, and public health care settings.

Learning Objective 2: analyze the process for implementation of evidence-based practice to promote quality care outcomes in a variety of practice settings.

Purpose:

Evidence-based guidelines have clearly changed the underpinnings of educating advance practice nurses for clinical practice.  There are now cadres of advance practice nurses (APNs) who have been educated and are practicing within this framework.  However, from our experiences, APNs who were educated prior to this movement remain reluctant to embrace and implement evidence-based practice guidelines in their clinical practices.  The purpose of this presentation is to inform experienced advanced practice nurses about ways to enhance their practices through the use of evidence-based practice in such settings as adult acute care, pediatric primary care, and public health care. 

Methods:

The now familiar words and phrases such as best available evidence, systematic review of the literature, meta-analysis, critical appraisals, practice guidelines, patient preferences, and expert clinical opinion continue to challenge APNs who must meet the day to day demands of a busy office and/or hospital based practice.  This presentation will describe strategies that can be used by current practicing APNs to efficiently integrate evidence-based diagnostic reasoning and clinical decision making skills in both acute, primary, and community health care settings.  Case scenarios encountered in both acute and primary care adult and pediatric settings will be presented which compare and contrast the traditional approach to practice to an evidence-based approach through identification of appropriate clinical questions, searches for the best available evidence, and use of evidence to determine the best diagnostic and treatment approaches. 

Results:

Complex, cognitive processes used to integrate the various sources of client information and knowledge and to determine the best diagnostic and treatment approaches will be presented.

Conclusion:

The participant will emerge from this discussion with a better understanding of the benefits of using evidence-based practice for care management in both acute and primary care adult and pediatric practices.