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Crit Care Nurs Q. 2019 Jul/Sep;42(3):256-264. doi: 10.1097/CNQ.0000000000000266.

Nurses' Use of Evidence-Based Practice at Point of Care: A Literature Review.

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Texas Woman's University, College of Nursing, Houston (Drs McKinney and DelloStritto); and Texas Tech University Health Science Center, School of Nursing, Lubbock (Dr Branham).


The article reports results of an interrogative literature review designed to study the acquisition of research-based knowledge among practicing nurses who provide direct patient care for decision making at the point of care. Findings reveal that despite the amount of research done on the use of evidence-based practice among nurses, gaps continue to exist between what is known and what is done in practice. Nurses often cite the lack of time and support and the lack of knowledge as predominant factors that keep them from using evidence-based practice at the point of care. The past research has primarily been completed using a retrospective approach. There is a paucity of research that evaluates specific nursing behaviors that support evidence-based practice in daily patient care.

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