The development of a framework for evidence based nursing practice in a cancer setting

The importance of utilising evidence based practice as the preferred method of selecting from the wide variations in clinical practice is increasingly being recognised in contemporary nursing, Fitch (1996). Clinical guidelines built on evidence developed through a systematic research process can provide valid information on which to base clinical decision making and can ensure optimum nursing interventions which in turn ensure optimum patient care, Fitch (1996). In an increasingly busy and rapidly changing clinical environment nurses must ensure that clinical care is rationalised and based on the best principles of clinical care available. Additionally, there is an increasing demand to demonstrate that clinical practice is both effective and efficient. The establishment of an evidence-based nursing practice (EBNP) research strategy at Peter Mac aims to achieve just this. The following aims, derived from Fitch (1996) guided the initial proposal: a) to establish a EBNP framework that operate at all levels of the nursing division; b) to enhance the development of clinical knowledge through unit focused research activities centered on evidence-based practice; c) to engage in activities that will disseminate the findings ofEBNP projects and foster staff development; and, d) to promote the use of the EBNP project findings at the unit level. This presentation will focus on the progress to date of current evidence based practice activities and aims to provide a practical guide for practitioners as to how to go about developing and utili sing evidence in nursing practice. A case study describing the current focus of our evidence based practice activities will be presented.