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Ebp and Ch

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Evidence-based practice (EBP) has been defined as the unification of the best existing data from a wide variety of sources, including investigative studies, clinical experience and expertise, and patient preferences to guide healthcare decisions and formulate plans of care (Missal, Schafer, Halm, & Schaffer, 2010). In community-oriented nursing, the focus is on the delivery of services and interventions to a population or group of individuals (Stanhope & Lancaster, 2014). In essence, a nurse’s knowledge of the community, as evidenced by the awareness and inclusion of community values and beliefs in healthcare strategies, is an integral component of EBP. Knowledge of the community and its defining characteristics and needs is essential to the successful translation of EBP from theory into reality. The healthcare team and the target community must possess a common vision with equivalent goals and priorities. Incongruent objectives ultimately hinder the implementation and sustainability of EBP (Kilbourne et al., 2012). For example, a community health initiative that aims to reduce risk factors for heart disease may not be well received if the principal concern of the community is access to potable water. Even though the initiative may have been formulated within the context of EBP, it may fail as the community attributes greater value to clean drinking water than reducing heart disease. According to Layde et al. (2012), it is not uncommon for community health initiatives to be developed by outsiders and rolled out to the masses without consideration for the target population’s fundamental characteristics. Nurses must be cognizant of what the community considers to be its paramount necessity in order for EBP to be successful.
References
Kilbourne, A. M., Neumann, M. S., Waxmonsky, J., Bauer, M. S., Kim, H. M., Pincus, H. A., & Thomas, M. (2012). Evidence-based implementation: The role of sustained community-based practice and research partnerships. Psychiatric Services, 63(3), 205-207.
Layde, P. M., Christiansen, A. L., Peterson, D. J., Guse, C. E., Maurana, C. A., & Brandenburg, T. (2012). A model to translate evidence-based interventions into community practice. American Journal of Public Health, 102(4), 617-624. doi:10.2105/AJPH.2011.300468
Missal, B., Schafer, B. K., Halm, M. A., & Schaffer, M. A. (2010). A university and health care organization partnership to prepare nurses for evidence-based practice. Journal of Nursing Education, 49(8), 456-461.
Stanhope, M. & Lancaster, J. (2014). Foundations of nursing in the community: Community-oriented practice (4th ed.). St. Louis, MO: Mosby Elsevier.

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