> Date: Mon, 19 Oct 1998 16:06:18 +0100
> Reply-to: [log in to unmask]
> Organization: King's College London
> Subject: Re: Evidence for evidence and evidence-based-capacity
> From: Peter Griffiths <[log in to unmask]>
> To: [log in to unmask]
> Guthrie, Dr Bruce wrote:
> >
> > George Kernohan has twice asked for "evidence of the clinical
> > effectiveness of the provision of evidence to nurses and PAMs" and
> > includes the comment "Sorry to repeat this, but is the lack of
> > replies a sign that we have a gap here?
> >
>
> Just an additional reference which may be of use to Bruce Guthrie - hot off
> the presses, unread by me and most definitely not critically appraised
>
> 1) TI: The effects of continuing professional education on the
> clinical practice of nurses: a review of the literature
> AU: Wood_I
> NA: KEELE UNIV,CITY GEN HOSP,DEPT NURSING & MIDWIFERY,NEWCASTLE
> RD,STOKE ON TRENT ST4 6QG,STAFFS,ENGLAND
> JN: INTERNATIONAL JOURNAL OF NURSING STUDIES, 1998, Vol.35, No.3,
> pp.125-131
> IS: 0020-7489
> DT: Review
> AB: In recent years, nurse education in the United Kingdom has
> undergone some major organisational changes, not least the move
> into higher education institutions. Concurrently, developments
> in the professionalisation of nursing through the UKCC's post
> registration education and practice reforms have led to nurses
> being required to identify their own educational needs. Having
> identified their own needs, nurses are then faced with a
> plethora of post registration education programmes which are
> aimed to facilitate their learning and, directly or indirectly,
> improve patient care. However, do these programmes positively
> influence nursing practice and the standard of care delivered?
> This paper reviews the literature regarding the effects that
> continuing professional education (CPE) programmes have upon
> the clinical practice of nurses. The review draws on papers
> primarily from North America and the UK and highlights the
> methodological approaches used to discover if and how nursing
> practice is influenced. The impact of CPE on nurses as
> individuals is detailed along with the effects of CPE on the
> delivery of patient care.
>
> Hope its helpful / relevant
> --
> Peter Griffiths
> Lecturer, Research in Nursing Studies Section
> Florence Nightingale Division of Nursing and Midwifery
> King's College London
> Waterloo Rd
> London, UK
> SE1 8WA
>
> +44 171 872 3012 (DDI)
> +44 171 872 3219 (Fax)
> [log in to unmask]
Hello Peter and ebp list
I seem to have missed this debate, been on holiday and not checked
the archive yet. I lead an open learning pathway for Health Care
Professionals and am continually encouraging students to 'find the
evidence' They often have difficulties as there are large gaps in
the research supporting nursing and pams practice. There is still a
qualitative bias in much of the research and the use of RCT is
regarded as very much a medical 'thing'. I have been running an
informal survey over the years asking key questions about those areas
of practice where the evidence for certain common nursing procedures
is good. Invariably there is someone in the group who is still using a
discredited procedure, before the medics feel too superior :<) the
reason given is sometimes, 'well yes we know that but the consultant
insists we do it his way'.
> > George Kernohan has twice asked for "evidence of the clinical
> > effectiveness of the provision of evidence to nurses and PAMs" and
> > includes the comment "Sorry to repeat this, but is the lack of
> > replies a sign that we have a gap here?
There is a gap. I am aware of attempts to measure the effect of CPD
on practice but not aware of anything on the above. I've done a
quick search with no results but will keep trying. If the results
are minimal or zero as I expect, then there is an obvious need for
this work to be done. If anyone else is interested I would be happy
to help, contribute.
Anne Gill
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