Evidence-based nursing: a method for nursing practice?

Evidence-based nursing is the concept of critically appraising the best evidence from research. It integrates research evidence with clinical expertise into decision making in nursing care for patients. The method is derived from the new paradigm in medicine--evidence-based medicine, developed as a learning method by epidemiologists at the McMaster University in Canada. This article states the necessity of this method for nursing. With the help of a clinical scenario (fall prevention in the elderly) the author explains how to use evidence-based nursing in practice.     

What's funny about nursing?

The authors examine the topic of humour and argue that humour is needed as one of many skills within the nurse patient relationship. We advance the view that humour has been well researched as an agent of therapeutic value and as a communication tool which helps to relieve stress, but, to date is not used to its fullest potential and tends therefore to be underestimated in both general and psychiatric nursing areas. Humour has benefits for both the nurse and the patient having psychological benefits and a vast array of physiological advantages and is regarded by those who use it as a social lubricant acting as a positive in nurse patient relationships. We also argue that it is essential that nurses know when to use humour as timing and appropriateness is imperative in order for it to be most effective. Humour can be used in all areas of clinical nursing practice and may prove useful in being a reliable predictor over the course of a patient's illness. The use of humour can help improve the nurse-patient relationship by initially breaking the ice between nurse and patient. This alternative mode of delivery can then be foundational to other areas of the nurse patient relationship such as self-disclosure, the enhancement of learning and relieving stress. Furthermore, it helps to facilitate and promote mutual health and well being for both the patient and the nurse. The usage of humour in psychiatric nurse settings is discussed and the benefits to both the patients and their staff are outlined as being of immense therapeutic value. The literature perhaps tends to skirt around these benefits somewhat, as psychiatry and laughter in partnership are not really considered important discursive topics.     

What is nursing science?

The enigma of defining nursing science is preceded by defining nursing, science, research, and nursing theory-guided practice. The context for exploring the meaning of nursing science is provided through examination of the totality and simultaneity paradigms. Differing views of nursing as a discipline are discussed. The position is taken that nursing is a basic science with various nursing schools of thought that constitute the substantive knowledge of the discipline. Finally, a definition of nursing science is presented that is broad enough to encompass all disciplinary knowledge. Despite current challenges, an optimistic vision is emerging. The nurse theorists and other nurse scholars who are furthering the development of this work are considered to be the cultural creatives of nursing and contributors to a larger movement toward wholeness in science and in society.