{"id":465,"date":"2013-12-09T11:38:47","date_gmt":"2013-12-09T11:38:47","guid":{"rendered":"https:\/\/blogs.bmj.com\/ebn\/?p=465"},"modified":"2013-12-09T11:38:47","modified_gmt":"2013-12-09T11:38:47","slug":"cochrane-in-nursing-20-years-and-counting-of-evidence-based-health-care","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/ebn\/2013\/12\/09\/cochrane-in-nursing-20-years-and-counting-of-evidence-based-health-care\/","title":{"rendered":"Cochrane in Nursing: 20 years and counting of evidence-based health care"},"content":{"rendered":"<p>In 1998, in the first published paper in the first published edition of Evidence-Based Nursing, Anne Mulhall began her article by asking the question \u2018Why has research-based practice become so important and why is everyone talking about evidence based health care? But most importantly, how is nursing best placed to maximise the benefits which evidence-based care can bring?\u2019 <sup>1 <\/sup>This was five years into the Cochrane Collaboration\u2019s now 20 year history and already Mulhall cited what she then referred to as \u2018the initiative\u2019 as an important source needed to maximise the potential of evidence-based nursing. <sup>1 <\/sup>Just over ten years later, in March 2009, the <i>Nursing Care Field<\/i> was registered with the Cochrane Collaboration. This long delay alludes perhaps to the snags around the distinction between \u2018evidence-based practice\u2019 with its integration of qualitative and more theoretical knowledge and \u2018research-based practice\u2019s\u2019 more rigid criteria around quantitative studies with randomized controlled trials touted as the gold standard. Indeed it would be unrealistic to look to qualitative studies in search of evidence of effectiveness.<i><\/i><\/p>\n<p>In the field of evidence-based nursing, the Cochrane Collaboration has made a number of important contributions. One of them has been to endorse and promote recognition of the systematic review as a significant and valuable source of evidence that provides the results of numerous relevant individual studies which have undergone stringent appraisal, synthesis and interpretation. Facilitating the increased involvement and use of nursing professionals in Cochrane reviews by establishing the Cochrane Nursing Care Field has been one very significant way that Cochrane has increased the capacity of nurses to conduct, access and use Cochrane\u2019s work.<\/p>\n<p>The Cochrane Collaboration has grown and indeed diversified; now incorporating clinical controlled trials and (sometimes) non-randomized observational studies. For consideration for inclusion into a Cochrane Intervention review, evidence from qualitative research must necessarily be subjected to methods of review that are correspondingly rigorous to quantitative evidence.<\/p>\n<p>Cochrane\u2019s swift development into one of the most internationally recognised organizations in evidence-based health care has contributed immensely to the widespread implementation of evidence-based practice and not least in the world of nursing.<\/p>\n<p>To give a simple but very telling example relating to one of the most universal health care practices, consider wound cleansing. While the management of both chronic and acute injuries has evolved dramatically in recent decades, Cochrane reviewers Fernandez and Griffiths noted the lack of attention paid to the kinds of solutions used.<sup>2 <\/sup>In summary, their results found no evidence that using normal tap water to cleanse acute wounds in adults or children increases or reduces infection. Furthermore no strong evidence was found to show that healing or the reduction of infection was improved by wound cleansing. One of the authors\u2019 conclusions was that in the absence of potable tap water, cooled boiled water as well as distilled water can be used as cost-effective wound cleansing agents.<sup>2 <\/sup>It is findings like this that can have substantial impact on health care even in some of the most undersupplied regions in the world.<\/p>\n<p>Mulhall concluded her article with some considerations for those who wished to embrace the then emerging field of evidence-based nursing. The first was that nursing must shed its suspicion of quantitative evidence and cultivate a skilled critique of it. <sup>1 <\/sup>As the Cochrane Collaboration enters its second decade, it can be rightly proud that it has made great strides in establishing and advancing nursing professionals\u2019 trust and appreciation for quantitative evidence, truly delivering critically important justification for numerous evidence-based health care practices.<\/p>\n<p><strong>Dr Micah Peters BHSc MA(Q) PhD<\/strong><\/p>\n<p>Research Fellow, Synthesis Science<\/p>\n<p>The Joanna Briggs Institute<\/p>\n<p>School of Translational Health Science<\/p>\n<p>Faculty of Health Sciences<\/p>\n<p>The University of Adelaide, AUSTRALIA<\/p>\n<p>&nbsp;<\/p>\n<p>Micah is a member of the Cochrane Nursing Care Field<\/p>\n<p>1\u00a0\u00a0\u00a0\u00a0\u00a0 Mulhall A, Nursing, research, and the evidence. Evid Based Nurs [Internet]. 1998 Jan [cited 2013 Aug 16];1(1). Available from: <a href=\"http:\/\/ebn.bmj.com\/content\/1\/1\/4.full.pdf+html\">http:\/\/ebn.bmj.com\/content\/1\/1\/4.full.pdf+html<\/a><\/p>\n<p>2\u00a0\u00a0\u00a0\u00a0\u00a0 Fernandez R, Grif\ufb01ths R. Water for wound cleansing. Cochrane Database of Systematic Reviews [Internet]. 2012 [cited 2013 Sept 5];2. Available from: <a href=\"http:\/\/onlinelibrary.wiley.com.proxy.library.adelaide.edu.au\/doi\/10.1002\/14651858.CD003861.pub3\/pdf\/standard\">http:\/\/onlinelibrary.wiley.com.proxy.library.adelaide.edu.au\/doi\/10.1002\/14651858.CD003861.pub3\/pdf\/standard<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 1998, in the first published paper in the first published edition of Evidence-Based Nursing, Anne Mulhall began her article by asking the question \u2018Why has research-based practice become so important and why is everyone talking about evidence based health care? But most importantly, how is nursing best placed to maximise the benefits which evidence-based [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/ebn\/2013\/12\/09\/cochrane-in-nursing-20-years-and-counting-of-evidence-based-health-care\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":169,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-465","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cochrane in Nursing: 20 years and counting of evidence-based health care - Evidence-Based Nursing blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/ebn\/2013\/12\/09\/cochrane-in-nursing-20-years-and-counting-of-evidence-based-health-care\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cochrane in Nursing: 20 years and counting of evidence-based health care - Evidence-Based Nursing blog\" \/>\n<meta property=\"og:description\" content=\"In 1998, in the first published paper in the first published edition of Evidence-Based Nursing, Anne Mulhall began her article by asking the question \u2018Why has research-based practice become so important and why is everyone talking about evidence based health care? 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