Relevant bibliographies by topics / Evidence-based midwifery

Academic literature on the topic 'Evidence-based midwifery'

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Published: 10 December 2022
Last updated: 19 February 2023

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Journal articles on the topic "Evidence-based midwifery"

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Kutálková, Karolína, and Věra Vránová. "THE MIDWIVES` AWARENESS OF EVIDENCE BASED MIDWIFERY." Profese online 7, no. 2 (October 1, 2014): 7–11. http://dx.doi.org/10.5507/pol.2014.008.

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., Mrudhula, and Maheswari B. "Evidence Based Practice in Midwifery: Moving Towards Destiny." Indian Journal of Obstetrics and Gynecology 4, no. 3 (2016): 275–78. http://dx.doi.org/10.21088/ijog.2321.1636.4316.14.

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Rosy, M. Marie. "Evidence based Practice in Midwifery." International Journal of Nursing Education and Research 4, no. 3 (2016): 376. http://dx.doi.org/10.5958/2454-2660.2016.00067.3.

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Renfrew, Mary. "Midwifery and evidence-based care." Midwifery 12, no. 4 (December 1996): 157–58. http://dx.doi.org/10.1016/s0266-6138(96)80001-5.

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Shadap, Arkierupaia. "Evidence based practice in midwifery care." International Journal of Obstetrics and Gynaecological Nursing 4, no. 1 (January 1, 2022): 01–04. http://dx.doi.org/10.33545/26642298.2022.v4.i1a.75.

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Goshomi, Unice. "Evidence-based practice and midwifery practice." African Journal of Midwifery and Women's Health 13, no. 1 (January 2, 2019): 5. http://dx.doi.org/10.12968/ajmw.2019.13.1.5.

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Fahy, Kathleen. "Evidence-based midwifery and power/knowledge." Women and Birth 21, no. 1 (March 2008): 1–2. http://dx.doi.org/10.1016/j.wombi.2007.12.004.

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Kennedy, Holly Powell, Eleanor Doig, Barbara Hackley, Mayri Sagady Leslie, and Stephanie Tillman. "“The Midwifery Two-Step”: A Study on Evidence-Based Midwifery Practice." Journal of Midwifery & Women's Health 57, no. 5 (July 27, 2012): 454–60. http://dx.doi.org/10.1111/j.1542-2011.2012.00174.x.

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Belowska, Jarosława, Aleksander Zarzeka, Mariusz Panczyk, and Joanna Gotlib. "Evidence-based midwifery practice – przegląd światowego piśmiennictwa." Pielęgniarstwo Polskie 60, no. 2 (June 30, 2016): 236–40. http://dx.doi.org/10.20883/pielpol.2016.17.

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Spiby, Helen, Jane Munro, and Helen Spiby. "Evidence-based midwifery in action: an introduction." British Journal of Midwifery 9, no. 9 (September 2001): 549. http://dx.doi.org/10.12968/bjom.2001.9.9.9419.

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Dissertations / Theses on the topic "Evidence-based midwifery"

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De, Leo Annemarie June. "Improving processes for implementing evidence-based practice in midwifery: Development of an eTool(KIT) for midwives." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2020. https://ro.ecu.edu.au/theses/2422.

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Evidence-based practice (EBP) is well-established as the gold standard for service delivery of quality healthcare around the world, yet there remains a significant gap between best available evidence and its everyday use in maternity services. The numerous benefits of EBP are therefore never realised and although a considerable body of knowledge has evolved on how to promote the uptake of new EBPs, little is known about midwives’ experience of implementing EBP or leading practice change projects in clinical areas. The aim of this study was to work collaboratively with midwives towards the co-development of an evidence implementation resource, designed to provide clear direction and support to midwives wanting to implement new EBPs in clinical areas. This led to the design of a blueprint for an eTool(KIT) for midwives, outlining a stepby- step approach to leading practice change projects in clinical areas. A qualitative approach to the study design was adopted and critical realism employed as the philosophical underpinning for this research inquiry. Seventeen Australian midwives consented to participate in either a focus group discussion or face-to-face interview, which were audio recorded, transcribed and combined with additional field notes to provide a collection of data that was analysed and reported. Three higher order codes were synthesised from the findings to make overall meaning of the factors that contribute to the adoption of EBP in midwifery: “It’s hard to overcome the resistance towards new EBP, midwives are passionate yet reticent towards leading practice change”, “Inter-disciplinary collaboration and organisations supportive of change are key to improving implementation processes for midwives”, and “ To lead practice change initiatives, midwives require knowledge of system-level change and a clear process for evidence implementation”. The findings revealed that although midwives are passionate iv about EBP, they express reticence towards leading practice change for numerous reasons. These reasons contribute to the inconsistent and sub-optimal use of EBP in Australian maternity services. As such, this study offers a pragmatic approach to organisational change and demonstrates the potential for midwives to be leader of evidence-based change and key stakeholders in all future practice change projects in Australian maternity services.
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Hindley, Carol. "Intrapartum fetal monitoring for woman at low obstetric risk : enabling evidence based midwifery practice." Thesis, University of Manchester, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.499833.

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Thopola, Magdeline Kefilwe. "An evidence-based model for enhancing optimal midwifery practice environment in maternity units of public hospitals, Limpopo Province." Thesis, University of Limpopo, 2016. http://hdl.handle.net/10386/1541.

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Thesis ( Ph.D. ( Nursing)) -- University of Limpopo, 2016
The purpose of this study was to develop an evidence-based model for enhancing optimal midwifery practice environment in maternity units of public hospitals, Limpopo Province. A mixed method sequential explanatory design was adopted. The study was conducted in four phases, namely: quantitative, qualitative, model development and validation of the model. Self-developed 4-point Likert scale questionnaires consisting of 81 item questions for learner midwives and 89 item questions for midwifery practitioners were administered. The questionnaires were pre-tested prior to being administered to the respondents of the main study. The sample size of midwifery practioners was 174 and that of the learner midwives was 163. Data collected from respondents were analyzed quantitatively using descriptive and inferential statistics. Tables, pie and bar graphs were drawn to present the results. The results from the quantitative phase were utilized to formulate the interview guides that were used to explore the experiences of midwifery practitioners, experiences of learner midwives and perceptions of puerperal mothers. Phenomenological semi-structured individual interviews were conducted for midwifery practitioners (n=20), 3 Focus group discussions of learner midwives (n=18) and 3 focus group discussions of puerperal mothers (n=18) were held until data reached saturation. Data were analyzed qualitatively using Tesch’s open-coding method. Themes and sub-themes were coded manually. Results that emerged from the corroboration, comparison and integration of quantitative and qualitative results revealed the existence a sub-optimal midwifery practice environment, sub-optimal midwifery experiential learning environment and provision of sub-optimal midwifery interventions in the public hospitals of Limpopo province. Development of an evidence-based model emanated from the findings of numeric quantitative data and qualitative narratives. The evidence-based information from the existing situation as seen from the world of participants brought about a gap of optimal midwifery practice environment. The ideal situation was designed in a way of addressing the gaps identified. Experts were given the validation tool to assess whether the model was clear, simple, understood and that it can be utilized by any discipline in future.
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Santos, Rafael Cleison Silva dos. "Implementação de evidências científicas na prevenção e reparo do trauma perineal no parto." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-19052017-100401/.

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Introdução: As taxas de episiotomia e lacerações perineais espontâneas no parto normal apresentam grande variação entre os diferentes serviços. Esses traumas perineais e as morbidades relacionadas podem ser prevenidos ou reduzidos com a adoção de práticas baseadas em evidências científicas na assistência ao parto e no reparo perineal. Embora existam evidências científicas bem estabelecidas sobre prevenção e reparo do trauma perineal no parto, em nosso meio faltam estudos sobre a implementação destas evidências na prática. Objetivo geral: Promover as melhores práticas baseadas em evidências científicas para prevenção e reparo do trauma perineal no parto normal. Objetivos específicos: 1) Avaliar a prática corrente na prevenção e reparo do trauma perineal no parto normal; 2) Implementar as melhores práticas baseadas em evidências científicas para prevenção e reparo do trauma perineal no parto normal; 3) Avaliar o impacto da implementação dessas práticas nos desfechos maternos. Método: Estudo de intervenção quase experimental, tipo antes e depois, segundo a metodologia de implementação de evidências na prática clínica do Instituto Joanna Briggs. Foi conduzido no Hospital da Mulher Mãe Luzia, em Macapá, AP. Foram realizadas 74 entrevistas com enfermeiros e médicos obstetras e residentes de ambas as categorias e 70 entrevistas com mulheres que deram à luz nesse local. Foram também analisados dados de prontuários (n=555). Foi realizada uma intervenção educativa, por meio de um seminário para os profissionais, com a finalidade de apresentar e discutir as evidências científicas disponíveis e as melhores práticas em relação ao cuidado perineal no parto. O estudo foi realizado em três fases: pré-auditoria e auditoria de base (fase 1); implementação de boas práticas (fase 2, que corresponde à intervenção educativa); auditoria pósimplementação (fase 3). Os dados foram analisados mediante a comparação entre os resultados das fases 1 e 3, com nível de significância de 5%. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Escola de Enfermagem da Universidade de São Paulo. Resultados: Em relação aos profissionais, a comparação entre as fases 1 e 3 mostrou que houve aumento da proporção de profissionais que raramente ou nunca incentivam o puxo dirigido (55,0% versus 81,2%; p=0,009), restringem a realização da episiotomia (83,3% versus 96,9%; p=0,021) e deixam as lacerações de primeiro grau sem reparo (61,9% versus 81,2%; p=0,011). Em relação às puérperas entrevistadas, além da posição litotômica no parto ter sido apontada pela maioria das mulheres na fase 1 (77,1%), foi também a mais frequente na fase 3 (97,1%), com diferença estatística significante (p=0,028). Quanto à dor perineal após o parto (períodos de 1-2 dias, 10-12 dias e 30 dias), a frequência diminuiu no decorrer do pós-parto (94,0%, 66,7% e 63,6%, respectivamente, em cada período, na fase 1, e 79,0%, 57,1% e 38,5%, respectivamente, em cada período, na fase 3), com diferença estatisticamente para os diferentes períodos (p=0,019), mas sem diferença entre as fases 1 e 3. Os dados de prontuário das puérperas mostraram que menos mulheres tiveram a laceração perineal suturada (92,0%, na fase 1, e 82,1%, na fase 3; p=0,039) e mais profissionais utilizaram o fio ácido poliglicólico ou poliglactina 910 na mucosa (4,8%, na fase 1, e 28,1%, na fase 3; p=0,006) e na pele (10,2%, na fase 1, e 25,0%, na fase 3; p=0,033). Em relação às demais práticas e desfechos analisados, não houve diferença estatisticamente significante antes e após a intervenção educativa. Conclusão: A metodologia de implementação de práticas baseadas em evidências científicas melhorou os cuidados e os desfechos perineais, incluindo menos profissionais enfermeiros e médicos que realizam puxos dirigidos e episiotomia de rotina e mais registros nos prontuários do uso do fio de sutura ácido poliglicólico ou poliglactina 910 na mucosa e na pele. Por outro lado, a pesquisa identificou lacunas na implementação de evidências e algumas inadequações no manejo do cuidado perineal, tais como, relatos de puérperas submetidas à posição de litotomia e falta de registros nos prontuários em relação à sutura das lacerações perineais. A continuidade das auditorias e novas intervenções educativas sobre a prática baseada em evidências podem melhorar o cuidado e os resultados de saúde materna.
Introduction: Episiotomy rates and spontaneous perineal trauma in normal birth have considerable variation among different health care services. These perineal traumas and related morbidity may be prevented or restricted adopting evidence-based practices during childbirth and perineal repair. Although the well established evidence on perineal trauma prevention and repair, in Brazil there are few studies on the implementation of this evidence in practice. Objectives: Promote the best evidence-based practices for perineal trauma prevention and repair in normal birth; Assess the current practice in perineal trauma prevention and repair in normal birth; Implement the best evidence-based practices on perineal trauma prevention and repair in normal birth; Assess the impact of these implementation on maternal outcomes. Methods: Quasi-experimental intervention study before and after, according to Institute Joanna Briggs methodology implementation of evidence in clinical practice. It was conducted 74 interviews with nurses, obstetricians, residents of both categories and 70 with post-partum women who have had birth at Hospital da Mulher Mãe Luzia, in Macapá, AP, Brazil. It was also analyzed 555 patient data records. The educational intervention was a seminar for professionals, to present and discuss the best evidence-based practice available in relation to perineal care during labour and birth. The study was conducted in three stages: pre-audit and base audit (phase 1); implementation of best practices (phase 2: educational intervention); post-implementation audit (phase 3). Data were analysed comparing the results of phases 1 and 3, with significance level of 5%. The Research Ethics Committee of the School of Nursing of the University of São Paulo approved the study. Results: Concerning professionals, the comparison between phases 1 and 3 showed an increased proportion of professionals who rarely or never encourage direct pushing (55.0% versus 81.2%; p=0.009), perform episiotomy (83.3% versus 96.9%; p=0.021) and leave first-degree lacerations without repairing (61.9% versus 81.3%; p=0.011). Concerning post-partum women, besides the lithotomy position have been most frequent referred by women in the phase 1 (77.1%), it was also the most frequent position in phase 3 (97.1%), with statistical difference (p=0.028). Related to perineal pain 1-2 days, 10-12 days and 30 days after childbirth, the frequency decreased (94.0%, 66.7% and 63.6%, respectively, in each period, in phase 1, and 79.0%, 57.1% and 38.5%, respectively, in each period in phase 3), with statistical difference considering all periods (p=0.019), but no difference between phases 1 and 3. Concerning patient data records, less women had perineal lacerations sutured (92.0%, in phase 1, and 82.1%, in phase 3; p=0.039) and more women had perineal mucosa (4.8%, in phase 1, and 28.1%, in phase 3; p=0.006) and perineal skin (10.2%, in phase 1, and 25.0%, in phase 3; p=0.033) sutured by polyglycolic acid and polyglactin 910. Concerning other analyzed practices and outcomes, no one had statistical significant difference before and after the educational intervention. Conclusion: The evidence-based practice implementation methodology improved the childbirth care and perineal outcomes, such as less nurses and obstetricians performing directed pushes and routine episiotomies, and more records about the use of polyglycolic acid and polyglactin 910 to suture perineal mucosa and skin. On the other hand, it was identified gaps in evidence implementation and some inappropriate perineal care management, such as women submitted to lithotomy position during birth and lack of records in suturing perineal tears. On-going audits and educational interventions on evidence-based practice can improve the childbirth care and maternal outcomes.
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Mathole, Thubelihle. "Whose Knowledge Counts? : A Study of Providers and Users of Antenatal Care in Rural Zimbabwe." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6251.

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(12552852), Sharon Haste. "The perceived barriers to implementing a midwifery model of care in a tertiary hospital." Thesis, 2005. https://figshare.com/articles/thesis/The_perceived_barriers_to_implementing_a_midwifery_model_of_care_in_a_tertiary_hospital/19776244.

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This report aims to identify the barriers to implementing a midwifery model of care in the Royal Darwin Hospital. A Government directive was the catalyst to implement the model, however this precedes along history of consumer complaint and government review (Northern Territory Government Media Release, October 2002).


The official project spans over a period of fourteen months with an immediate preceding history of nineteen months relating to other government directives. The directives affecting the project were to develop and implement a caseload midwifery model of care and to plan a birth centre (Northern Territory Government Media Release October, 2002).

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Meddings, Fiona S., Phipps Fiona E. MacVane, Melanie Haith-Cooper, and Jacquelyn Haigh. "Vaginal birth after caesarean section (VBAC): exploring women's perceptions." 2007. http://hdl.handle.net/10454/6691.

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Aims and objectives.  This study was designed to complement local audit data by examining the lived experience of women who elected to attempt a vaginal birth following a previous caesarean delivery. The study sought to determine whether or not women were able to exercise informed choice and to explore how they made decisions about the method of delivery and how they interpreted their experiences following the birth. Background.  The rising operative birth rate in the UK concerns both obstetricians and midwives. Although the popular press has characterized birth by caesarean section as the socialites’ choice, in reality, maternal choice is only one factor in determining the method of birth. However, in considering the next delivery following a caesarean section, maternal choice may be a significant indicator. While accepted current UK practice favours vaginal birth after caesarean (VBAC) in line with the research evidence indicating reduced maternal morbidity, lower costs and satisfactory neonatal outcomes, Lavender et al. point out that partnership in choice has emerged as a key factor in the decision-making process over the past few decades. Chaung and Jenders explored the issue of choice in an earlier study and concluded that the best method of subsequent delivery, following a caesarean birth, is dependent on a woman's preference. Design and methodology.  Using a phenomenological approach enabled a holistic exploration of women's lived experiences of vaginal birth after the caesarean section. Results.  This was a qualitative study and, as such, the findings are not transferable to women in general. However, the results confirmed the importance of informed choice and raised some interesting issues meriting the further exploration. Conclusions.  Informed choice is the key to effective women-centred care. Women must have access to non-biased evidence-based information in order to engage in a collaborative partnership of equals with midwives and obstetricians. Relevance to clinical practice.  This study is relevant to clinical practice as it highlights the importance of informed choice and reminds practitioners that, for women, psycho-social implications may supersede their physical concerns about birth.
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Books on the topic "Evidence-based midwifery"

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1952-, Munro Jane, ed. Evidence based midwifery: Applications in context. Chichester, West Sussex, UK: Wiley-Blackwell, 2010.

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Best practices in midwifery: Using the evidence to implement change. New York: Springer, 2013.

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Research methods in nursing & midwifery: Pathways to evidence-based practice. South Melbourne, Vic: Oxford University Press, 2011.

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McDaid, Catriona Maria. Clinical effectiveness and evidence-based nursing midwifery and health visiting: Barriers, resources and practical implications. [Belfast]: The National Board for Nursing, Midwifery and Health Visiting for Northern Ireland, 2000.

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Examination of the newborn: An evidence based guide. Chichester, West Sussex: Wiley-Blackwell, 2011.

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Evidence-based care for breastfeeding mothers: A resource for midwives and allied healthcare professionals. London: Routledge, 2012.

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Alan, Pearson. Evidence-based clinical practice in nursing and healthcare: Assimilating research, experience, and expertise. Oxford, UK: Blackwell Pub., 2006.

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RPN, Field John, and Jordan Zoe, eds. Evidence-based clinical practice in nursing and health care: Assimilating research, experience and expertise. Oxford: Blackwell Pub., 2007.

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1996, Leicester Royal Infirmary NHS Trust Obstetrics and Gynaecology Directorate Midwife-led Care Working Party. Evidence-based guidelines: Intrapartum midwife-led care for midwives. Leicester: Leicester Royal Infirmary NHS Trust, 1996.

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Leicester Royal Infirmary NHS Trust. Obstetrics and Gynaecology Directorate. Handbook of evidence-based guidelines for midwife-led care in labour. Leicester: Leicester Royal Infirmary NHS Trust, 1996.

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Book chapters on the topic "Evidence-based midwifery"

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Pollard, Maria. "Nursing and Midwifery Council Essential Skills Clusters (ESCs) for Pre-registration Midwifery Education (2007)." In Evidence-based Care for Breastfeeding Mothers, 228. Abingdon, Oxon; New York, NY: Routledge, 2017.: Routledge, 2017. http://dx.doi.org/10.4324/9781315625102-14.

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Brayford, Donna, Ruth Chambers, Elizabeth Boath, and David Rogers. "Introduction Clinical effectiveness and clinical governance are about knowing what you should be doing and being able to put that knowledge into midwifery practice." In Evidence-Based Care for Midwives, 1–17. London: Routledge, 2022. http://dx.doi.org/10.4324/9780429272158-1.

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Irvine, Lucy C. "Selling Beautiful Births: The Use of Evidence by Brazil’s Humanised Birth Movement." In Global Maternal and Child Health, 199–219. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-84514-8_11.

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AbstractMaternal health care continues to be excessively medicalised in many national health systems. Global, national, and local level policy initiatives seek to normalise low-risk birth and optimise the use of clinical interventions, informed by strong evidence supporting care that is centred on women’s preferences and needs. Challenges remain in translating evidence into practice in settings where care is primarily clinician-led and hospital-based, such as in Brazil.I conducted an ethnography of the movement for humanised care in childbirth in São Paulo between 2015 and 2018. I draw on interviews and focus groups with movement members (including mothers, doulas, midwives, obstetricians, politicians, programme leads, and researchers), and observations in health facilities implementing humanised protocols, state health council meetings, and key policy fora (including conferences, campaigning events, and social media). Key actors in this movement have been involved in the development and implementation of evidence-based policy programmes to “humanise” childbirth. Scientific evidence is used strategically alongside rights-based language, such as “obstetric violence”, to legitimise moral and ideological aims. When faced with resistance from pro-c-section doctors, movement members make use of other strategies to improve access to quality care, such as stimulating demand for humanised birth in the private health sector. In Brazil, this has led to a greater public awareness of the risks of the excessive medicalisation of birth but can reinforce existing inequalities in access to high-quality maternity care. Lessons might be drawn that have wider relevance in settings where policymakers are trying to reduce iatrogenic harm from unnecessary interventions in childbirth and for supporters of normal birth working to reduce barriers to access to midwifery-led, woman-centred care.
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"Evidence-Based Paradigms and Contemporary Midwifery." In Evidence-Based Healthcare in Context, 169–90. Routledge, 2016. http://dx.doi.org/10.4324/9781315255774-19.

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"Evidence- based education in nursing and midwifery." In Evidence-Based Education in the Health Professions, 448–60. CRC Press, 2005. http://dx.doi.org/10.1201/b20752-42.

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Aughinbaugh, Laura A., and Nicole S. Carlson. "Evidence-Based Midwifery Care for Obese Childbearing Women." In Best Practices in Midwifery. New York, NY: Springer Publishing Company, 2016. http://dx.doi.org/10.1891/9780826131799.0006.

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"Evidence-based practice." In How to Survive your Nursing or Midwifery Course: A Toolkit for Success, 91–106. 1 Oliver’s Yard, 55 City Road London EC1Y 1SP: SAGE Publications Ltd, 2017. http://dx.doi.org/10.4135/9781529714739.n5.

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Marowitz, Amy. "Evidence-Based Management of Prelabor Rupture of the Membranes at Term." In Best Practices in Midwifery. New York, NY: Springer Publishing Company, 2016. http://dx.doi.org/10.1891/9780826131799.0021.

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"Twiggs, op. cit. 28 Freud, S. (1917) Introductory Lectures on Psychoanalysis, Harmondsworth: Penguin, 1974, p.496 29 Rogers, C. (1987) Reflection of feelings and transference. In H. Kirschenbaum & V.L. Henderson (eds) The Carl Rogers Reader, London: Constable, 1990, p.134 30 Twiggs, op. cit. 31 Haule, J. The Love Cure, Therapy Erotic and Sexual, Dallas: Spring, 1996, p.55 32 Schwartz-Salant, S. The Mystery of Human Relationships: Alchemy and the Transformation of Self, London: Routledge, 1998, p.2 33 Ibid., p.112 34 Donleavy, P. Analysis and Erotic Energies in The Interactive Field In Analysis, Illinois: Chiron, 1995, p.110 35 Casement, P. On Learning from the Patient, London: Routledge, 1985 36 Laing, R.D. The Facts of Life, op. cit., p.110 37 Jacoby, op. cit., p.109 38 Ussher, J. Women's madness: a material discursive intrapsychic approach. In D. Fee (ed) Pathology and Postmodernism, London: Sage, 2000, p.218 39 Parker, op. cit., p.36 40 Bruna-Seu, op. cit., p.206 41 Hollway, W. Gender difference and the production of subjectivity. In J. Henriques, W. Hollway, C. Urwin, C. Venn, V. Walkerdine (eds) Changing the subject: Psychology, Social Regulation and Subjectivity, London: Routledge, 1984 42 Harper, D.J. Discourse analysis and 'mental health'. Journal of Mental Health,1995, 4, 347-357 43 Billig, op. cit. 44 Bordieu, P. Pascalian Meditations, Cambridge: Polity Press, 2000 45 Phillips, R. The need for research-based midwifery practice. British Journal of Midwifery, 1994, 2, 7, 335-8 46 Goodband, S. Research is the new nursing ritual. Nursing Times, 2001, 97, 25, p.21." In Deconstructing Evidence-Based Practice, 154. Routledge, 2004. http://dx.doi.org/10.4324/9780203422311-25.

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Leufer, Thérèse, and Joanne Cleary-Holdforth. "Using Evidence for Decision Making." In Nursing: Decision-Making Skills for Practice. Oxford University Press, 2013. http://dx.doi.org/10.1093/oso/9780199641420.003.0010.

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By now, you have read lots of information on the principles of decision making and why this is so important for you in your nursing practice. It will be invaluable to you as you progress in your nursing career to know how to make decisions in and about nursing practice, including knowing: ● when to make these decisions; ● when decisive action is required; ● when to call a doctor; ● when to withhold a particular medication; and ● when to recommend an alternative nursing intervention. It is equally imperative that you understand why you are making the decisions that you are making and where you might go to find the information that you need to underpin these decisions. The Nursing and Midwifery Council (NMC), in its Standards for Pre-Registration Nurse Education (2010), specifies clearly the competencies that are required upon completion of a nursing programme for entry to the NMC professional register. In its competency framework, four key areas (‘domains’) are identified, one of which is ‘Nursing practice and decision making’, demonstrating unequivocally the emphasis and importance that the NMC places on the role of the qualified nurse in decision making. This domain statement is presented in Box 3.1. Specific requirements relating to this domain can be found in Parts 2 and 3 of this book. In addition, the NMC stipulates, in relation to specific knowledge and skills, that ‘all nurses must apply knowledge and skills based on the best available evidence indicative of safe nursing practice’ (NMC 2010). It also offers guidance to programme providers on the ‘Essential Skills Clusters’ (NMC 2010)—that is, additional sets of skills (‘clusters’ of skills set around specific areas of nursing practice) required to be attained by student nurses at specific points during their programme. The Essential Skills Cluster that is relevant to the use of evidence to underpin practice decisions is the ‘Organisational aspects of care’. Within this cluster, there are a number of descriptors listed that are related to this area, as listed in Table 3.1.
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