Topic 1

Evidence based practice (EBP) is the clinical decision making process which is based upon

the best available evidence, new research findings, clinical experience and patient

preferences. Nurses are expected to implement research findings into their practice, but

many are not trained on how to do this. Therefore, it should not be expected that nurses

are at the forefront of EBP implementation in the clinical setting.

Hint:

How does evidence based practice improve patient outcomes?

How is evidence based practice applied theoretically and clinically?

Is it feasible to expect RNs to implement EBP in the clinical setting without training/support?

Topic 2

Reflective practice is more than just thinking about practice, it is an active process of

reflecting, analysing and learning. Reflection is a necessary attribute for the development of

autonomous practice. Reflective practice should be a continuous cycle in which experience

and reflection on experiences are inter-related.

Hint:

Clinically how is reflective practice applied? How does the patient benefit from reflective

thinking of the nurse? What are the key components of reflective practice in nursing?

Topic 3

Nurses have a right to refuse to participate in procedures which they judge on strongly held

religious, moral and ethical beliefs, to be unacceptable.

Fear, personal convenience or preference, are not sufficient basis for conscientious

objection.

Hint:

When would a nurse refuse patient care? Why ?

How does this relate to the nurses’ ethical responsibilities?

Is this considered in the best interest of the patient? Why? How?

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