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Abstract

Introduction. Modern nursing practice requires Nursing students to expand their knowledge both in the field of specialized nursing and learning the basics of medicine, as based on scientific evidence. The dissemination of research activities in nursing and the development of the profession, knowledge and practice based on Evidence-based Nursing may contribute to the increase of the effectiveness and improving the quality of healthcare services. Nursing teaching curricula should include subjects related to Evidence-based Medicine, such as scientific research methodology or critical analysis of scientific literature.

Aim. The aim of the study was to analyze the knowledge and attitudes of nursing students towards Evidence-based Medicine (EBM) and Evidence-based Nursing Practice (EBNP).

Material and methods. Out of 127 Master’s degree students in Nursing at the Medical University of Warsaw (4 men), 72% work as a nurse. Mean age of the study group was 26.55 years (min. 22, max. 51, SD=7.52) with 63% of the students attending full-time studies, with 90% being students of the first year. Some 53% earned their bachelor’s degree in Nursing in 2013. A standardized Evidence – Based Practice Profile Questionnaire from University of South Australia, quantitative analysis of the study results.

Results. Nearly 30% of the respondents have never encountered EBM or EBNP during their time at the University (n=41). Most students intend to use relevant scientific literature in order to update their knowledge (n=68) and to upgrade their skills, so as to integrate EBNP into their everyday professional practice (n=67). Some 60% of the respondents deem scientific reports useful for their work (n=76) but nearly half of them regards clinical experience as more important than the results of scientific studies, when it comes to making the right decisions in their professional practice (n=56). Nearly a half of the studied group (n=66) have never heard about the term minimum clinically worthwhile effect and only one person declared the correct explanation systematic review (n=1). 42% declare reading published scientific studies once a month but nearly 30% have never referred scientific findings to their own diagnosis (n=41) and 40% have never assessed its methodological correctness (n=51).

Conclusions. 1. The educational programs in the framework of Nursing studies should be supplemented with subjects of EBM and EBNP, so as to expand the nursing students’ knowledge and let them reap the benefits of using the latest study results in their future professional practice. 2. The level of knowledge about the principles of assessment of reliability of scientific evidence was strongly insufficient and requires urgent supplementation of knowledge and skills of students in this area. 3. It is necessary for students to update their knowledge, particularly when it comes to using the latest scientific literature in everyday clinical practice and skills connected with critical analysis of scientific evidence.

towards healthcare build high expectations of medical professionals regarding their competences. Knowledge and skills allowing for choosing the safest and most efficient option for patient care are particularly welcome. The idea of Evidence-based Nursing Practice (EBP) combines the best available research evidence on the one hand and clinical expertise and patients’ expectations on the other, allowing for solving problems in making clinical decisions. EBP is a tool used for making clinical decisions in nursing care that helps to reduce the cost of healthcare by

Abstract

Objective

To evaluate the effectiveness of integrated nursing interventions for fatigue in patients with advanced cancer.

Methods

Medline, Pubmed, Embase, CINAHL, Web of Science, and the Cochrane Library were searched systematically till June 2017. A systematic review was conducted to collect randomized controlled trials (RCTs) reporting on the effect of nurse-driven interventions to improve fatigue in patients with advanced cancer. Quality assessment was conducted using the Cochrane Collaboration’s risk of bias tool.

Results

Six RCTs involving 736 adult participants were included. The fatigue intensity was improved significantly by nursing interventions. The analyzed results revealed significant improvements in the intervention group: less than 3 months (standard mean difference [SMD] = −0.33, 95% confidence interval [CI] [−0.48, −0.19], P < 0.01) and more than or equal to 3 months (SMD = −0.40, 95% CI [−0.57, −0.24], P < 0.01). Four studies with a moderate risk of bias were judged, and the remaining studies were at high risk of bias.

Conclusions

The results indicate that integrated nursing interventions may relieve fatigue in patients with advanced cancer. However, due to the high risk of bias in most of the included studies and the diversity of interventions, the results and implementation process should be carefully monitored.

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for resolving clinical problems and constructing decisions about implementation. EBP is an organized process of appraising the best accessible research evidence and then integrating clinical experience and patient preferences into the merge. 6 Evidence-based nursing practice is a process created by the gathering, interpretation, and incorporation of legitimate, significant, and applicable research. The purpose of EBP is to use the data produced by scientific research in clinical practice. 7 Furthermore, utilizing research evidence to daily clinical practice not

Research Conducted by Polish Nurses. [In:] Zarzyckiej D, Ciechaniewicz W. (eds) The Scientific Achievements of Polish Nursing. Medical University of Lublin, Poland. ISBN 978-83-62606-72-6, pp.165-177. 15. Ślusarska B, Nowicki G. Evidence Based Nursing Practice. [In:] Zarzyckiej, D. & Ciechaniewicz, W. (eds) The Scientific Achievements of Polish Nursing. Medical University of Lublin, Poland. ISBN 978-83-62606-72-6, pp.178-189. 16. Wąsowska I, Repka I. Promotion of Evidence-Based Nursing by Polish and foreign nursing organizations. Folia Medica Cracoviensia. 2015; 54: 65

. Hebei Journal of Traditional Chinese Medicine,2011,33 (10):1572. 22 Lv X, Sun Y. Research progress of nursing care for retention enema with traditional Chinese medicine in treatment of chronic pelvic inflammatory disease. Xinjiang J Tradit Chin Med Pharm,2012,30(6):89-91. 23 Zheng X. Gynecological Nursing. Edition 3. Beijing:People's Medical Publishing House,2002: 5-10. 24 Yuan X. Experience of evidence-based nursing for applying Chinese medicine enema in the treatment of chronic pelvic inflammatory disease. Chinese Medicine Modern Distance Education of China,2012

noted. Professor Yan Hu and Zhenqi Lu undertook the chief editorial work of the monograph “Practical Cancer Care”; Yuxia Zhang and Ying Gu participated in the writing of “Pediatric Nursing (bilingual)”, which was edited by Professor Yan Hu; and Ying Gu participated in the writing of “The Theory and Practice of Evidence-based Nursing”, which was edited by Yan Hu. The research projects of Professor Yan Hu included the study of evidence-based nursing, evidence translation, and a series of studies on improving the quality of life of breast cancer patients. In recent years

implementation of the simulated operation under the teacher's organization. The result proved that, using HFS for classroom teaching inspires students' interest in learning, their learning efficiency and the ability of logical thinking and comprehensive application of knowledge were also improved. Wen 27 provided evidence-based nursing study materials for nursing students in higher vocational colleges and tried to carry out evidence-based nursing practice with HFS. The results showed that the practical training program based on the HFS was an effective carrier for the