Essentials of Nursing Research: Internal and External Evidence

RUNNING HEAD: Nursing Assignment
NURSING ASSIGNMENT

Nursing Assignment 1
Table of Contents
Discussion 2: Essentials of nursing research 1
Discussion 3: Healthcare policy and economics 3
References 5

Nursing Assignment 2
Discussion 2: Essentials of nursing research
Explain the difference between internal and external evidence. How can each of these
types of evidence be utilized for quality improvement in the clinical setting?
Internal and external clinical evidence play a critical role in the approaches of
Evidence-Based nursing care. This is because, these pieces of evidence serve to be the
primary platforms for clinical decisions taken by nursing service providers. According to
Grove & Gray (2018), clinical evidence is strengthened by research conducted to enhance
awareness and knowledge of the patient needs and expectations. This also acts as a specific
referencing base that mediates holistic care and relevant decision-making strategies to
improve the quality of healthcare services provided to the patient (Butler, Hall & Copnell,
2016). External clinical evidence refers to the data, which supports medical changes in the
form of professional guidelines, randomized control trials, systematic reviews or data
retrieved from past research (Fleiszer, Semenic, Ritchie, Richer & Denis, 2016). External
evidences can be included from multiple databases like NCBI, Medline, CINAHL Cochrane
and ProQuest that contain peer- reviewed research articles. In comparison to this, internal
evidence includes the clinical expertise possessed by a nursing or clinical individual. This
involve experience gathered from quality improvement cases in medical establishments
(Kalb, Von, Brockway, Rierson & Sendelbach, 2015). The purpose of evidence-based
nursing care is to apply reliable evidence from both internal and external origins to provide
an appropriate, patient-centred care.
Utilisation of external evidence has been prominently occurring in clinical setting
since its initiation. Nursing professionals rely on the authenticity of strategic frameworks,
legislative guidelines and nursing codes to improve care quality. Friesen-Storms, Bours, van