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Is your nursing practice guided by nursing theory and research based evidence?

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Great discussion on the use of nursing theory! I see that there is a whole spectrum on opinions on the usefulness in practice.

It seems obvious that a lot of what nurses are expected to do is grounded in basic common sense. But there were times in nursing school when common practice baffled me.

For example, sliding scale insulin administration is something that is widely practiced in hospitals in my state, but when one looks at the research, its use has not been shown to lead to better patient outcomes.

So, though it may be hospital policy to use this technique, perhaps we as nurses should be questioning why we do it.

Yeah, sliding scale insulin based on BG readings encourages the patient to always be looking backward. I would love to see some EBP on a newish trend to dose forward, meaning that you teach diabetics to take short-term insulin based on what they are going to be eating rather than always trying to shut the barn door after the horse is gone.

This is an interesting topic.

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