Implementing evidence-based nursing: some misconceptions

During the brief time that we have been engaged in developing Evidence-Based Nursing we have been fascinated by the reactions of friends, professional colleagues, and the media. The overwhelming majority of responses to the concepts of evidence-based nursing and the creation of this journal have been positive. But there have also been misgivings, sometimes generated by misunderstandings. This editorial addresses the following criticisms which we have encountered in person and in print: (1) evidence-based practice isn't new: it's what we have been doing for years, (2) evidence-based nursing leads to "cookbook" nursing and a disregard for individualised patient care and, (3) there is an over-emphasis on randomised controlled trials and systematic reviews in evidencebased health care. We intend the paper to generate, rather than close the debate! A model for evidence-based clinical decisions (adapted from Haynes et al.