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Evidence Based Practice

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17 views18 pages

Evidence Based Practice

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Jam
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Evidence-Based Practice

(EBP)

Joan Pollner, RN, BSN, CHPN


October 18, 2006
Objectives
 Define Evidence-based practice (EBP)
 Identify the goals of EBP
 Distinguish between the characteristics of
Research Utilization and EBP
 Describe the steps in the EBP process
 Explain the challenges and misconceptions of
EBP
 Utilize resources to further knowledge of EBP
Some Definitions
 Evidence-based practice can be thought of as requiring
"the integration of the best research evidence with our
clincial expertise and our patient's unique values and
circumstances." (Straus, et al., 2005) "Fortunately,
evidence-based practice (EBP) is an approach that
enables clinicians to provide highest quality of care in
meeting the multifaceted needs of their patients and
families." (Melnyk & Fineout-Overholt, 2005)
(Yale, 2005)
Definitions (con’t)
 Integration of the best research evidence
with clinical expertise and patient values.
(Spector, n.d.).
 “…using the best available research
findings “to make clinical decisions that
are most effective and beneficial for
patients.”” (Chitty, 2005).
Goals of EBP
 Provide practicing nurses with evidence-
based data
 Resolve problems in the clinical setting
 Achieve excellence in care delivery
 Introduce innovation
 Reduce variations in nursing care
 Assists with efficient and effective
decision-making
Goals (con’t)
 Using best evidence to implement the
regulation of nurses
 Resolve regulatory problems
 Achieve excellence in regulation
 Introduce regulatory innovation
Research Utilization vs EBP
Research Utilization Evidence-Based
 Use results of studies
Practice
 Randomly selected
 Considers all research
 Utilized thorough
 Support nursing care
integrative review
 Less systematic  Context of clinical
expertise and value
system of the patient
 More systematic
EBP is multi-step process
 Define patient problem
 Identify information needed to solve problem
 Search of literature
 Critical appraisal of the evidence
 Extraction of the clinical answer
 Protocol development
 Evaluation
Steven’s ACE Star Model
 Discovery
 Summary
 Translation
 Implementation
 Evaluation
Steven’s ACE Star Model
Discovery
 Original research
 Conduct a literature search utilizing
recognized techniques
Steven’s ACE Star Model
Summary
 Synthesize all research into a single meaningful
whole
 This step differentiates research utilization from
Evidence-based practice
 Can be called evidence synthesis
 Increase power and effect of data
 Reduce bias
 Assess consistencies
 Establish generalizability
 Reduce data into an manageable form
Steven’s ACE Star Model
Translation
 Scientific evidence is considered in the
context of clinical expertise and values
 Results in clinical practice guidelines, best
practices, protocols, standards or clinical
pathways
Steven’s ACE Star Model
Implementation
 Translation of research into practice
 Where changes take place
Steven’s ACE Star Model
Evaluation
 Impact of the change is measured
 Assess variables (health outcomes,
efficiency, cost or satisfaction)
Challenges and Misconceptions
 Merely a collection of statistics?
 Need more qualitative research
 Nurses need to develop good search
strategies
 Nurses must learn to do critical appraisals
 Faculty members must embrace and learn
EBP
Resources
 Yale University Nursing Library and Information Resources
http://www.med.yale.edu/library/nursing/education/ebhc2.html
 Oncology Nursing Society

http://onsopcontent.ons.org/toolkits/evidence/
 United States Department of Health and Human Services – Agency
for Healthcare Research and Quality
http://www.ahrq.gov/clinic/epcix.htm
 University of Iowa Hospitals and Clinics Nursing Services and Patient

Care
http://www.uihealthcare.com/depts/nursing/rqom/
evidencebasedpractice/index.html
Resources (con’t)
 University of Texas Health Science Center at San Antonio –
Acedemic Center for Evidence-Based Practice
http://www.acestar.uthscsa.edu/About.htm
 Medical Library Association – Nursing and Allied Health Resources

Section
http://nahrs.library.kent.edu/resource/symposium/
 University of Minnesota – Evidence-based Health Care Project

http://evidence.ahc.umn.edu/ebn.htm
References

• Chitty, K.K. (2005). Professional nursing: Concepts and challenges.


4th ed. Philadelphia: Saunders.

 Spector, N. (n.d.). Evidence-Based Health Care in Nursing


Regulation. Retrieved on October 8, 2006 from Nation Council of
State Boards of Nursing web site on World Wide Web:
http://www.ncsbn.org/pdfs/Evidencebased_NSpector.pdf#search=
%22evidence%20based%20practice%20in%20nursing%22
 Yale University. (2005). Evidence-Based Practice. Nursing Library
and Information Resources. Retrieved on October 8, 2006 from
World Wide Web:
http://www.med.yale.edu/library/nursing/education/ebhc2.html

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