All health care professionals must understand and use the EBP approach to practice Incorporates expertise of clinician and patient’s values and preferences to make health care decisions

Strategy for making clinical decisions about nursing practice, other health care professions

(1) Ask “burning” clinical questions (2) Find the very best evidence available to try to answer those questions (3) Critically appraise and synthesize relevant evidence (4) Make recommendations for practice improvement (5) Implement accepted recommendations (6) Evaluate outcomes

Burning question – one that usually arises in daily practice May arise in response to:  Patient  Patient group  Patient care unit  Larger organizational unit

“Is the current policy and procedure for assessing patients’ risk for falls and for implementing preventive practices based on the best available evidence?”

Qualitative – focuses on meaning and interpretation of human phenomena Quantitative – asks about relationship between/among defined measureable phenomena; includes statistical analysis

Method of framing burning questions  P – Population  I – Intervention  C – Comparison  O – Outcome  T – Time (when appropriate)

QSEN  EBSCOHost  ProQuest 

Cochrane Library of Systematic Reviews Joanna Briggs Institute (JBI) systematic reviews Medline (PubMed) CINAHL (Cumulative Index to Nursing and Allied Health Literature)

Collaborative team effort Present review to team members Come to consensus on what is the best evidence to answer the clinical question

Once all evidence is reviewed, a written report must be produced Improve practice, patient outcomes, and desired outcomes of the system

Requires valid and reliable measurement tools

IOWA model Reavy and Tavernier model Advancing Research and Clinical Practice through Close Collaboration (ARCC) model

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Nurses should practice according to evidence-based practice (EBP) principles because EBP: A. Uses valid and reliable research findings to guide patient health care B. Provides a standardized way to deliver health care to prevent patient errors C. Uses current best evidence to include patient values and preferences in making health care decisions D. Is unique to nursing practice guiding interventions based on best evidence

A nurse wants to know whether the use of moist heat or wet heat is most effective when starting an IV catheter in reducing patient pain. What is the initial step the nurse should take to answer this clinical question? A. Complete a survey of the nursing staff about what method is most successful for placing IVs. B. Refer to a nursing textbook. C. Review the literature to see whether the clinical question has been answered by research studies. D. Alternate methods of IV starts in practice and ask patients which method was less painful.

True or False: Evidence-based practice ensures that current and best research is used to guide health care interventions. A. True B. False