1. Introduction to Evidence- Based Practice
Welcome!

2. Evidence-Based Practice

3. The Process

4. The Process
Select a topic based on an existing problem, new knowledge or opportunity to impact patient experience.
Form a team with key stakeholders.
Retrieve evidence by identifying sources, key terms and assistance from librarian and CNS.
Grade the evidence based on source, type and criteria from table.
Develop EBP standard by setting recommendation for practice.
Implement EBP by participating in writing policy.
Evaluation change through feedback and NDNQI data as applicable.

5. Where do you find good evidence?
Cochrane Collaboration
CINAHL
Ovid
Up-to-date

6. What is good evidence? Accurate Precision Sufficient Representative
Authority/Credibility
Clarity of presentation of results
Recent

7. Evaluation of the evidence
Source of evidence
Peer Review
Number of participants
Significance of findings
Transferability

10. Levels of Evidence Systematic Reviews Clinical Practice Guidelines
Compilation of best available evidence
Clinical Practice Guidelines
Best available evidence and expert opinion to guide practice
Randomized control trials
Intervention vs. control group with randomization
Cohort studies
Monitor group of patients with existing condition over time
Case Studies
Monitor group of patients with condition vs. those without
Expert Opinion

11. Developing a question Population Intervention Comparison Outcome
Example: For persons entering a health care facility, is use of waterless, alcohol-based sanitizer as effective as washing with antiseptic soap for reducing hand contamination?

12. Implementation Evaluate current practice Identify barriers
Communicate with staff about upcoming changes
Evaluate resources

13. Your responsibility Pose a clinical question
Be knowledgeable about current practice
Utilize librarian and facilitator for research assistance
Read research
Make clinical practice change recommendations with assistance from facilitator
Three month commitment

14. Final Thought
“The secret to change is to focus all of your energy, not on fighting the old, but on building the new.”
Socrates