Evidence Based Practice

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EVIDENCED-BASE PRACTICE RELATED TO HE ✓ Effective nursing practice requires information,

judgment, and skill


Evidence-Based Practice (EBP) ✓ It empowers nurses and expands their skills
- Knowing what we do is the BEST PRACTICE
- A problem-solving approach to the delivery of Aims of EBP
health care that integrates the best evidence from 1. To provide the high quality and most cost-
studies and patient care data with clinician efficient nursing care possible
expertise and patient preferences and values 2. To advance quality of care provided by nurses
- The integration of: 3. To increase satisfaction among patients
4. To focus on nursing practice away from habits
and tradition to evidence and research
Clinical Patient Best Research
5. It results in better patient outcomes
Expertise Values Evidence 6. It contributes to the science of nursing
into the decision-making process for patient care 7. It keeps practices current and relevant
- A way to affect best patient care (Academy of 8. It increases confidence in decision-making
Medical-Surgical Nursing)
- Integrates the best available evidence to guide Goals of EBP
nursing care and improve patient outcomes 1. Provide practicing nurses with the best evidence-
- This helps health practitioners address health care based data
questions with an evaluative and qualitative 2. Resolve problems in the clinical setting
approach 3. Achieve excellence in care delivery
- The conscientious use of current best evidence in 4. Reduce variations in nursing care
making decisions about patient care (Sackett, et 5. Promote effective nursing interventions
al., 2000) 6. Assist with efficient and effective decision-making
- Lifelong problem-solving approach to clinical Key Components of EBP
practice that integrates the most relevant and best RESEARCH CLINICAL PATIENT VALUES,
research, one’s clinical practice, and patient EVIDENCE EXPERTISE CIRCUMSTANCES
preferences and values
- A method w/c allows the practitioner to assess - Randomized - Knowledge - Unique preferences
research, clinical guidelines, and other info controlled trials gained from - Concerns
resources based on high quality findings and apply - Lab experiments practice over - Expectations
the results to practice - Clinical trials time - Financial resources
- Epidemiological - Inductive - Social supports
research reasoning
Importance of EBP
- Outcomes
- Healthcare that is evidence-based and conducted research
in a caring context leads to better clinical - Qualitative
decisions and patient outcomes. Gaining research
knowledge and skills in the EBP process provides - Expert practice
nurses and other clinicians the tools needed to knowledge,
take ownership of their practices and transform inductive reasoning
health care.
- BEST RESEARCH EVIDENCE + CLINICAL Nurse’s Role in EBP
EXPERTISE + PATIENT VALUES AND - “The registered nurse participates, as appropriate
PREFERENCES = EBP to education level and position, in the formulation
of evidence-based practice through research”
EBP Relevance to Nursing Practice - “The registered nurse utilizes current evidence-
✓ An integration of the best evidence-based based nursing knowledge, including research
available, nursing expertise, and the values and findings, to guide practice” (ANA Standards of
preferences of the individuals, families, and Professional Nursing Practice)
communities who are served - Generate important questions
✓ Nursing practice can and must be changed from - Know basis for nursing practice
tradition-based to science-based - Expect that evidence is the foundation of practice
✓ Improved patient outcomes - Participate in EBP projects
✓ Decreased unnecessary procedures and - Disseminate project findings in various forums
complications - Collaborate with the health care team to provide
✓ Greater provider job satisfaction quality care

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