What is evidence-based practice? I’m
When nurses make clinical decisions using the best available research evidence, their clinical expertise and patient preferences in the context of existing resources.
Why is research so important for nurses?
To ensure diligent and systematic inquiry or investigation into a subject in order to discover facts or principles. Allows professionals to make better informed decisions and choices.
What three things does evidence based practice depend on?
- evidence
- expertise
- patient values
What are the 6 steps of EBP?
- Ask a clinical question
- Search for possible answers
- Appraise and select only the best
- Integrate into your practice
- Evaluate how it went
- Disseminate what you find
What is PICO(T)
Patient/population Intervention Control/comparison Outcome (Time)
What are 3 types of information recourses?
- Filtered resources- Cochrane, National Guidelines, DynaMed, ACPPIER
- Unfiltered/Primary literature- PubMed, CINAHL, Web of Science.
- General Information- Textbooks, Clinical Key
What is determined in the Appraisal step?
- Level of evidence
- How well the study was conducted
- How useful it is to your patients
What is Evidence?
- Data to establish truth or falsehood
- Empirical evidence vs Experience
- Shift from quantitative evidence only to acceptance of qualitative
- Include systematic reviews; meta-analyses
Who is Florence Nightingale?
Early proponent of evidence based practice.
- “passionate statistician”
- Promoted systematic collection and presentation of data
- First woman elected ‘Fellow Royal Statistical Society’ (1860)
- Used health statistics to advocate for reforms in health policy and practice
Why is EBP important to health professionals?
- Accountability
- Professional standards
- Clinical competence and safety
- improved practice and service
- Applying research to the real world of work
What are the benefits of EBP?
- Patients- best/safest practice based on the best evidence
- Nurses- easier access to best practice interventions/knowledge
- Healthcare orgs- provides quality healthcare; reduces litigation
- The community- efficient use of resources; current, effective care
Sources of knowledge?
- Tradition and custom
- Authority and role models
- Intuition
- Personal experience
- Trial and Error
- Reasoning
- Research
What is research?
Formal, rigorous and precise process of inquiry that is planned and systematic
