What is Evidence Based Practice?
"EBP is a problem-solving approach to clinical decision-making within a healthcare organization. EBP integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence. EBP uses a deliberate approach to consider internal and external influences on practice and to encourage critical thinking in the judicious application of such evidence to the care of individual patients, a patient population, or a system (Dang & Dearholt, 2018)...
EBP creates a culture of critical thinking and ongoing learning and is the foundation for an environment in which evidence supports clinical and operational decisions, and decisions related to improvements in learning. EBP supports rational decision-making, reducing inappropriate variation in practice and making it easier for clinicians to do their job. EBP is an explicit process that facilitates meeting the needs of patients and delivering care that is effective, efficient, equitable, patient-centered, safe, and timely (IOM, 2001)." (Cited in Dang, Dearholt, Bissett, Ascenzi, & Whalen, 2021).
- Evidenice Based Practice TutorialThis self-paced, interactive tutorial will take you through the complete EBP process, emphasizing the elements of a well-built clinical question and the key issues that help determine the validity of evidence. This program was developed by the Medical Center Library at Duke University and the Health Sciences Library at the University of North Carolina at Chapel Hill.
- Appraisal ToolsAppraisal Tools in Word format (printable) from John Hopkins. Complete the form and click on submit.
- Appraisal Tools ExampleThis chapter provides several examples of how teams can complete the JHEBP tools, and it gives helpful hints and guidelines to aid completion. The tools provided in this chapter reflect a brief overview of the project “EBP on Fall Prevention,” by H. Farley, E. Middleton, J. Kreif, L. Nell, E. Lins, and L. Klein as an exemplar. All tools shown are copyright protected by Johns Hopkins Health System/Johns Hopkins School of Nursing.
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Books on EBP
Fast Facts for Evidence-Based Practice in Nursing by Call Number: RT81.5 .G63 2020 EbookISBN: 9780826166234Publication Date: 2019-06-01
How to Read a Paper by Call Number: R118.6 .G74 2019 EbookISBN: 9781119484738Publication Date: 2019-04-05
Models and Frameworks for Implementing Evidence-Based Practice by Call Number: ebookISBN: 9781405175944Publication Date: 2010-05-10
Evidence-Based Practice in Nursing and Healthcare by Call Number: RT42 .E954 2019ISBN: 9781496384539Publication Date: 2018-11-24
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Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals, 4th Edition 2022
Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals, Fourth Edition by Call Number: EbookISBN: 9781948057899Publication Date: 2021-07-15The goal of EBP in healthcare is to promote improved interventions, care, and patient outcomes.Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals has proven to be one of the most foundational books on EBP in nursing and healthcare. Building on the strength of previous versions, the fourth edition is fully revised to include updated content based on more than a decade of the model's use, refinement in real-life settings, and feedback from nurses and other healthcare professionals around the world.Key features of the book include:* NEW strategies for dissemination, including guidance on submitting manuscripts for publication* EXPANDED focus on the importance of interprofessional collaboration and teamwork, particularly when addressing the complex care issues often tackled by EBP teams* EXPANDED synthesis and translation steps, including an expanded list of outcome measures to determine the success of an EBP project* Tools to guide the EBP process, such as stakeholder analysis, action planning, and dissemination* Explanation of the practice question, evidence, and translation (PET) approach to EBP projects* Overview of the patient, intervention, comparison, and outcome (PICO) approach to EBP question development* Creation of a supportive infrastructure for building an EBP nursing environment* Exemplars detailing real-world EBP experiences
- Front Cover
- Introduction
- Part I: Evidence-Based Practice Background
- Part II: The Johns Hopkins Evidence-Based Practice Model and Guidelines
- Part III: Practice Question, Evidence, Translation (PET)
- Part IV: Exemplars
- Part V: Using the JHEBP Tools
- Part VI: Appendices
- Appendix A: PET Process Guide (Downloadable in PDF)
- Appendix B: Question Development Tool (Downloadable in PDF)
- Appendix C: Stakeholder Analysis and Communication Tool (Downloadable in PDF)
- Appendix D: Hierarchy of Evidence Guide (Downloadable in PDF)
- Appendix E: Research Evidence Appraisal Tool (Downloadable in PDF)
- Appendix F: Nonresearch Evidence Appraisal Tool (Downloadable in PDF)
- Appendix G: Individual Evidence Summary Tool (Downloadable in PDF)
- Appendix H: Synthesis and Recommendations Tool (Downloadable in PDF)
- Appendix I: Translation and Action Planning Tool (Downloadable in PDF)
- Appendix J: Publication Guide (Downloadable in PDF)
- Appendices Downloadable in Word (complete form to download the documents in Word Format)
- Index
Articles on EBP in Nursing
- The Impact of Evidence-Based Practice in Nursing and the Next Big IdeasThe impact of evidence-based practice (EBP) has echoed across nursing practice, education, and science. The call for evidence-based quality improvement and healthcare transformation underscores the need for redesigning care that is effective, safe, and efficient. In line with multiple direction-setting recommendations from national experts, nurses have responded to launch initiatives that maximize the valuable contributions that nurses have made, can make, and will make, to fully deliver on the promise of EBP. Such initiatives include practice adoption; education and curricular realignment; model and theory development; scientific engagement in the new fields of research; and development of a national research network to study improvement. This article briefly describes the EBP movement and considers some of the impact of EBP on nursing practice, models and frameworks, education, and research. The article concludes with discussion of the next big ideas in EBP, based on two federal initiatives, and considers opportunities and challenges as EBP continues to support other exciting new thinking in healthcare.
- The Value of Library and Information Services in Nursing and Patient CareLibraries are a primary resource for evidence-based practice. This study, using a critical incident survey administered to 6,788 nurses at 118 hospitals, sought to explore the influence of nurses’ use of library resources on both nursing and patient outcomes. In this article, the authors describe the background events motivating this study, the survey methods used, and the study results. They also discuss their findings, noting that use of library resources showed consistently positive relationships with changing advice given to patients, handling patient care differently, avoiding adverse events, and saving time. The authors discuss the study limitations and conclude that the availability and use of library and information resources and services had a positive impact on nursing and patient outcomes, and that nurse managers play an important role both by encouraging nurses to use evidence-based library resources and services and by supporting the availability of these resources in healthcare settings.
"Evidence-based nursing (EBN) means using the best available evidence from research, along with patient preferences and clinical experience, when making nursing decisions.1 Nurses are increasingly concerned about ensuring that care is research based, and EBN offers a strategy to help nurses achieve this goal by using 5 steps:
Step 1: reflecting on practice and identifying areas of uncertainty
Step 2: translating these areas of uncertainty into focused, searchable questions2
Step 3: searching the literature for studies that use appropriate designs to help answer the question3–6
Step 4: critically appraising the research
Step 5: changing practice if the research suggests this is necessary." (Cullum, 2000)
- Asking Answerable Questions
- Reviewing the literature
- Searching for the best evidence. Part 1: where to look
- Searching for the best evidence. Part 2: searching CINAHL and Medline