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EVIDENCE-BASED PRACTICE Prepared By Dr. Nahed Said El Nagger Dr. Nahed Said El Nagger Assistant Professor of Nursing H UMM AL- QURA UNIVERSITY FACULTY OF APPLIED MEDICAL SCIENCES NURSING DEPARTMENT

L Research Utilization Lecture No. 9

Learning Outcomes (ILOs)  Define research and research utilization.  Define Evidence-based practice (EBP).  Identify the goals of EBP.  Distinguish between the characteristics of research utilization and EBP. of research utilization and EBP.  Discuss the effect of Evidence-based practice. practice.

7/14/2015 RESEARCH A systematic scientific process that generates new knowledge or validates existing knowledge. A systematic scientific process that generates new knowledge or validates existing knowledge.

Research utilization (RU) The use of study findings in a practical application unrelated to the original research.

Evidence-based practice (EBP) Basing clinical decisions on best evidence especially high-quality research.

EVIDENCE-BASED PRACTICE (EBP) “The use of current best evidence to guide health care decisions for improving client outcomes.” “The use of current best evidence to guide health care decisions for improving client outcomes.”

Research Utilization versus EBP Research Utilization Use results of studies. Randomly selected. Support nursing care. Less systematic. Evidence-Based Practice Considers all research. Utilized thorough integrative review. Situation of clinical expertise and value system of the client. More systematic.

Goals of EBP Provide practicing nurses with evidence-based data. Resolve problems in the clinical setting. Achieve excellence in care delivery. Introduce innovation ( advance). Reduce variations in nursing care. Assists with efficient and effective decision-making.

Goals of EBP (Cont.) Eliminating worst practices. Enhancing best practices. Thereby: Reducing costs and improving quality.

Barriers to Using Research in Nursing Practice Research-related barriers. Nurse-related barriers. Organizational barriers. Barriers related to the nursing profession.

Two Models for Evidence-Based Nursing Practice The Stetler Model of research utilization to promote evidence- based practice. The Iowa Model of evidence-based practice to promote quality care.

Five Sequential Phases of the Stetler Model Phase I: Preparation Phase II:Validation Phase III:Comparative Evaluation and Decision Making Phase I V: Translation/Application Phase V:Evaluation

Evidence-Based Nursing Process ( Iowa Model ) 1. 1.ASK 2. 2.AQUIRE 3. 3.APPRAISE 4. 4.APPLY 5. 5.ASSESS

7/14/2015 Evidence-based practice in the clinical setting requires the integration of Individual clinical expertise Evidence-based practice in the clinical setting requires the integration of Individual clinical expertise with the best available external clinical evidence from systematic research with the best available external clinical evidence from systematic research

INDIVIDUAL CLINICAL EXPERTISE The proficiency and judgment that clinicians acquire through clinical experience and clinical practice leading to more effective and efficient patient assessment and diagnoses The proficiency and judgment that clinicians acquire through clinical experience and clinical practice leading to more effective and efficient patient assessment and diagnoses

Nurses’ Role in Using Research Evidence Read widely and critically. Attend professional conferences. Learn to expect evidence that a procedure is effective. Become involved in a journal club. Participate in RU/EBP projects.

7/14/2015University of Kentucky Hospital