1. Evidence-Based Practice
Chapter 7
Evidence-Based Practice

2. Defining Evidence-Based Practice (EBP)
Merging personal clinical expertise with the best available research results according to patient preferences and values
Why is it important to utilize now?

3. Clinical Practice Guidelines
Systematically developed statements
Assist practitioners and client decisions about appropriate health care for clinical circumstances
Multidisciplinary

4. Concepts Research utilization Evidence-based practice
Are these interchangeable?

5. Criticisms of EBP Quality of life issues
Restriction of freedom to practice
Inconsistent practices at medical centers versus other hospitals

6. Finding Best Practices
Location in literature
Online database
CINAH, MedLine, PubMed
Evidence-based practice centers
Cochrane Collaboration
Journals
Evidence-Based Nursing

7. Research Design Qualitative Quantitative
Randomized Clinical Trial (RCT)

8. Evaluating Research
U.S. Preventive Services Task Force (USPSTF) developed a system for:
Rating guideline recommendations
Evaluating strength of evidence
Tables 7-1 and 7-2

9. ACE Star Model of Knowledge Transformation

10. Implementing New Practice
Three steps in managerial support
Establishing a new culture
Creating capacity for organizational change
Sustaining change through revision of system’s infrastructure

11. Barriers to EBP Implementation
Lack of time
Literature not readily available
Uncertain of personnel’s ability to use research
Critical colleagues

12. Barriers to EBP Implementation
Lack of organizational support
Lack of perceived power to effect change
Cost to implement
Interdisciplinary support

13. Five Steps to Ensuring Practice is Evidence-Based
1. Develop a researchable practice question
2. Design and implement an evidence search
3. Retrieve and appraise evidence

14. Five Steps to Ensuring Practice is Evidence-Based
4. Integrate clinical evidence in order to implement an evidence-based decision
5. Evaluate clinical practice and EBP process outcomes