Evidence Based NursingAnita F. LopesMSN,BSN,RN

Definition

EBP: Evidence based practice (EBP) is the

conscientious use of current best evidence in making decisions about patient care (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000).

Difference in Research and EBN

EBN• Incorporating research

findings into current practice i.e. Utilization of research findings.

Research• Scientific process involving

various steps towards new findings/ discoveries

Meaning of EBN

It is a problem solving approach to clinical practice and administrative issues that integrates:

A systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question

One's own clinical expertise

Patient preferences and values (Melnyk & Fineout-Overholt, 2014)

Available Resources

Symbolic Representation

Clinical Expertise

Ability to integrate all 4 components

of EBN

Ability to utilize skills/

experiences in practice to

identify needs

Ability to convey

information to patients

Provide comforting and

supportive environment to

patients

Clinical skills of Nurse

Patient assessment skills

Reasoning skills

Expertise in an Area

Ability to generalize

Skills of Humanism: Compassion, Sensitivity, listening skills

Advantages of EBN

Improves the health and safety of patients

Improves the quality of decision making

Weighs patient health benefits

over cost

Latest updates are

implemented

Consideration of patient

values and preferences

Key Elements to Foster EBP

1 •Always question current practices as nursing professional.

2 •Integrate EBP as higher standard/mission/philosophy and include competencies for EBP.

3 •EBP mentors for skills and knowledge availability to others to provide and help.

4 •Tools to enhance EBP (e.g. meetings, educational/classroom time, access to, etc.

5 •Higher level support and ability for leaders to model valued EBP skills.

6 •Recognition of use of EBP often

Requirements to enable nurse for EBN1 •Ability to define patients needs and problems

2 •Assert what information is required to solve the problem

3 •Conduct an efficient searc h of Literature

4 •Ability to select best of re levant studies

5 •Apply rules of evidence to determine the ir validity

6 •Ability to extract the clinical message of that particular evidence

7 •Determine how the patient’s values affect the balance between advantages ans disadvantages of the available evidence

8 •Involve the patient in decision and to implement & evaluate the problem

Barriers to EBP

Critically Appraising the Evidence

Question 3 . Measures the applicability.

Levels of EBN

Steps to Implement EBP