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
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