Evidence-based Nursing Practice

It is a process of locating, appraising, and

applying the best evidence from the nursing and medical literature to improve the quality of clinical practice.
It is a form of clinical practice that relies on

research findings to manage the health problems of a patient. It involves several processes that can contribute to a better understanding of a patients condition as well as the effectiveness of a certain treatment method.

 Evidence based nursing usually begins

with the formulation of a question concerning a patients medical condition, and then, research is performed to find answers to the question. The relevancy of the research has to be proven and alternative forms of medical care have to be considered before evidence based practice is implemented. Health care that is evidence-based and conducted in a caring context leads to better clinical decisions and patient outcomes.

The practice of evidence-based nursing involves the following steps:

1.
2. 3. 4.

Formulation of an answerable question to address a specific patient problem or situation

Systematic searching for the research evidence that could be used to answer the question Appraisal of the validity, relevance and applicability of the research evidence Integration of the research evidence with other information that might influence the management of the patient's problems: clinical expertise, patient preference for alternative forms of care, and available resources Implementation of the evidence-based practice decision Evaluation of the outcome of the decision

5. 6.

Category by the Level of Strength of Evidence

1. Meta-analysis of multiple studies
A meta-analysis combines the

results of several studies that address a set of related research hypotheses. 2. Experimental studies It is a study in which all of the risk factors are under the direct control of the investigator.

3. Quasi-experimental studies
The design of a quasi-experiment relates to

the setting up a particular type of an experiment or other study in which one has little or no control over the allocation of the treatments or other factors being studied.
4. Non-experimental studies A study that qualifies as correlational if the data interpretations about the degree to which certain things are related to each other.

Importance to Nursing Practice

It helps the nurse provide high-quality care to her

patients based on research and knowledge.

Evidence-based practice provides a critical strategy to

ensure that care is up to date and that it reflects the latest research evidence.
Evidence-based practice increases the efficiency of

nurses.
Making decisions based on knowledge that is backed

by research makes it easier for a nurse to choose what care to provide to her patient as opposed to trying something that may or may not be beneficial to her patient.

 Using evidence-based practice to provide

care to patients confidence.

increases

the

nurse's

It contributes to the science of nursing and

policies and procedures are current and include the latest research.
Safe

patient care and better clinical outcomes will give nurses a better sense of success and when there is understanding on why it is important to provide an extra care by this it also increases nurses job satisfaction.

Resources to facilitate evidence-based nursing

Evidence-Based Journals
The specific purposes of this journal are:

to identify, using predefined criteria, the best

quantitative and qualitative original and review articles on the meaning, cause, course, assessment, prevention, treatment, or economics of health problems managed by nurses and on quality assurance; to summarise the literature in the form of "structured abstracts" that describe the question, methods, results, and evidence-based conclusions of studies in a reproducible and accurate fashion to provide brief commentaries written by practising nurses on the context of each article, its methods, and clinical applications that its findings warrant.

Systematic reviews
A systematic review is a method of summarising

the findings of all methodologically sound studies addressing the same research question. In a systematic review, eligible research studies are viewed as a population to be systematically sampled and surveyed.

Centres for Evidence-Based Nursing

The goals are to educate nurses through workshops

or through formal courses to be evidence-based nurses in practice, education and research; to conduct original research and systematic reviews; and to design and evaluate strategies for disseminating research findings to nurses.

 Evidence-based practice guidelines Clinical practice guidelines are systematically developed statements to assist practitioner decisions about appropriate health care for specific clinical circumstances".
Guidelines can be used to reduce inappropriate

variations in practice and to promote the delivery of high quality, evidence-based health care.

The Barriers in Implementing Evidence-based Nursing Practice

1. Lack of value for research in practice
2. Difficulty in changing practice 3. Lack of administrative support

4. Lack of knowledgeable mentors

5. Insufficient time to conduct research 6. Lack of education about the research process 7. Lack of awareness about research or

evidence-based practice

8. Research reports/articles not readily

9.
10. 11. 12. 13.

available Difficulty accessing research reports and articles No time on the job to read research Complexity of research reports Lack of knowledge about EBP and critique of articles Feeling overwhelmed by the process

Thank you!!!