EVIDENCE-BASED

NURSING
PRACTICE
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 patient’s
condition as well as the effectiveness of a certain
treatment method.
Evidence based nursing usually begins with
the formulation of a question concerning a
patient’s 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.
 1. Formulation of an answerable question to address a specific
The practice of evidence-based nursing involves the following steps:

patient problem or situation

2. Systematic searching for the research evidence that could be used
to answer the question
3. Appraisal of the validity, relevance and applicability of the
research evidence
4. 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
5. Implementation of the evidence-based practice decision
6. Evaluation of the outcome of the decision
 1. Meta-analysis of multiple studies
Category by the Level of Strength of Evidence

 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.
  It helps
Importance thePractice
to Nursing 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 increases the nurse's confidence.
 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
available
9. Difficulty accessing research reports
and articles
10. No time on the job to read research
11. Complexity of research reports
12. Lack of knowledge about EBP and
critique of articles
13. Feeling overwhelmed by the process
Thank you!!!