This box lives at Nursing Subject Guide > Evidence-Based Practice and PICOT Questions
It is included on the Evidence-Based Practice page of the Nursing Library Module Canvas Module
Evidence-based practice (EBP) combines research-based information, clinical expertise, and patients' values and preferences when providing care. This involves five steps known as the Five As:
- Ask: Convert your information needs into an answerable clinical (PICOT) question.
- Acquire: Find the best evidence to answer your clinical question.
- Appraise: Critically appraise the evidence for its validity, impact, and applicability.
- Apply: Integrate the evidence with clinical expertise, the patient's values and circumstances, and information from the practice context.
- Assess: Evaluate the outcomes of the applying the evidence to your practice.
This main focus of this guide is on Ask & Acquire - formulate an answerable question and find the best evidence for your question.
This box lives at Nursing Subject Guide > Evidence-Based Practice and PICOT Questions
It is included on the Evidence-Based Practice page of the Nursing Library Module Canvas Module
When you begin your EBP research, keep the hierarchy of evidence in mind. The pyramid to the right shows a range of resources from the lowest levels (Background, animal research) to the highest levels of evidence (systematic reviews and meta-analysis). The base tiers, or lower levels, have more literature and usually this is where the research or idea starts.The higher tiers have less literature but the study design is stricter and they are considered more reliable for a clinic setting.
Ideally, you will be able to find systematic reviews on your topic, but remember that a systematic review may not have been written yet. Also remember that a randomized controlled trial may not have been an appropriate study for your topic.
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EBP TutorialAn excellent introduction to evidence-based medicine from Duke University Medical Center Library and the Health Sciences Library at the University of North Carolina at Chapel Hill. The self-paced, video-based tutorial takes about one hour to step through. It is shared under a CC BY-NC-SA 4.0 license.
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Evidence-Based PracticeA self-paced, text-based tutorial from the University of Minnesota Health Science Libraries. Offers a good introduction to evidence-based medicine, constructing a clinical question, search strategies, and evaluating the evidence. It is shared under a CC BY-NC-SA 4.0 license.
eBooks
Print Books
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Fast Facts for Evidence-Based Practice in Nursing: Fast Facts for Evidence-Based Practice in Nursing, Second Edition : Implementing EBP in a Nutshell
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ISBN: 9780826194060Publication Date: 2016Concise and comprehensive, this book covers the basics of nursing research and the essentials of how to implement Evidence Based Practice (EBP). -
Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals
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ISBN: 9781948057875Publication Date: 2021The goal of EBP in healthcare is to promote improved interventions, care, and patient outcomes. Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals has proven to be one of the most foundational books on EBP in nursing and healthcare.
