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An overview of evidence-based practice (ebp) in nursing, contrasting it with traditional methods and highlighting the importance of research. It covers key aspects such as integrating research evidence, clinical expertise, and patient values to improve healthcare quality and cost-effectiveness. The document also outlines ebp competencies, including formulating clinical questions, appraising research quality, and disseminating evidence for practice change. It emphasizes the role of guidelines, standards, and protocols in evidence-based nursing care, and discusses the levels of evidence and resources available for ebp implementation. The document also touches on the significance of patient satisfaction and positive outcomes as measures of successful ebp.
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◦ EBP, Nursing & Research ◦ (^) By the end of this lesson you will be prepared to:
Contrasting Nursing Practice (^) Evidence-Based: ◦ Critically analytical ◦ (^) Challenges convention ◦ Inquiring spirit ◦ Tests practices (^) Traditional: ◦ Comfortable ◦ (^) Utilizes conventions ◦ Follows policies & procedures blindly ◦ Enforces uniformity
Integration of ◦ (^) best research evidence ◦ (^) clinical expertise (doesn’t ignore it) ◦ patient values and needs to deliver high-quality, cost- effective care.
Nursing care directed by evidence- based
The main purpose of reviewing research evidence in the establishment of evidence- based guidelines is to develop guidelines for providing care to clients.
Basic knowledge of research. EBP skills: ◦ (^) ***formulating searchable clinical questions ◦ searching professional databases for evidence ◦ critically appraising the quality of research evidence (^) Performing a balanced appraisal of a study’s strengths and weaknesses ◦ synthesizing and summarizing evidence for practice ◦ (^) disseminating evidence to support practice change EBP Competencies
EBP environment “culture of inquiry” Critical thinking generates focused practice questions EBP Questions
The Agency for Healthcare Research and Quality (AHRQ) is noted for development of clinical practice guidelines to direct health care practices.
N. A. Schmidt & J.M Brown (2015). Evidence- based practice for nurses: Appraisal and application of research ( nd Ed.). Burlington, MA: Jones & Bartlett.