Evidence-based Practice: An Implementation Guide for Healthcare Organizations
Includes evidence-based clinical guidelines for all health care professionals. National Guidelines Clearinghouse United States.
This site provides a comprehensive database of evidence-based clinical practice guidelines as well as links to full-text guidelines, Palm-based PDA Downloads ; guideline comparisons called Guideline Syntheses prepared by NGC staff; an electronic forum for exchanging information on clinical practice guideline development, implementation and use; an Annotated Bibliography database of citations related to guideline development, methodology, structure, evaluation, and implementation This site is an initiative of the Agency for Healthcare Research and Quality AHRQ , U.
The site provides searchable access to online guidelines organized by therapeutic area, specific population and by alternative medicines. Also offers an evidence-based electronic health care bulletin. This centre undertakes a range of practice-oriented research activities to improve the effectiveness of nursing practice and health care outcomes, with a particular focus on the health of women and children.
Definitions galore Read varying definitions of evidence-based practice, evidence-informed decision-making, and other related terms. Agnes is a registered nurse who uses the nursing process to assess, diagnose, plan, and evaluate nursing care provision. Antecedents are proceedings or occurrences before a concept occurs [ 14 ].
Evidence-Based Practice – An Implementation Guide for Healthcare Organizations
Availability of these antecedents will enable nurses to effectively continue with the next steps in EBP process: asking a relevant question; gathering, appraising and synthesizing evidence, integrating provider and patients experiences, applying best evidence as well as evaluating the process and performance. If nursing care decisions are based on research evidence, nurses have the capacity to select the best option from a range of choices. This results in nursing practice being likely to be safer, more effective, cost-effective and producing the intended patient [ 25 , 34 ]. The consequence of EBP are patients safety, effectiveness, cost-effectiveness, quality care because interventions are based on true evidence.
Empirical referents are measurable ways to demonstrate occurrence of a concept [ 14 ]. In this case, empirical referents demonstrate how EBP can be measured in practice. EBP can therefore be measured using its attributes through following the key stages of EBP in nursing [ 21 ]. The stages include: Asking a relevant clinical question; searching, appraising, synthesizing and selecting the best evidence; integrating practitioner and patients experiences; developing a plan, guidelines and protocols; implementing the plan to apply evidence and evaluating results [ 35 ].
This can be demonstrated in reports, minutes and documentation. The merits of EBP in nursing care practice cannot be underscored. EBP has the potential to improve quality of care and produce benefits for patients, nurses and midwives, and the health-care system. For patients, EBP leads to delivery of improved patient-centered care because patient preferences are included in decision-making; this reduces length of stay, increased patient safety and result in better patient outcomes.
For nurses, EBP increases job satisfaction, empowerment and improved skills to integrate research evidence and patient preferences into practice.
Eventually it supports professional growth and continuous career development through developing expert roles. Health systems benefits include improvements in: decisions making capacity of practitioners; delivery of effective, efficient, quality of care at a reduced cost and health care outcomes [ 36 ]. This makes EBP to be highly associated with improved patient and care delivery outcomes. Thus, should be a priority agenda and a driving force for changes in health and nursing care delivery in order to ensure the long awaited benefits of EBP: patient safety, quality, and effective care.
The analysis has highlighted important issues that can guide the nurses to effectively move towards EBP nursing care delivery.
Walker and Avant framework for concept analysis provided an approach which enabled breaking down of the concept into understandable units and understand its attributes. This helped to arrive at a precise definition of EBP. Antecedents are essential elements which nurses should bear in mind prior to planning an EBP intervention while consequences are benefit which acts as a driving force for EBP.
Use of empirical referents in the analysis was to demonstrate on how EBP can be measured in practice, and can guide in developing of indicators for observable behavior which can provide highlights to occurrence and nonoccurrence of EBP in nursing practice [ 29 ].
In nursing care delivery, things are changing daily, thus, requires changing methods of nursing care provision.
Strategies for Nursing Leaders
It offers an operation definition for nurses and researchers; and practical application of the concept in nursing practice. However, further studies are needed to try of the process of EBP guided by the identified attribute and reduce the research-practice gap. All Published work is licensed under a Creative Commons Attribution 4. Visit for more related articles at Health Systems and Policy Research. Determining defining attributes of EBP Attributes are components and key features that differentiate and clarify the meaning of one concept from another similar concept [ 14 ].
Constructing a model case A model case is developed to represent a real life example of use of the concept that includes all the critical attributes of the concept [ 14 ]. Borderline Case and Other Cases Borderline A borderline case contains most of the critical attributes of the concept but not all of them [ 14 ]. Contrary case A contrary case is an example of what a concept are not [ 14 ]. Related case A related case has similar defining characteristics to the concept [ 14 ].
Consequences If nursing care decisions are based on research evidence, nurses have the capacity to select the best option from a range of choices.
Evidence-based Practice: An Implementation Guide for Healthcare Organizations
Empirical referents Empirical referents are measurable ways to demonstrate occurrence of a concept [ 14 ]. Discussion The merits of EBP in nursing care practice cannot be underscored. Conclusion In nursing care delivery, things are changing daily, thus, requires changing methods of nursing care provision. BMC Nurs 8.
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J Adv Nurs Wallis L Barriers to implementing evidence-based practice remain high for US nurses. Am J Nurs Worldviews Evid Based Nurs Worldviews Evid Based Nurs 6: Am J Nurs Sci 4: Afr J Midwifery Womens Health 6: World Health Organization World health statistics. Mulenga C, Naidoo JR Nurses' knowledge, attitudes and practices regarding evidence-based practice in the prevention of mother-to-child transmission of HIV programme in Malawi.
Evidence Based Practice: A Concept Analysis
Curationis Elsevier Health Sciences. Matthews PH The concise Oxford dictionary of linguistics. Oxford University Press. Bradt DA Evidence-based decision-making part 1 : Origins and evolution in the health sciences. Prehosp Disaster Med 4: Winona state University Evidence Based Practice Toolkit. Publisher: Jones and Bartlett Publishers, Inc , This specific ISBN edition is currently not available.
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