By Bernadette Melnyk PhD RN CPNP/NPP FAAN, Ellen Fineout-Overholt PhD RN FNAP FAAN
Completely up to date and now in complete colour, the second one version of this best-selling publication is a straight forward consultant to enforcing evidence-based perform in nursing and healthcare. "Real-life" examples support readers in actualizing vital strategies and overcoming obstacles to implementation of evidence-based care. This version incorporates a new bankruptcy on enforcing facts in medical settings and emphasizes all of the steps wanted in making evidence-based perform a part of a sustainable healthcare tradition. internet signals direct readers to net assets to additional strengthen evidence-based perform wisdom and abilities. A bound-in CD-ROM includes checklists and different publications to help readers in formulating medical questions and appraising numerous sorts of quantitative and qualitative proof.
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Extra resources for Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice
2 The Steps of the EBP Process 0. 1. 2. 3. 4. Cultivate a spirit of inquiry. Ask the burning clinical question in PICOT format. Search for and collect the most relevant best evidence. , rapid critical appraisal, evaluation, and synthesis). Integrate the best evidence with one’s clinical expertise and patient preferences and values in making a practice decision or change. 5. Evaluate outcomes of the practice decision or change based on evidence. 6. Disseminate the outcomes of the EBP decision or change.
Thus, systematic reviews and meta-analyses yield the strongest level of evidence on which to base practice decisions. Caution must be used when searching for systematic reviews as some evidence reviews or narrative reviews may be labeled systematic reviews; however, they lack the rigorous process that is required of true systematic reviews (Fineout-Overholt, O’Mathúna, & Kent, 2008; Newhouse, 2008). Although studies are compared and contrasted in narrative and integrative reviews, a rigorous methodology with explicit criteria for reviewing the studies is often not used, and a summary statistic is not generated.
Other reputable sources of information about EBP are from abstraction journals, such as Evidence-Based Medicine, Evidence-Based Nursing, Evidence-Based Mental Health, and Evidence-Based Health Policy & Management. These are other mechanisms through which professionals can find evidence to guide their practice. These journals summarize high-quality studies that have important clinical implications and provide a commentary by an expert in the field. The commentary addresses strengths and limitations of the research reviewed.