Article

Evidence-based practice: step by step: the seven steps of evidence-based practice.

Arizona State University in Phoenix, AZ, USA.
The American journal of nursing (Impact Factor: 0.69). 01/2010; 110(1):51-3. DOI: 10.1097/01.NAJ.0000366056.06605.d2
Source: PubMed

ABSTRACT This is the second article in a new series from the Arizona State University College of Nursing and Health Innovation's Center for the Advancement of Evidence-Based Practice. Evidence-based practice (EBP) is a problem-solving approach to the delivery of health care that integrates the best evidence from studies and patient care data with clinician expertise and patient preferences and values. When delivered in a context of caring and in a supportive organizational culture, the highest quality of care and best patient outcomes can be achieved.The purpose of this series is to give nurses the knowledge and skills they need to implement EBP consistently, one step at a time. Articles will appear every two months to allow you time to incorporate information as you work toward implementing EBP at your institution. Also, we've scheduled "Ask the Authors" calls every few months to provide a direct line to the experts to help you resolve questions. See details below.

6 Bookmarks
 · 
909 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Achieving and sustaining evidence-based practice (EBP) in an organization's practice culture can be challenging for administrators and educators. Brown's Sacred Cow Contest provides a creative strategy to promote clinical inquiry and generate interest in EBP. The author discusses how replication of the strategy in a large healthcare system successfully inspired nurses to question traditional nursing practices, yielding 118 contest entries. Teams of nurses are currently applying EBP process steps to confirm or change the reported practices.
    The Journal of nursing administration 06/2011; 41(6):280-4. · 1.15 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: La Práctica Clínica Basada en Evidencia, como enfoque de atención, ha ganado cada vez más adeptos; sin embargo, su utilización en la actividad asistencial cotidiana, implica que el profesional debe reunir un conjunto de competencias que le permitan formular preguntas concretas a partir de problemas clínicos, así como acceder a los resultados de la investigación científica relacionada con estos, evaluar su grado de validez y aplicarlos en respuesta a dichas preguntas. Quizás la mayor dificultad se encuentra precisamente en la etapa de evaluación, por lo que este trabajo se desarrolló con el propósito de analizar crítica y reflexivamente los diversos elementos que son necesarios para llevar a cabo una adecuada valoración de la evidencia, con miras a su posterior integración a la experiencia del profesional en la toma de decisiones clínicas, identificando así las competencias requeridas para ello en el marco de la Práctica Clínica Basada en Evidencia. De dicho análisis se desprende, que un profundo conocimiento sobre metodología de investigación, principalmente epidemiológica, aunado a un pensamiento crítico y a una actitud que persiga el aprendizaje reflexivo y la toma de decisiones éticas, constituyen competencias clave para la evaluación de la evidencia. Se concluye, sin embargo, que el desarrollo de estas debería promoverse en las primeras etapas de formación universitaria, a través de la integración transversal en el currículo de contenidos relacionados con la Práctica Clínica Basada en Evidencia, no como un valor agregado a los enfoques tradicionales de atención, sino como pilar del futuro quehacer profesional
    Ciencia Odontológica. 06/2011; 8(1):57-67.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Evidence-Based Clinical Practice has gained more and more followers as an approach for attending patients; however, its use in daily care activities implies that practitioners must have a set of competencies that allow them to formulate specific questions based on clinical problems as well as access the scientific research results connected to these, assess their validity and apply it in answer to those questions. Perhaps the greatest difficulty lies precisely in the appraisal stage; so this study was developed to analyze critically and reflexively the different elements needed to carry out proper assessment of the evidence, with a view to its subsequent integration in the professional's experience in clinical decision making, thus identifying the competencies required for this in the context of Evidence-Based Clinical Practice. Analysis shows that an extensive knowledge about research methodology, mainly epidemiological, linked to critical thinking and an attitude that pursues reflective learning and ethical decision making are key skills for evidence evaluation. It concludes, however, that development of these skills should be promoted in the early stages of university education through cross-curriculum integration of content related to Evidence-Based Clinical Practice, not as a value added to traditional care approaches, but as a pillar for future professional practice
    Ciencia Odontológica. 06/2011; 8(1):57-67.

Full-text (2 Sources)

View
91 Downloads
Available from
May 27, 2014