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: 1.3). 01/2010; 110(1):51-3. DOI: 10.1097/01.NAJ.0000366056.06605.d2
Source: PubMed


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.

Download full-text


Available from: Susan B Stillwell
  • Source
    • "Support for the adoption and implementation of EBP is apparent across health professions and internationally (Stergiou-Kita 2010). Additionally, EBP has been associated with improvement in patient outcomes and care, whilst also reducing associated healthcare costs (Melnyk et al 2010). Moreover, researchers have argued that the interventions used by therapists need to be Occupational therapists' attitudes, knowledge, and implementation of evidence-based practice: a systematic review of published research "
    [Show abstract] [Hide abstract]
    ABSTRACT: Family-based programmes that emphasise lifestyle and behaviour change using psychological principles have been shown to be effective in targeting childhood obesity. While there is some evidence that evaluates UK family-based obesity interventions at a local level, no review to date has addressed this nationally. This review presents the available evidence from UK family-based childhood obesity interventions. Ten articles that met the inclusion criteria were included for review. The majority of programmes reviewed lasted 12 weeks, with only three studies providing follow-up data at 12 months or longer. Change in adiposity may be a short-term benefit of participation in a child weight management programme, but there is insufficient robust evidence to indicate that this benefit is long lasting and many studies were methodologically weak with limited internal validity. There is insufficient evidence to suggest how the inclusion of parents and the wider family may impact on the effectiveness of UK community based weight management programme for children and young people.
    Full-text · Article · May 2014 · Community practitioner: the journal of the Community Practitioners' & Health Visitors' Association
  • Source
    • "The literature contains a few exceptions to these steps. For example, Melnyk (2010) "
    [Show abstract] [Hide abstract]
    ABSTRACT: A hypothetical case study about return to work was used to explore the process of translating research into practice. The method involved constructing a case study derived from the characteristics of a typical, sick-listed employee with non-specific low back pain in Norway. Next, the five-step evidence-based process, including the Patient, Intervention, Co-Interventions and Outcome framework (PICO), was applied to the case study. An inductive analysis produced 10 technical and more fundamental challenges to incorporate research into intervention decisions for an individual with comorbidity. A more dynamic, interactive approach to the evidence-based practice process is proposed. It is recommended that this plus the 10 challenges are validated with real life cases, as the hypothetical case study may not be replicable.
    Full-text · Article · Mar 2012 · Occupational Therapy International
  • [Show abstract] [Hide abstract]
    ABSTRACT: Nursing, gerontology, and information communications technologies are well positioned to influence gerontological health system development by promoting global access to evidence-based best practices that facilitate local access to knowledge. Gerontological nurses, as members of the global community, are encouraged to become partners in promoting active and healthy aging. One mechanism is by participating in the development of a Gerontology Healthy Ageing Portal in the eGranary Digital Library, an "Internet in a Box"™ that provides offline digital resources to institutions and individuals where Internet access is lacking or undependable.
    No preview · Article · Jan 2011 · Journal of Gerontological Nursing
Show more