Evidence-Based%20Practice - PowerPoint PPT Presentation

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Evidence-Based%20Practice

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Merging personal clinical expertise with the best available research results ... 3. Retrieve and appraise evidence. Five Steps to Ensuring. Practice is Evidence-Based ... – PowerPoint PPT presentation

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Title: Evidence-Based%20Practice


1
Chapter 7
  • Evidence-Based Practice

2
Defining Evidence-Based Practice (EBP)
  • Merging personal clinical expertise with the best
    available research results according to patient
    preferences and values
  • Why is it important to utilize now?

3
Clinical Practice Guidelines
  • Systematically developed statements
  • Assist practitioners and client decisions about
    appropriate health care for clinical
    circumstances
  • Multidisciplinary

4
Concepts
  • Research utilization
  • Evidence-based practice
  • Are these interchangeable?

5
Criticisms of EBP
  • Quality of life issues
  • Restriction of freedom to practice
  • Inconsistent practices at medical centers versus
    other hospitals

6
Finding Best Practices
  • Location in literature
  • Online database
  • CINAH, MedLine, PubMed
  • Evidence-based practice centers
  • Cochrane Collaboration
  • Journals
  • Evidence-Based Nursing

7
Research Design
  • Qualitative
  • Quantitative
  • Randomized Clinical Trial (RCT)

8
Evaluating Research
  • U.S. Preventive Services Task Force (USPSTF)
    developed a system for
  • Rating guideline recommendations
  • Evaluating strength of evidence
  • Tables 7-1 and 7-2

9
ACE Star Model ofKnowledge Transformation
10
Implementing New Practice
  • Three steps in managerial support
  • Establishing a new culture
  • Creating capacity for organizational change
  • Sustaining change through revision of systems
    infrastructure

11
Barriers to EBP Implementation
  • Lack of time
  • Literature not readily available
  • Uncertain of personnels ability to use research
  • Critical colleagues

12
Barriers to EBP Implementation
  • Lack of organizational support
  • Lack of perceived power to effect change
  • Cost to implement
  • Interdisciplinary support

13
Five Steps to EnsuringPractice is Evidence-Based
  • 1. Develop a researchable practice question
  • 2. Design and implement an evidence search
  • 3. Retrieve and appraise evidence

14
Five Steps to EnsuringPractice is Evidence-Based
  • 4. Integrate clinical evidence in order to
    implement an evidence-based decision
  • 5. Evaluate clinical practice and EBP process
    outcomes
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