5/21/24: The Evidence-Based Practice: Nursing guide has a new URL. Please update your bookmarks accordingly.
The EBP Process
The process of Evidence-Based Practice (EBP) can be broken up into 5 phases, called the 5 A's of EBP. Those phases are as follows.
Step 1: assess the patient or the problem in front of you.
Step 2: ask or identify the most important question, using the most appropriate question framework.
Step 3: acquire the best available evidence to help you answer the question.
Step 4: appraise the evidence to decide if it's applicable to your patient or scenario.
Step 5: apply the solution to your patient or problem.
EBP is a never-ending process, whether you're using it for patient-care or systems improvement. Each problem or situation should be reassessed to make sure the solution still works and to make sure new problems are addressed.
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Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals, Fourth Edition
by
The goal of EBP in healthcare is to promote improved interventions, care, and patient outcomes.Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals has proven to be one of the most foundational books on EBP in nursing and healthcare. Building on the strength of previous versions, the fourth edition is fully revised to include updated content based on more than a decade of the model's use, refinement in real-life settings, and feedback from nurses and other healthcare professionals around the world.Key features of the book include:* NEW strategies for dissemination, including guidance on submitting manuscripts for publication* EXPANDED focus on the importance of interprofessional collaboration and teamwork, particularly when addressing the complex care issues often tackled by EBP teams* EXPANDED synthesis and translation steps, including an expanded list of outcome measures to determine the success of an EBP project* Tools to guide the EBP process, such as stakeholder analysis, action planning, and dissemination* Explanation of the practice question, evidence, and translation (PET) approach to EBP projects* Overview of the patient, intervention, comparison, and outcome (PICO) approach to EBP question development* Creation of a supportive infrastructure for building an EBP nursing environment* Exemplars detailing real-world EBP experiences
Call Number: ebook (SJSU log-in required)ISBN: 1948057891Publication Date: 2021-07-15
Acquiring the Evidence
The 6-S Hierarchy of Pre-Appraised Evidence
Summaries
E.g. evidence summaries and clinical practice guidelines
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CINAHL Complete This link opens in a new window
1300+ full-text journals available to support nursing and allied health professionals, students, educators and researchers. This resource also provides access to health care books, nursing dissertations, selected conference proceedings, evidence-based care sheet and quick lesson disease overviews, and continuing education modules.
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PubMed This link opens in a new windowSearches MEDLINE, the leading database of journal articles in the health sciences, including medicine, nursing, the allied health sciences, public health, and the basic sciences. Coverage is 1946 - present.
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ECRI Institute"Develops ECRI Guidelines Trust™, a publicly available repository of clinical guidelines, in response to the defunding of the National Guideline Clearinghouse by the federal government" From ECRI Institute HIstory page.
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Trip Medical Database (pro version) This link opens in a new window
A clinical search engine linking to evidence-based content, such as clinical practice guidelines, systematic reviews, and primary studies. Each abstract indicates the record's place on the evidence pyramid. Use the PICO search feature to show a limited number of highly-focused results.
Note: A personal account provides additional functionality. Instructions for creating a personal account:
When on campus, click on “sign up” to register.
When off campus, you will need to go to the TRIP free version webpage to “sign up” and register. Once you have created an account, you may return to the pro version webpage and sign in.
Synopses of Syntheses
E.g. synopses of systematic reviews
Syntheses
E.g. systematic reviews
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Cochrane Library This link opens in a new window
The Cochrane Library is a unique source of reliable and up-to-date information on the effects of interventions in health care. Published on a quarterly basis, the Cochrane Library is designed to provide information and evidence to support decisions taken in health care and to inform those receiving care. Download the user guide.
Note: Steps to create a personal account when off campus:
1. Go directly to the Cochrane library website [bypassing your Tower ID authentication].
2. Use the "Sign in" link in the top right corner to either login to an existing account or create a new account.
a. New Accounts: Complete the registration process and SJSU email validation. Then login to your account
b. Existing customers: Log in using your Cochrane Library personal login and password.
3. When you successfully login, this information will appear in the top right corner as Signed in as "your name"
4. Once you complete this login, then return to The Cochrane Library using the link that requires your Tower ID authentication.
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JBI Evidence SynthesisJBI Evidence Synthesis publishes manuscripts encompassing evidence synthesis and health care. The journal publishes systematic and scoping review protocols, diverse types of systematic reviews, and scoping reviews covering multidisciplinary health care-related topics that follow methodology and methods developed or endorsed by JBI. Authors must pay a fee to publish their protocol in JBI Evidence Synthesis.
Synopses of Studies
E.g. synopses of individual research studies
Studies
Primary literature, i.e. individual research studies
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CINAHL Complete This link opens in a new window
1300+ full-text journals available to support nursing and allied health professionals, students, educators and researchers. This resource also provides access to health care books, nursing dissertations, selected conference proceedings, evidence-based care sheet and quick lesson disease overviews, and continuing education modules.
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PubMed This link opens in a new windowSearches MEDLINE, the leading database of journal articles in the health sciences, including medicine, nursing, the allied health sciences, public health, and the basic sciences. Coverage is 1946 - present.
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PsycINFO This link opens in a new window
PsycINFO, from the American Psychological Association (APA) contains citations and summaries of scholarly journal articles, book chapters, books, and dissertations in psychology and related disciplines, dating from the 1800s. PsycINFO is indexed with controlled vocabulary from APA's Thesaurus of Psychological Index Terms.
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Trip Medical Database (pro version) This link opens in a new window
A clinical search engine linking to evidence-based content, such as clinical practice guidelines, systematic reviews, and primary studies. Each abstract indicates the record's place on the evidence pyramid. Use the PICO search feature to show a limited number of highly-focused results.
Note: A personal account provides additional functionality. Instructions for creating a personal account:
When on campus, click on “sign up” to register.
When off campus, you will need to go to the TRIP free version webpage to “sign up” and register. Once you have created an account, you may return to the pro version webpage and sign in.