Testing traditional approaches to client care for continued relevance and effectiveness is
What is Evidence-Based Practice?The classic definition of Evidence-Based Practice (EBP) is from Dr David Sackett. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research”.2 Show EBP has developed over time to now integrate the best research evidence, clinical expertise, the patient's individual values and circumstances, and the characteristics of the practice in which the health professional works.3  So, EBP is not only about applying the best research evidence to your decision-making, but also using the experience, skills and training that you have as a health professional and taking into account the patient's situation and values (e.g. social support, financial situation), as well as the practice context (e.g. limited funding) in which you are working. The process of integrating all of this information is known as clinical reasoning. When you consider all of these four elements in a way that allows you to make decisions about the care of a patient, you are engaging in EBP.4 Why is Evidence-Based Practice Important?EBP is important because it aims to provide the most effective care that is available, with the aim of improving patient outcomes. Patients expect to receive the most effective care based on the best available evidence. EBP promotes an attitude of inquiry in health professionals and starts us thinking about: Why am I doing this in this way? Is there evidence that can guide me to do this in a more effective way? As health professionals, part of providing a professional service is ensuring that our practice is informed by the best available evidence. EBP also plays a role in ensuring that finite health resources are used wisely and that relevant evidence is considered when decisions are made about funding health services.4 What happened before Evidence-Based Practice?Before EBP health professionals relied on the advice of more experienced colleagues, often taken at face value, their intuition, and on what they were taught as students. Experience is subject to flaws of bias and what we learn as students can quickly become outdated. Relying on older, more knowledgeable colleagues as a sole information source can provide dated, biased and incorrect information. This is not to say that clinical experience is not important - it is in fact part of the definition of EBP. However, rather than relying on clinical experience alone for decision making, health professionals need to use clinical experience together with other types of evidence-based information.5 Is not all Published Research of Good Quality?Not all research is of sufficient quality to inform clinical decision making. Therefore you need to critically appraise evidence before using it to inform your clinical decision making. The three major aspects of evidence that you need to critically appraise are:
Review articleImplementation science: What is it and why should I care?Under a Creative Commons license Open access Highlights• Establishing effectiveness of an innovation does not guarantee its uptake into routine usage. Innovation uptake depends largely on contextual factors, not just innovation effectiveness. •Implementation science addresses such contextual barriers and facilitators to enhance innovation uptake. AbstractCenturies of experience make it clear that establishing the effectiveness of a clinical innovation is not sufficient to guarantee its uptake into routine use. The relatively new field of implementation science has developed to enhance the uptake of evidence-based practices and thereby increase their public health impact. Implementation science shares many characteristics, and the rigorous approach, of clinical research. However, it is distinct in that it attends to factors in addition to the effectiveness of the clinical innovation itself, to include identifying and addressing barriers and facilitators to the uptake of evidence-based clinical innovations. This article reviews the definition, history, and scope of implementation science, and places the field within the broader enterprise of biomedical research. It also provides an overview of this Special Issue of Psychiatry Research, which introduces the principles and methods of implementation science to mental health researchers. KeywordsImplementation Clinical trials Dissemination Cited by (0)© 2019 The Authors. Published by Elsevier B.V. What is evidenceEvidence-based practice (EBP) is defined by Duke University Medical Center as "the integration of clinical expertise, patient values and the best research evidence into the decision-making process for patient care."
What are some examples of evidenceThere are many examples of EBP in the daily practice of nursing.. Infection Control. The last thing a patient wants when going to a hospital for treatment is a hospital-acquired infection. ... . Oxygen Use in Patients with COPD. ... . Measuring Blood Pressure Noninvasively in Children. ... . Intravenous Catheter Size and Blood Administration.. Which processes will the nurse consider to support evidenceTo effectively apply the EBP process, in addition to the basic skills required to undertake nursing work, a nurse must have the ability to: (1) identify knowledge gaps, (2) formulate relevant questions, (3) conduct an efficient literature search, (4) apply rules of evidence to determine the validity of studies, (5) ...
Which of the following is the best definition of evidenceEBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research”.
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