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Evidence Based Nursing Practice: Overview

The purpose of this guide is to provide resources that will guide nursing students in the process of evidence based practice.

What is Evidence Based Practice?

Journal Articles

Clarke, V., Lehane, E., Mulcahy, H., & Cotter, P. (2021). Nurse Practitioners' Implementation of Evidence-Based Practice Into Routine Care: A Scoping Review. Worldviews on evidence-based nursing18(3), 180–189. https://doi.org/10.1111/wvn.12510

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Melnyk BM, Fineout-Overholt E, Stillwell SB, & Williamson KM. (2010). Evidence-based practice: step by step. The seven steps of evidence-based practice: following this progressive, sequential approach will lead to improved health care and patient outcomes. AJN American Journal of Nursing110(1), 51–53. https://doi.org/10.1097/01.NAJ.0000366056.06605.d2

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PICOT

PICOT

(P) Patient Population
(I) Intervention of Interest
(C) Comparison Intervention
(O) Outcome(s)
(T) Time

 

Reference: Echevarria, Ilia M. MSN, CCRN,C.H.E.S., N.E.A.B.C., & Walker, S. D. P.,B.C. (2014). To make your case, start with a PICOT question. Nursing, 44(2), 18-19. DOI-10.1097/01.NURSE.0000442594.00242.f9

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Evidence-Based Nursing Practice Process

Step 1: Form a clinical question using the PICOT model

Step 2: Collect the strongest, most relevant evidence to answer the question

Step 3: Critically appraise and synthesize the evidence

Step 4: Integrate the evidence with clinician expertise and the patient values to guide the implementation of a practice decision or change

Step 5: Evaluate the practice change based on measurable outcomes

Step 6:  Disseminate information about the outcome of the practice change so that other clinicians are well-informed of the change and can potentially apply it to their practice

Reference: Evidence-Based Nursing Practice: Implementing By: Schub E, Walsh K, Pravikoff D, CINAHL Nursing Guide, August 4, 2017

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