Evidence Based Practice Essay

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Evidence Based Nursing Practice in Nursing • "Doing the right things right" (Craig & Smyth, 2002, p.4) • Used to improve the experiences associated with health care and illness • Early examples o Infection control (aseptic technique) o DVT (deep vein thrombosis) prevention Development of the EBP Concept • Began with medicine o Archie Cochran, a British epidemiologist in 1972 published a book criticizing the medical profession for not reviewing medical research studies o Believed that the strongest evidence came from RCT (randomized clinical trials). RCT are the most strict kind of research design. • A RCT has to have three things: • Control group • Placebo group • Experimental group o Founded the Cochran Foundation in…show more content…
5. Evaluate the outcome Challenges of EBP • Gaps in the evidence for what nurses do • Rapidly changing evidence bases • Life-long learning which may challenge long-held beliefs • Transferability to the clinical setting from the research setting Seven Cardinal Sins of EBP • Do research vs use research • Do statistics vs interpret statistics • Convenient and Comfortable vs patient-centered • Evaluation of learners based on fact retention vs. application of knowledge • Inflexible priorities vs. flexibility • Rigid curricular parameters vs. open for rumination (there are no right or wrong answers) • Discourage the "stupid question" EBP Skills for the Baccalaureate Student • Identify the 5 steps of the EBP • Form a clinical question using PICO format for a therapy / intervention, diagnosis, harm, prognosis, meaning, or human response clinical problem • Conduct a successful search for best evidence in response to a clinical question • Critically appraise studies for validity, importance and applicability. • Differentiate between statistical significance and clinical meaningfulness • Apply best evidence from a search and critical appraisal • Search for and critically appraise clinical practice guidelines and best evidence summaries • Apply clinical practice guidelines and best evidence summaries to clinical practice. • Discuss ethical issues in the conduct of
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