EvidenceBased Practice

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Evidence-Based Practice

• Dana N. Rutledge, PhD, RN
• Associate Professor, CSU, Fullerton
• Nursing Research Facilitator, St. Joseph Hospital
• Victoria Morrison BSN, RN
• Nurse Research Assistant, St. Joseph Hospital

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Evidence-based practice

• An integration of the best evidence available,
  nursing expertise, and the values and preferences
  of the individuals, families, and communities who
  are served.
• EBP ? best practice

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• EBP uses best evidence
• Scientific knowledge from randomized clinical
  trials, observational studies
• Expert opinion, expert consensus
• Other

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Assumptions

• Nursing is an applied science and the practice of
  nursing should be grounded in science.
• Use of EBP contributes to patient/family outcomes
  that improve health.

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Who are the Users of Evidence-Based Practice

• Nurses (RN, LVN, NP)
• Nursing assistants
• Physicians
• Respiratory Therapists
• Physical Therapists
• Pharmacists
• Others

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The Iowa Model ofEvidence Based Practice to
Promote Quality Care
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The Iowa Model ofEvidence Based Practice to
Promote Quality Care
Assemble Relevant Research Related Literature
Critique Synthesize Research for Use in Practice
Is There a Sufficient Research Base?
Yes
No
Pilot the Change in Practice 1. Select Outcomes
to be Achieved 2. Collect Baseline Data 3. Design
Evidence-Based Practice (EBP)
Guideline(s) 4. Implement EBP on Pilot
Units 5. Evaluate Process Outcomes 6. Modify
the Practice Guideline
Base Practice on Other Types of Evidence 1. Case
Reports 2. Expert Opinion 3. Scientific
Principles 4. Theory
Conduct Research
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Why Use EBP?

• Advances quality of care provided by nurses.
• Increases satisfaction of patients
• Refocuses nursing practice away from habits and
  tradition to evidence and research

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How to begin?

• Take our class, Intro to Evidence Based
  Practice
• Then take Building Your Skills Around Evidence
• Join Nursing Research Council
• Attend Journal Clubs

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Process of EBP

• Asking a clinical question.
• Searching the literature for relevant research.
• Critically appraising what has been found. If
  change is warranted, following steps occur.
• Implementing a practice change.
• Evaluating the change in practice.

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Contact Information

• Research Office-714-771-8000 ext. 2698
• Dana Rutledge- Nursing Research Facilitator
  Dana.Rutledge_at_stjoe.org
• Victoria Morrison- Nurse Research Assistant
  Victoria.Morrison_at_stjoe.org

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Resources

• Ciliska, D. (2005). Educating for
  evidence-based practice. Journal of Professional
  Nursing. Dec.,21(6), 345.
• Profetto-McGrath, J. Critical thinking and
  evidence-based practice. Journal of Professional
  Nursing. Dec., 21(6), 365.
• Titler, M.G., Kleiber, C. Steelma, V. Rakel, B.,
  Bufreau G., Everett, L.Q., Buckwalter, K.C.,
  Tripp-Reimer, T. Goode, C. (2001). The Iowas
  Model of Evidence -Based Practice to Promotoe
  Quality Care. Critical Care Nursing Clinics of
  north america, 13(4), 497-509.