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11
EVIDENCE-BASED PRACTICEEVIDENCE-BASED PRACTICE
Prepared ByPrepared By
Dr. Nahed Said El Dr. Nahed Said El NaggerNagger
Assistant Professor of NursingAssistant Professor of Nursing
1430-1431H1430-1431H
UMM AL- QURA UNIVERSITY FACULTY OF APPLIED MEDICAL SCIENCES NURSING DEPARTMENT
LL
Research UtilizationResearch Utilization
Lecture No. 9Lecture No. 9
Learning Outcomes (ILOs)Learning Outcomes (ILOs) Define research and research Define research and research
utilization.utilization. Define Evidence-based practice (EBP).Define Evidence-based practice (EBP). Identify the goals of EBP.Identify the goals of EBP. Distinguish between the characteristicsDistinguish between the characteristics of research utilization and EBP.of research utilization and EBP. Discuss the effect of Evidence-basedDiscuss the effect of Evidence-based practice.practice.
04/19/2304/19/23
RESEARCHRESEARCH
A systematic scientific process that A systematic scientific process that generates new knowledge or validates generates new knowledge or validates existing knowledge.existing knowledge.
Research utilization (RU)
The use of study findings in a practical application unrelated to the original research.
Evidence-based practice (EBP)
Basing clinical decisions on
best evidence especially
high-quality research.
EVIDENCE-BASED PRACTICE EVIDENCE-BASED PRACTICE (EBP)(EBP)
““The use of current best evidence to The use of current best evidence to guide health care decisions for guide health care decisions for improving client outcomes.” improving client outcomes.”
Research Utilization versus EBP
Research Utilization
Use results of studies.Randomly selected.Support nursing care.Less systematic.
Evidence-Based Practice•Considers all research.•Utilized thorough integrative review.•Situation of clinical expertise and value system of the client.•More systematic.
Goals of EBPProvide practicing nurses with
evidence-based data.
Resolve problems in the clinical setting.
Achieve excellence in care delivery.
Introduce innovation ( advance).
Reduce variations in nursing care.
Assists with efficient and effective decision-making.
Goals of EBP (Cont.)
Eliminating worst practices.
Enhancing best practices.
Thereby:
Reducing costs and
improving quality.
Barriers to Using Research in
Nursing PracticeResearch-related barriers.
Nurse-related barriers.
Organizational barriers.
Barriers related to the nursing profession.
Two Models for Evidence-Based
Nursing Practice
The Stetler Model of research utilization to promote evidence-based practice.
The Iowa Model of evidence-based practice to promote quality care.
Five Sequential Phases of the Stetler Model
Phase I: Preparation
Phase II: Validation
Phase III: Comparative Evaluation and Decision Making
Phase I V: Translation/Application
Phase V: Evaluation
Evidence-Based Nursing Process
( Iowa Model )1. ASK
2. AQUIRE
3. APPRAISE
4. APPLY
5. ASSESS
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Evidence-based practice in the Evidence-based practice in the clinical setting requires the integration clinical setting requires the integration ofof Individual clinical expertiseIndividual clinical expertise with the with the best available external clinical best available external clinical
evidenceevidence from systematic researchfrom systematic research
INDIVIDUAL CLINICAL INDIVIDUAL CLINICAL EXPERTISEEXPERTISE
The proficiency and judgment that The proficiency and judgment that clinicians acquire through clinical clinicians acquire through clinical experience and clinical practice experience and clinical practice leading to leading to more effective and efficient patient more effective and efficient patient assessment and diagnoses assessment and diagnoses
Nurses’ Role in Using Research Evidence
Read widely and critically.
Attend professional conferences.
Learn to expect evidence that
a procedure is effective.
Become involved in a journal club.
Participate in RU/EBP projects.
04/19/2304/19/23 University of Kentucky HospitalUniversity of Kentucky Hospital