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EBP Project Planning
Darcy Copeland, RN, PhDNurse Scientist, St Anthony Hospital
Melissa Kovac, MA, MLIS, AHIP
Jane Braaten, RN, PhD
Centura Health11th Annual Evidence Based Practice, Research and Innovation Conference
1) The participant will articulate the general steps of an EBP model.
2) The participant will identify how to form a clinical question and examine the literature for relevant research.
3) The participant will be able to apply the general steps of EBP project planning to an existing nursing problem.
What is EBP?
“An ongoing process by which evidence, nursing theory and the practitioners’ clinical expertise are critically
evaluated and considered, in conjunction with patient involvement, to provide delivery of optimum nursing care
for the individual.”
Scott, K. & McSherry, R. (2009). Evidence based nursing: Clarifying the concepts for nurses in practice. Journal of Clinical Nursing, 18(8), 1085-95.
What Does Sigma Theta Tau Say?
Evidence-based nursing is the foundation for professional nursing practice
EBN is an integration of the best evidence available, nursing
expertise, and the values and preferences of the individuals, families
and communities who are served.
This assumes that optimal nursing care is provided when nurses and health care decision-makers have access to the latest research, a consensus of expert opinion, and are thus able to exercise their judgment as they plan and provide care that takes into account cultural and personal values and preferences.
The Three Legged Stool
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Evidence Based Practice
Why EBP?
Explosion of information Healthcare literature published at rate impossible to keep up with
Unmet information needs
Questions generated from each interaction
Implementation delays Average of 17 years for clinical research to be fully integrated into everyday practice
Knew in the 70’s sleeping on stomach contributed to SIDS, not until the 90’s was it standard practice to recommend sleeping on back
What is the Purpose of EBP?
• Systematic problem solving approach that is evidence driven
• Provides foundation for best quality patient care based on integration of strongest available evidence
• IRB approval not necessary
• Not rapid cycle, require more time, resources, money
How is EBP Done?
Originates from a clinical/practice question
Multiple modelsIOWA model
Johns Hopkins Model
Stetler Model
Rosswurm and Larrabee Model
ACE Star Model
How is EBP Done?
Regardless of model, systematic approach:
Identify a ProblemFormulate a
Question
Conduct a Literature Review
Evaluate the Literature
Determine if Practice
Change is Warranted
Implement Practice Change
Evaluate Change
Problem focused triggers
Identified through quality data, risk
management, benchmarking data,
financial data, clinical problems
Knowledge focused triggers
Generated from reading literature,
attending conferences
Problem Identification
The question you ask determines the answer you get