Po bech02(1)

Copyright © 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins

Chapter 2

Translating Research Evidence Into Nursing Practice:

Evidence-Based Nursing

Chapter 2

Translating Research Evidence Into Nursing Practice:

Evidence-Based Nursing


Research Utilization (RU) Versus Evidence-Based Practice (EBP)

Research Utilization (RU) Versus Evidence-Based Practice (EBP)

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 possible evidence—especially high-quality research


Resources for Evidence-Based PracticeResources for Evidence-Based Practice

• Systematic reviews

• Clinical practice guidelines

• Other preappraised evidence


Research Integration and SynthesisResearch Integration and Synthesis

Forms of integrative reviews:

• Narrative, qualitative integration (traditional review of quantitative or qualitative results)

• Meta-analysis (statistical integration of results)

• Metasynthesis (theoretical integration of qualitative findings)


Barriers to Using Research in Nursing Practice

Barriers to Using Research in Nursing Practice

• Research-related barriers

• Nurse-related barriers

• Organizational barriers

• Barriers related to the nursing profession


Steps of Individual EBPSteps of Individual EBP

1. Framing an answerable clinical question

2. Searching for relevant research-based evidence

3. Appraising and synthesizing the evidence

4. Integrating evidence with other factors

5. Assessing effectiveness


Appraisal of EvidenceAppraisal of Evidence

• Validity of study findings

• Clinical importance of findings

• Precision of estimates of effects

• Associated costs and risks

• Utility in a particular clinical situation


EBP in Organizational ContextEBP in Organizational Context

• More formalized than individual EBP

• Must take organizational and interpersonal factors into account

• “Triggers” include both pressing clinical problems and existing knowledge


Organizational (Team-Based) EBP Projects

Organizational (Team-Based) EBP Projects

• Involve the development or adaptation of clinical practice guidelines or clinical protocols

• Assessment of implementation potential of the innovation

Transferability

Feasibility

Cost/benefit ratio


Criteria for Evaluating the Implementation Potential of an Innovation Under Scrutiny Criteria for Evaluating the Implementation Potential of an Innovation Under Scrutiny


Implementing and Evaluating the Innovation

Implementing and Evaluating the Innovation

Pilot Test

• Develop an evaluation plan

• Collect information on outcomes

• Train staff in the use of the new guideline and, if necessary, “market” the innovation

• Try the guideline out on one or more units or with a group of clients

• Evaluate the pilot project


Nurses’ Role in Using Research EvidenceNurses’ 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

• Pursue and participate in RU/EBP projects

Po bech02(1)

Documents

translating research

research integration

nursing profession copyright

pilot project copyright

organizational context

answerable clinical

new guideline

steps of individual