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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.

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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