EVIDENCE BASED NURSING PRACTICE

BYMr ananthakrishnan asst.professorTeerthanker mahaveer university college of nursing

EVIDENCED BASED NURSING PRACTICE is the process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient preferences.

DEFINITION

Why we need Evidence based nursing practice?

30-45% of patients not receiving care according to scientific evidence

20-25% of care provided is not needed or potentially harmful

(Schuster et al., 1998; Grol 2001)

Knowledge-Practice Gaps

Evidence Based nursing practice solves problems encountered by nurses by carrying out four Steps.

1. Clearly identify the issue or problem based on accurate analysis of current nursing knowledge and practice

STEPS OF EVIDENCE BASED NURSING

2. Perform literature search for relevant information .

3.Evaluate the research evidence for scientific merit , using enabling criteria

4.Select interventions and justify them ,with the most valid evidence

-CONT…

These selected models and frameworks can be used to understand the contextual factors that could play important roles in the success or failure of the knowledge translation effort should be taken into consideration in all stages of the knowledge translation( KT) process.

Models and Frameworks

Conceptual Model• A set of relatively abstract & general concepts that address phenomena of central interest to a discipline•Broad descriptions those concepts•Propositions that state relatively abstract & general relations between 2 or more of the concepts

Assess + Evaluate Monitor

Practice Environment

Potential Adopters

Innovation

Interventions Adoption

Outcomes

Stetler model of research utilizatiion Iowa model of research in practiceOttawa model of research useEvidence based multi-disiplinary practice

model.Model for change to evidence based

practice.Centre for advanced nursing practice model

Models on EBNP

The Ottawa Model of Research Use (OMRU) is an interactive model developed by Logan and Graham (1998). The feasibility and effectiveness of using the OMRU in actual practice contexts was supported by findings from a number of studies .

The Ottawa Model of Research Use

Cont… The OMRU views research use as a dynamic process of interconnected decisions and actions by different individuals relating to each of the model elements (Logan & Graham, 1998). This model addresses the implementation of existing research knowledge.

The model has gone through some revisions since its inception. The most recent version of the OMRU (Graham & Logan, 2004)

Includes six key elements: Evidence-based innovation Potential adopters The practice environment Implementation of interventions Adoption of the innovation Outcomes resulting from implementation of the

innovation

Ottawa model of Research Use

Critical thinkerCulturally competentKnowledgeable co-ordinatorPolitically awareEthically and Legally groundedEffective communicatorCompetent provider of health careResponsible managerUnderstands relationshiprelationships

ESSENTIAL QUALITIES OF A NURSE USING EBNP

Everything has changed but our ways of thinking.if these do not change we drift towards unparalleled catastrophe

(Albert Einstein)

CONCLUSION

Thank you

Thank

You