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Nursing: Evidence-Based Practice

This guide will help you with your library research while you are a Nursing student at Missouri Baptist University. You can use it to find information both licensed by the library and freely available on the Web.

Books & eBooks

QSEN

Quality and Safety Education for Nurses (QSEN)

The QSEN project addresses the challenge of preparing future nurses with the knowledge, skills, and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work. This website is a central repository of information on the core QSEN competencies, KSAs, teaching strategies, and faculty development resources designed to best support this goal.

Guidelines

AHRQ's National Guideline Clearinghouse

The NGC mission is to provide physicians and other health care professionals an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation, and use.

Evidence Based Practice is

The process of shared decision-making between practitioner, patient, and others significant to them based on research evidence, the patient's experiences and preferences, clinical expertise or know-how, and other available robust sources of information. (Sigma Theta Tau International, 2008)

Evidence Hierarchy: Levels of Evidence for Different EBP Questions.

Polit, Denise F. & Beck, Cheryl Tatano.  (2018).  Essentials of nursing research : appraising evidence for nursing practice.  Philadelphia, PA :  Wolters Kluwer

Steps in the EBP Process

  1. Ask -- Asking clinical questions that can be answered with research evidence.
  2. Acquire -- Searching for and retrieving relevant evidence.
  3. Appraise -- Appraising and synthesizing the evidence.
  4. Apply -- Integrating the evidence with your own clinical expertise, patient preferences, and local context.
  5. Assess -- Assessing the effectiveness of the decision, intervention, or advice.

Asking Well-Word Clinical Questions

PICOT is an acronym that helps one remember the key components of a well focused question. The question needs to identify the key problem of the patient, what treatment or tests you are considering for the patient, what alternative treatment or tests are being considered (if any) and what is the desired outcome to promote or avoid.

P=Population/Patient What are the characteristics of the patients or people? What is the condition or disease you are interested in?

I=Intervention/Influence/Exposure What are the interventions or therapies? What do you want to do with this patient (ie: treat, diagnose, observe)? 

C=Comparison What is the main alternative to compare with the intervention (ie: placebo, different drug, surgery)?

O=Outcomes What are the outcomes or consequences in which we are interested (ie: morbidity, death, complications)?

T=Time What is the time frame?