Evidence Based Practice

Evidence Based Practice in Nursing

1. Evidence Based Practice in Nursing Dr. Binu Babu Asso . Professor Mrs. Jincy Ealias Asst. Professor

2. What is Evidence Base Practice? Why Evidence Base Practice ? What we are practicing currently? What change is needed? Is EBP has any value? Who will prepare evidences? Is EBP possible in real life situation ?

3. Introduction Integrating evidence supported best clinical measures into practices for the delivery of optimal care. Direction for change in terms of thinking and practice.

4. Evidence Based Practice Evidence based practice (EBP) is an approach of making clinical decisions based upon evidence, combined with clinical experience and patients expectations . Is a way to minimize the theory to practice gap. 

5. EBP in nursing EBP in nursing is a way of providing nursing care that is guided by the integration of the best available scientific knowledge with nursing expertise. This approach requires nurses to critically assess relevant scientific data or research evidence and to implement high quality interventions for the nursing practice.

6. Objective

7. History of EBP in nursing Evidence-based practice was first systematically introduced in nursing with the Conduct and Utilization of Research in Nursing (CURN) project in the late 1970’s. They reviewed the research on common nursing procedures including Structured Preoperative Teaching, Preventing Decubitus Ulcers, and Reducing Diarrhea in Tube-fed Patients.

8. The project developed research-based clinical protocols, systematically implemented them into practice, and measured the outcomes.  The CURN project demonstrated that synthesized research put into clinical protocols would be used by clinicians with beneficial results to patients.

9. Need for EBP Documentation and auditing Deliver the best possible services with the available resources. Updating of theoretical and clinical knowledge. Provide critical clinical judgment. Provide outcome based patient care. Develop advanced strategies for clinical decision making Standardization of care and accreditations

10. Evidence Resources

11. Components of EBP

12. Clinical expertise

13. Best Research Evidence

14. Patient values

15. Steps of Evidence-Based Practice

16. Benefits of Evidence-Based Practice Provide better patient care outcome Enable consistency of care Reduce the delay in care planning Client focused care All stages of care will be structured systematically Increases confidence in decision-making Maintain the professional standards Provide guidelines for further research Helps nurses to provide high quality patient care Standardization of academic quality

17. Factors that Facilitate EBP

18. Barriers in EBP Lack of value for research in practice Difficulty in bringing change Lack of administrative support Lack of knowledge mentors Lack of time for research Lack of knowledge about research Research reports not easily available Complexity of research reports Lack of knowledge about EBP Lack of in service and continuing education

19. “ Turn daily practices into evidence based practice ”

20. “So never lose an opportunity of urging a practical beginning, however small, for it is wonderful how often in such matters the mustard-seed germinates and roots itself.”

21. References Beyea SC, Mary Jo Slattery. Evidence-based practice in nursing : a guide to successful implementation. Marblehead, Ma: Hcpro ; 2006 . Polly Gerber Zimmermann. Nursing management secrets. Philadelphia: Hanley & Belfus ; 2002 . Pearson A, Field J, Jordan Z. Evidence-based clinical practice in nursing and health care : assimilating research, experience and expertise. Oxford ; Malden, Ma: Blackwell Pub; 2007. Joshi DC, Mamta Joshi. Hospital administration. New Delhi: Jaypee Bros. Medical Publishers; 2009 . Mcgibony JR. Principles of hospital administration. New York, Putnam; 1969.

22. THANK YOU