Evidence Based Practice
What it is and how to implement it into your professional work?
This guide is designed to help you understand and implement Evidence Based Practice in your professional work. It provides resources, tools, and information to support your research and application of EBP principles.
What is Evidence Based Practice?
Evidence Based Practice (EBP) is an approach to clinical decision-making that integrates the best available research evidence with clinical expertise and patient values. It aims to improve patient outcomes by applying the most current and relevant information to healthcare decisions.
The EBP Process
The EBP process involves five key steps:
PICO Framework
The PICO framework is a tool used to formulate clinical questions in a structured and focused way. It stands for:
Example: In patients with chronic low back pain (P), does yoga (I) compared to standard physical therapy (C) improve pain management (O)?
SPICE Framework
SPICE is an acronym that stands for Setting, Perspective, Intervention, Comparison, and Evaluation. It's a framework often used in research, particularly in fields like healthcare, to develop research questions, especially in qualitative studies.
Example: Impact of telemedicine on patient satisfaction in rural areas.
Setting:
Perspective:
Intervention:
Comparison:
Evaluation:
SPIDER Framework
The SPIDER framework is used for developing qualitative research questions and stands for Sample, Phenomenon of Interest, Design, Evaluation, and Research type. Here's a brief explanation of each component:
Example: Exploring the experiences of nurses working in high-stress emergency departments.
Sample:
Phenomenon of Interest:
Design:
Evaluation:
Research type:
Databases and Journals
Key databases for EBP include:
Search Strategies
Effective search strategies include:
Grey Literature
Grey literature refers to research that is not published in traditional journals. It includes reports, theses, conference papers, and more. Important sources of grey literature are:
Critical Appraisal Tools
Use tools like:
Levels of Evidence
Understanding the hierarchy of evidence helps in determining the strength of recommendations:
Integrating Evidence into Practice
Strategies for implementation include:
Case Studies and Examples
Explore real-world applications of EBP through case studies and examples from various healthcare settings.
Evaluating the Impact
Methods for assessing outcomes:
Continuous improvement is vital to ensure that EBP is effectively enhancing patient care and outcomes.
Websites and Online Resources
Evidence based practice for health professionals : an interprofessional approach by
"Evidence based practice (EBP) has become the standard in health care practice today. Evidence Based Practice for Health Professionals covers the fundamentals of applying medical evidence to clinical practice and discussing research findings with patients and fellow professionals. This essential text explains the basic concepts of EBP, its applications in health care, and how to interpret biostatistics and biomedical research. With examples derived from multiple health professions, Evidence Based Practice for Health Professionals teaches the skills needed to access and interpret research in order to successfully apply it to collaborative, patient-centered health care decisions. Students gain valuable practice with skill-building learning activities, such as explaining the evidence for treatments to patients, developing a standard of care, selecting a diagnostic tool, and designing community-based educational materials. Evidence Based Practice for Health Professionals also helps prepare students to communicate knowledgeably with members of interprofessional healthcare teams as well as with pharmaceutical sales representatives"-- Provided by publisher
Foundations of clinical research : applications to evidence-based practice by
"The text of this fourth edition has maintained its dual perspectives. It is designed for those who do research to generate new knowledge and examine theories and for those who want to be critical consumers of evidence to inform clinical decision-making. All of us need to be able to critically evaluate research reports to inform practice and further study. The scope of the text allows it to fulfill different needs at different times. This edition will continue to serve this wide audience. It incorporates several important contemporary themes, including the application of evidence-based practice (EBP) for clinical decision-making, the imperative of interprofessional collaboration, the implications of translational research, and the focus of healthcare on quality of life, meaningful outcomes, and patient values. These directions and priorities continue to define research philosophies that guide the conduct of clinical inquiry, the types of questions that are deemed important, and how they influence advances in measurement and analysis techniques"-- Provided by publisher.
How to Perform a Systematic Literature Review by
The systematic review is a rigorous method of collating and synthesizing evidence from multiple studies, producing a whole greater than the sum of parts. This textbook is an authoritative and accessible guide to an activity that is often found overwhelming. The authors steer readers on a logical, sequential path through the process, taking account of the different needs of researchers, students and practitioners. Practical guidance is provided on the fundamentals of systematic reviewing and also on advanced techniques such as meta-analysis. Examples are given in each chapter, with a succinct glossary to support the text. This up-to-date, accessible textbook will satisfy the needs of students, practitioners and educators in the sphere of healthcare, and contribute to improving the quality of evidence-based practice. The authors will advise some freely available or inexpensive open source/access resources (such as PubMed, R and Zotero) to help students how to perform a systemic review, in particular those with limited resources.
Workbook: Evidence-Based Practice in Action, Second Edition by
This companion workbook to the second edition of Evidence-Based Practice in Action: Comprehensive Strategies, Tools, and Tips From University of Iowa Hospitals and Clinics contains resources to facilitate adoption of EBP practices. While created to work seamlessly with The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care, these resources are applicable to any EBP change or model.