About Evidence-Based Practice & Levels of Evidence
Evidence-based practice (EBP) is utilizing best research evidence and integrating it with the practitioner's expertise and patient values. EBP provides nurses with improved actions and activities to effectively deliver patient care.
EBP journals include articles based on evidence and clinical expertise for the best available patient care and decision-making practices. EBP articles include a discussion of current research or a literature review related to the article topic. To evaluate EBPs, levels of evidence are used.
It is important to evaluate or identify the level of evidence to determine if it is credible, valid, reliable, and appropriate for practice. For example, randomized controlled trials (RCT), designed to be unbiased and with less risk of errors, are at the highest level, whereas literature reviews, case reports or expert opinions are at the lowest level. When searching for evidence-based information, choose the highest level of evidence: randomized controlled trials (RCT) and systematic review of RTCs, with or without meta-analysis.
See also: How do we know we know levels are reliable? (Levels of Evidence)
How to Find EBP Articles & Journals in CINAHL and MEDLINE
- CINAHL Ultimate This link opens in a new window
- MEDLINE with Full Text (EBSCOhost) This link opens in a new window
On Advanced search in CINAHL and MEDLINE, to search for articles from evidence-based practice journals and about evidence-based practice, under Filters, mark the limiter Evidence-Based Practice.
Or when searching, add relevant phrase in quotation marks, such as "evidence based", "evidence-based practice", or "best practices".
Scroll the Filter list to view more options, including:
- Special Interest (Critical Care, Emergency Care, EBP, Nursing Administration, Palliative/Hospice Care, etc.),
- Age Groups
- Publication Type (systematic reviews, clinical trials, meta analyses, qualitative studies, etc.)
Evidence-Based Nursing in Consumer Health Complete
- Consumer Health Complete This link opens in a new window
The database includes more than 2,000 articles on opens new windowEvidence-based nursing articles.
CINAHL Evidence-Based Care Sheets
- CINAHL Ultimate This link opens in a new window
What are Evidence-Based Care Sheets?
CINAHL Evidence-Based Care Sheets (EBCS) are summaries on specific key topics, which are focused on nursing practice. Each evidence-based care sheet incorporates the latest evidence, statistics, research and references on a given topic. The references are ranked, using a coding matrix, according to the type of literature they represent (systematic reviews, meta-analysis, etc).
To browse and search the list of Evidence-Based Care Sheets in CINAHL, in Advanced search, under Filters, scroll to Publication Type, and select Evidence-Based Care Sheets. Click Search to browse the list of all the care sheets or key in a search term to search for specific care sheets..
Several examples are listed below followed by the suggested APA citation:
-
opens new windowInfection Prevention in Long-Term Care
Lawrence, P., & Mennella, H. (2025). Infection Prevention in Long-Term Care. CINAHL Nursing Guide. -
opens new windowSpiritual Needs of Hospitalized Patients
Heering, H., & Gunder, S. (2024). Spiritual Needs of Hospitalized Patients. CINAHL Nursing Guide. -
opens new windowMacular Degeneration, Age-Related: Quality of Life
DeVesty, G., & Avital, O. (2021). Macular Degeneration, Age-Related: Quality of Life. CINAHL Nursing Guide. -
opens new windowFall Prevention in Hospitalized Patients
Schub, T., & Woten, M. (2018). Fall Prevention in Hospitalized Patients. CINAHL Nursing Guide.
Note: For citations, always check the print manual and follow your professor's requirement.
Helpful Books
- Catalog This link opens in a new window
Search the catalog for books and ebooks that have links to the full text.
- Essentials of Nursing Research byCall Number: WY 20.5 P769eISBN: 9781496351296Publication Date: 2017
- Evidence-Based Geriatric Nursing Protocols for Best Practice byCall Number: EbookISBN: 9780826171283Publication Date: 2011
- Fast Facts for Evidence-Based Practice in Nursing, Second Edition byCall Number: EbookISBN: 9780826194060Publication Date: 2016
- Leadership for Evidence-Based Innovation in Nursing and Health Professions byCall Number: EbookISBN: 9781284171365Publication Date: 2019