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.
How to Find EBP Articles & Journals in CINAHL and MEDLINE
In opens new windowCINAHL, to search for articles from evidence-based practice journals and about evidence-based practice, mark the limiter Evidence-Based Practice on Advanced Search.
The limiter subset includes articles about best practices, research articles (systematic reviews, clinical trials, meta analyses, qualitative studies), commentaries on research studies (applying practice to research), and case studies if they meet the criteria of the use of research and/or evidence-based practice terms.
To find articles with selected levels of research:
- In opens new windowCINAHL and opens new windowMEDLINE:
Key in your topic. Then add a relevant phrase in quotation marks, such as "evidence based", "evidence-based practice", or "best practices".
Or - In Advanced Search, key in your topic. On the Advanced Search page, select from the Publication Type filters: Randomized Controlled Trials, Systematic Reviews, Meta analysis to limit the results. (See image below.) Click the yellow Search button at the bottom of the Search Options. After you have conducted a search, you can also go to the Advanced Search page to mark limiters.
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
What are Evidence-Based Care Sheets?
opens new windowCINAHL 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, go to opens new windowCINAHL, click Evidence-Based Care Sheets in the top toolbar. Browse the alphabetical list of topics or key in a search term. To view, mark the checkbox in front of one or several topics, then click Search.
Examples followed by the suggested APA citation:
- "opens new windowFall Prevention in Hospitalized Patients"
Schub, T., & Woten, M. (2018). Fall Prevention in Hospitalized Patients. CINAHL Nursing Guide. - "opens new windowOsteoporosis in Men"
Walsh, K., & Schub, T. (2018). Osteoporosis in Men. 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.
Note: For citations, always check the print manual and follow your professor's requirement.
Helpful Books
Essentials of Nursing Research by Give your students everything they need to actively learn how to apply research to nursing practice. Updated to reflect the latest innovations in research methods, this worldwide bestseller helps students learn how to read and critique research reports, speak the language of nursing research, and develop an appreciation of research to enhance nursing practice. AJN award-winning authors Denise Polit and Cheryl Beck present research essentials, dig into the research steps, and explore quantitative and qualitative research, igniting student curiosity and encouraging them to pursue a professional pathway that incorporates thoughtful appraisals of evidence. Highlights of the Ninth Edition Enhanced accessibility. The presentation of complex topics is simplified and streamlined, incorporating more straightforward language. New content. The book's coverage of state-of-the-art research concepts and approaches includes new discussions of quality improvement projects as well as clinical significance, a seldom-mentioned but important topic that has recently gained prominence among nurse researchers. Reorganized coverage. The book's new structure is organized by methodologic content to offer greater continuity and facilitate better understanding of key methodologic differences between quantitative and qualitative research. Critiquing guidelines and support. Each chapter provides questions that walk students through a study, drawing attention to aspects of the study that can be critiqued by research consumers. In addition, full-length research articles and sample critiques at the end of the book provide opportunities for further critiquing practice. Research examples. One or two actual research examples at the end of each chapter sharpen readers' critical thinking skills, and research examples throughout the text illustrate key points and stimulate students' thinking about areas of research inquiry. Practical guidance . Translation of the abstract notions of research methods into more concrete applications includes tips that explain confusing issues in actual research articles. New test generator . Hundreds of multiple-choice questions, which are completely new and written by the book's authors, help instructors assess their students' understanding of the chapter content.
Call Number: WY 20.5 P769e 2018ISBN: 9781496351296Publication Date: 2017Evidence-Based Geriatric Nursing Protocols for Best Practice by Award winner - 3rd place - AJN Book of the Year (Gerontologic Nursing)! The newest edition of this distinguished reference in geriatric nursing delivers updated guidelines, new illustrative case studies, and the latest evidence-based protocols developed by leading researchers, educators, and practitioners in each topic area. The sixth edition includes new approaches devoted to supporting LGBTQ elders, persons living with dementia and their families, and older adults living with HIV. New operational strategies provide guidance in using the electronic health record, implementing improved person-centered care approaches, and maintaining age-friendly atmospheres.Using evidence derived from all levels of care, this text offers developed guidelines for improving both quality and outcomes when caring for older adults in multiple disciplines, including interprofessional team members, long-term care and other staff educators, social workers, dietitians, and physicians. Chapters provide assessment and management principles, clinical interventions, specialty practice, and models of care. They consistently feature chapter objectives, annotated references, evidence ratings for each protocol, and resources for further investigation. Each protocol is embedded within the chapter content to provide context and detailed evidence. The protocols consistently include an overview, evidence-based assessment, intervention strategies, and a supporting case study with discussion. PowerPoint presentations and a test bank are available as instructors resources. New Chapters: Informational Technology: Embedding CPGs Organizational Approaches to Promote Person-centered Care Environmental approaches to support aging friendly care HIV and the Older Adult LGBTQ Perspectives Key Features: Evidence-based geriatric protocols for best practices for in-patient, in-home, and long-term care settings Case studies with discussions in each chapter to illustrate application of clinical practice and related Nursing Standard of Practice Protocol Guidelines that are developed by experts on the topics of each chapter and are based on the best available evidence The AGREE systematic method was used to evaluate each protocol and validate this books content Instructors resources including PowerPoints and a Test Bank
Call Number: EbookISBN: 9780826188144Publication Date: 2012Fast Facts for Evidence-Based Practice in Nursing, Second Edition by Designated a Doody's Core Title This is a pithy, pocket-sized resource for students and practicing nurses alike that delivers the foundations of evidence-based practice (EBP) and basic nursing research concepts in an easy-to-read, quick-access format. It demystifies the research process with straightforward information presented in concise sentences and bullet points. The book focuses on providing readers with the most practical information on EBP--including how to get the best evidence quickly using various databases and includes coverage of both quantitative and qualitative methods. At-a-glance charts categorize research and simple examples demonstrate concepts. The second edition has been updated to reflect rapidly changing trends and stateof-the-art information in EBP, including such new research methods as narrative inquiry and storytelling. Using proven, class-tested content for both traditional and online courses, this updated edition includes guidance on how EBP is used to obtain and retain Magnet status, and presents examples of how health care providers are integrating EBP into their practice. The text differentiates between EBP and research, often a difficult distinction for students to grasp. Extensive coverage of how EBP can be used to improve patient care includes many practical examples. Every chapter includes the popular "Fast Facts in a Nutshell" feature, highlighting must-know information. The book also provides background information on defining the "compelling question" which is essential to finding the appropriate evidence-based material. New to the Second Edition: Reflects new trends, research methods, and state-of-the-art EBP information Includes guidance on how EBP is used to obtain and retain Magnet status Provides examples of how health care providers and hospitals are integrating EBP into their practice Differentiates between EBP and research Discusses how EBP can be used to improve patient care
Call Number: EbookISBN: 9780826194060Publication Date: 2016Leadership for Evidence-Based Innovation in Nursing and Health Professions by Leadership for Evidence-Based Innovation in Nursing and Health Professions addresses the core competencies and behaviors required to be an innovative leader. This text fulfills the market need for an advanced practice resource focused on how to address new and emerging sources of evidence-based practice that can inform, translate and scale the complexity of leading innovation in healthcare organizations. Leadership for Evidence-Based Innovation in Nursing and Health Professions takes a patient-centered approach, discusses the perspectives on the dynamic of innovation and evidence as well as emerging competencies for leaders of healthcare innovation. To address the core competencies the text is expertly organized into four sections: I. Addresses the current landscape of evidence in innovation II. Examines new sources of evidence including technology and big data III. Discusses strategies for measuring innovation at a variety of system levels IV. Provides strategies to synthesize and disseminate evidence to advance innovation in healthcare.Key Features:* Teaches students how to mine and manage large data sets* Connects the idea of evidence-based practice to leadership practice* Addresses the gap in the knowledge base around research
Call Number: EbookISBN: 9781284099416Publication Date: 2016
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