Evidence Based Practice (EBP)
Source: https://www.amsn.org/practice-resources/evidence-based-practice
Evidence based practice (EBP) is the conscientious use of current best evidence in making decisions about patient care (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000).
It is a problem solving approach to clinical practice and administrative issues that integrates:
- A systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question
- One's own clinical expertise
- Patient preferences and values (Melnyk & Fineout-Overholt, 2014)
Evidence Based Practice-Search Terms
MeSH Headings, National Library of Medicine (linked to pages with definitions & subheadings)
Subject Headings in CINAHL
- Professional Practice, Evidence-Based
- Nursing Practice, Evidence-Based
- Medical Practice, Evidence-Based
In our Ovid Nursing collection, try searching evidence based. Also consider examining articles retrieved in your results from any of our databases or other information resources such as PubMed to see if they discuss/meet the definition of Evidence Based Care, even if they do not specifically use that term.
EBP-Chaffey Library Resources
PICO
Having difficulty figuring out good keywords to use to search for information? Use the PICO mnemonic to help get started on brainstorming possible keywords for searching:
- P(patient, population, problem)- age, sex, setting, ethnicity, condition, disease, type of patient, or population
- I(intervention)- treatment, medications, education, diagnostic tests or best practice(s)
- C(comparison with other interventions or current practice)- may not be applicable if your question is looking for best practice.
- O(outcome)- stated in measurable terms, expected outcomes based on the intervention identified, such as decrease in fall rate, decrease in length of stay, increase in patient satisfaction
Source: Dearholt S, Dang D, Sigma Theta Tau I, Institute for Johns Hopkins N. Johns Hopkins Evidence-Based Practice Model And Guidelines, Second Edition [e-book]. Indianapolis, IN: Sigma Theta Tau International; 2012. Available from: eBook Collection (EBSCOhost), Ipswich, MA. Accessed August 28, 2017.
Clinical Question and Suggested Research Design(s)
- All Clinical Questions-Systematic review, meta-analysis
- Therapy-Randomized controlled trial (RCT), meta-analysis. Also: cohort study, case-control study, case series
- Etiology-Randomized controlled trial (RCT), meta-analysis, cohort study. Also: case-control study, case series
- Diagnosis-Randomized controlled trial (RCT). Also: cohort study
- Prevention-Randomized controlled trial (RCT), meta-analysis. Also: prospective study, cohort study, case-control study, case series
- Prognosis-Cohort study. Also: case-control study, case series
- Meaning-Qualitative study
- Quality Improvement-Randomized controlled trial (RCT). Also: qualitative study
- Cost-Economic evaluation