discussion board

After reading Chapter 10 and reviewing the lecture power point (located in lectures tab),  please answer the following questions.  Each question must have at least 3 paragraphs and you must use at 3 least references (APA) included in your post.

Additionally, you are expected to reply to two other students and include a reference that justifies your post.  Your reply must be at least3 paragraphs.

1. Describe the importance of evidence-based practice.

2.  Describe how and where to search for evidence.

3.  Describe strategies for the implementation of evidenced-based practice in nursing practice.

Chapter 10
Nursing Practice
Evidence-Based Practice:
What Is It?
• Evidence-based practice (EBP) is a
framework used by nurses and other
healthcare professionals to deliver optimal
health care through the integration of best
current evidence, clinical expertise, and
patient/family values
Why Is EBP Relevant in Nursing? (1 of 2)
• Helps resolve problems in the clinical setting
• Results in effective patient care and better
• Contributes to the science of nursing through
the introduction of innovation to practice
• Keeps practice current and relevant by helping
nurses deliver care based upon current best
Why Is EBP Relevant in Nursing? (2 of 2)
• Decreases variations in nursing care and
increases confidence in decision making
• Supports Joint Commission on Accreditation
of Healthcare Organizations (JCAHO)readiness since policies and procedures are
current and include the latest research
• Supports high quality patient care and
achievement of Magnet status
Steps in the EBP Process (1 of 2)
• Cultivate a spirit of inquiry and culture of EBP
among nurses and within the organization
• Identify an issue and ask the question
• Search for and collect the most relevant and
best evidence to answer the clinical question
Steps in the EBP Process (2 of 2)
• Critically appraise the evidence and synthesize
the evidence
• Integrate evidence with clinical expertise and
patient preferences to make the best clinical
• Evaluate the outcome of any EBP change
• Disseminate the outcomes of the change
Barriers to EBP in Nursing (1 of 3)
• Lack of value for research in practice
• Difficulty in changing practice
• Lack of administrative support
• Lack of knowledgeable mentors
• Insufficient time
• Lack of education about the research process
• Lack of awareness about research or EBP
Barriers to EBP in Nursing (2 of 3)
• Research reports/articles not readily available
• Difficulty accessing research reports and articles
• No time on the job to read research
• Complexity of research reports
• Lack of knowledge about EBP
• Lack of knowledge about the critique of articles
Barriers to EBP in Nursing (3 of 3)
• Feeling overwhelmed by the process
• Lack of sense of control over practice
• Lack of confidence to implement change
• Lack of leadership, motivation, vision,
strategy, or direction among managers
Promoting EBP: Individual Nurse
• Educate yourself about EBP
• Conduct face-to-face or online journal clubs,
share new research reports and guidelines with
peers, and provide support to other nurses
• Share your results through posters, newsletters,
unit meetings, or a published article
• Adopt a reflective and inquiring approach to
Strategies to Promote EBP:
• Specific identification of the facilitators and
barriers to EBP
• Education and training to improve
knowledge and strengthen beliefs related to
the benefits of EBP
• Creation of an environment that encourages
an inquisitive approach to patient care
• P: Patient, population, or problem
• I: Intervention, exposure, or topic of
• C: Comparison or alternate intervention
• O: Outcome
• (T): Time or timeframe
PICO(T) Questions
• In (patient or population), what is the effect
of (intervention or exposure) on (outcome)
compared with (comparison or alternate
• For (patient or population), does the
introduction of (intervention or exposure)
reduce the risk of (outcome) compared with
(comparison or alternate intervention)?
Electronic Resources
• National Library of Medicine
• Cochrane Library
• National Guideline Clearinghouse
• Joanna Briggs Institute
• Agency for Healthcare Research and Quality
• Centre for Health Evidence
• Registered Nurses’ Association of Ontario
Evaluation of Evidence
• What is the source of the information?
• When was it developed?
• How was it developed?
• Does it fit the current clinical environment?
• Does it fit the current situation?
Levels of Evidence
• Meta-analysis or systematic reviews of multiple welldesigned controlled studies
• Well-designed randomized controlled trials
• Well-designed nonrandomized controlled trials
• Observational studies with controls
• Systematic review of descriptive and qualitative studies
• Single descriptive or qualitative study
• Opinions of authorities and/or reports of expert
Appraisal of Research Using the
Critical Appraisal Skills Programme
• Checklists provide tools to interpret
research evidence
• Checklists are specific to types of research
• Checklists provide frameworks to determine
strength and reliability of research reports
Institute of Medicine (IOM)
Standards for Clinical Practice
Guideline Development
• STANDARD 1: Establishing
• STANDARD 2: Management of conflict of interest
• STANDARD 3: Guideline development group composition
• STANDARD 4: Use of systematic reviews
• STANDARD 5: Establishing evidence and strength of
• STANDARD 6: Articulation of recommendations
• STANDARD 7: External review
• STANDARD 8: Updating
Appraisal of Guidelines for Research and
Evaluation (AGREE II)
• Scope and purpose
• Stakeholder involvement
• Rigor of development
• Clarity and presentation
• Application
• Editorial independence
AGREE II Category #1
• Scope and purpose
– Overall objectives of the guideline are
specifically described
– The health questions covered by the guideline
are specifically described
– The population to whom the guideline is meant
to apply are specifically described
AGREE II Category #2
• Stakeholder involvement
– Guideline development group includes
individuals from all relevant professions
– The views and preferences of the target
population have been sought
– Target users of the guideline are clearly defined
AGREE II Category #3 (1 of 2)
• Rigor of development
– Systematic methods were used to search for
– The criteria for selecting the evidence are clearly
– The strengths and limitations of the body of
evidence are clearly described
– The methods used for formulating the
recommendations are clearly described
AGREE II Category #3 (2 of 2)
• Rigor of development (cont.)
– The health benefits, side effects, and risks have
been considered in formulating recommendations
– There is an explicit link between the
recommendations and the supporting evidence
– The guideline has been externally reviewed by
experts prior to publication
– A procedure for updating the guideline is provided
AGREE II Category #4
• Clarity and presentation
– Recommendations are specific and
– Different options for management of the
condition or health issue are clearly presented
– Key recommendations are easily identifiable
AGREE II Category #5
• Application
– The guideline describes facilitators and barriers to
its application
– The guideline provides advice and/or tools on how
the recommendations can be put into practice
– The potential resource implications of applying the
recommendations have been considered
– Guideline presents monitoring and/or auditing
AGREE II Category #6
• Editorial independence
– The views of the funding body have not
influenced the content of the guideline
– Competing interests of guideline development
group members have been recorded and
Implementation Models for EBP
• Center for Advancing Clinical Evidence (ACE)
Star Model of Knowledge Transformation
• The Iowa Model of Evidence-Based Practice
• Agency for Healthcare Research and Quality
• Johns Hopkins Nursing Evidence-Based Practice
• Diffusion of Innovation Framework

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
Live Chat+1(978) 822-0999EmailWhatsApp

Order your essay today and save 20% with the discount code LEMONADE