Evidence-Based Practice: Step by Step: Igniting a Spirit of Inquiry

Melnyk, Bernadette Mazurek; Fineout-Overholt, Ellen; Stillwell, Susan B.; Williamson, Kathleen M.

doi:10.1097/01.naj.0000363354.53883.58

Cited by 125 publications

(94 citation statements)

References 7 publications

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“…EBP begins by encouraging and fostering a spirit of critical inquiry 13 and intellectual curiosity about practice in all levels of nursing students. Because undergraduate nursing students have had less exposure to clinical settings, they often ask "how" and "what" questions, making the integration of EBP a natural process in the professional socialization of these future nurses.…”

Section: Cultivate Inquirymentioning

confidence: 99%

Teaching Strategies to Support Evidence-Based Practice

Winters

Echeverri

2012

Critical Care Nurse

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Evidence-based practice is an expected core competency of all health care clinicians regardless of discipline. Use of evidence-based practice means integrating the best research with clinical expertise and patient values to achieve optimal health outcomes. Evidence-based practice requires nurses to access and appraise evidence rapidly before integrating it into clinical practice. Role modeling and integrating the skills necessary to develop evidence-based practice into clinical and nonclinical courses is an important part in developing positive attitudes toward evidence-based practice, an essential first step to using evidence to guide practice decisions. The step-by-step approach to evidence-based practice proposed by Melnyk and colleagues provides an excellent organizing framework for teaching strategies specifically designed to facilitate nurses’ knowledge and skill development in evidence-based practice.

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Section: Cultivate Inquirymentioning

confidence: 99%

Teaching Strategies to Support Evidence-Based Practice

Winters

Echeverri

2012

Critical Care Nurse

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“…Good mentors are essential to teach, coach, and support new learning. 1 Managerial support for using EBPs is essential. The programs described in this issue reflect the way in which EBP was used in a variety of programs across the life span beginning with the Safe N' Sound program, which is a computer-based tool to identify priority risks for infants and children and tailor feedback to their caregivers, and including 3 articles that describe fall prevention programs for older adults.…”

mentioning

confidence: 99%

From the Editor

2012

Family &Amp; Community Health

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This issue of Family & Community Health, 35.3, describes a range of interesting and useful programs that provide evidence about their effectiveness. Evidence-based practice (EBP) is a problem-solving approach for delivering health care that relies on well-designed studies, patient data and preferences, and the values and expertise of the person providing the care. 1 "As a process, EBP requires a systematic series of activities to locate, critique, synthesize, translate, and evaluate evidence. As a product, EBP is the translation of evidence in an innovative practice change." 2(p3) As the issue editors say in the Foreword, EBPs are increasingly important as we look at ways to provide quality, accessible, and affordable health care. Evidence-based practices aim to provide programs and practices that fit the needs of the patients and family members who receive them in a way that they can accept and benefit from. Evidence, as seen in Figure 2 of the Foreword, aims to help practitioners in a variety of health care fields improve the quality and effectiveness of the care and services that they deliver by basing that care on what is currently known, that is, the evidence that a program has been effective and could be effective for the population being served.Since it seems intuitive and logical to base health care actions on known evidence, why do some people avoid doing so? Clearly, there are many reasons why people do not consistently use evidence to guide their practice. Let me start first by mentioning some of the skills that are typically associated with people who are eager adopters of EBP. Adopters of EBP tend to have a spirit of inquiry. They are curious to find a new and better way to

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“…8 When implemented effectively, this process includes systematic, easy-to-use methods to promote and foster scholarship, resources to enhance evaluation of evidence and implement projects, and continued follow-up to assist nurses to integrating expertise into daily practice. [8][9][10][11] Yet to build sustain EBP, individually held beliefs and systemic organizational barriers are common across many healthcare organizations must be overcome. 12,13 In a complex and often chaotic healthcare system, nurses serve as the final safety net keeping patients from harm; yet nursing remains a traditions-based profession, rather than an evidence-based one.…”

Section: The Institute Of Medicine's (Iom) Report To Err Is Human: Bmentioning

confidence: 99%

“…11 Barriers also include lack of systematic ways to promote clinical scholarship, lack of systemic supports to implement changes, and lack of perceived value for research and EBP. 9,11,24,25 Lack of supporting infrastructure, including leadership, is noted as a system-wide barrier to sustainment. 8,26 Organizations may not have infrastructure or processes in place to support a long-term, systematic approach for developing and evaluating nursing interventions, protocols, projects, and policies that are derived from scientific evidence.…”

mentioning

confidence: 99%

Building a Unit-Level Mentored Program to Sustain a Culture of Inquiry for Evidence-Based Practice

Breckenridge‐Sproat¹,

Patrician²,

Raju³

et al. 2015

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. REPORT DATE (DD-MM-YYYY) SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'S ACRONYM(S)TriService Nursing Research TSNRP Program, 4301 Jones Bridge RD Bethesda, MD 20814 SPONSOR/MONITOR'S REPORT NUMBER(S)N10-P02 DISTRIBUTION / AVAILABILITY STATEMENTApproved for public release; distribution unlimited SUPPLEMENTARY NOTESN/A ABSTRACT Purpose:This study tested the effectiveness of a dynamic educational and mentoring program, facilitated by unit-level mentors, to introduce, promote, and sustain an EBP culture among nurses in a military healthcare setting. Background: The need to identify gaps in practice, apply principles of evidence-based practice (EBP), and advance scientific applications in the pursuit of quality nursing care is as important to military healthcare as it is in the civilian sector. Description: The Advancing Research through Close Collaboration Model guided the intervention and study. Three instruments were used: The Organizational Readiness for System-wide Integration of Evidence-based Practice (ORSIEP); EBP Beliefs (EBPB); and EBP Implementation (EBPI) scales. The study took place in three military hospitals simultaneously undergoing facility and staff integration. Data were collected from staff nurses in the inpatient nursing units before and after a facilitated education and mentoring intervention. Outcome: 360 (38%) nurses completed baseline; and 325 (31%) completed follow-up surveys. Scores improved on all three measures following implementation of the program; however, the differences were statistically significant only for the ORSIEP scale (70.96 vs. 77.63, t = -3.95, p <.01). In the paired individual pre/post-test sub-sample (N=56), scores improved significantly on all three instruments. Conclusions: Despite typically high turnover rates of military personnel and restructuring of three facilities during the study period, the readiness for, beliefs about, and implementation of EBP improved. This study suggests that a commitment to an EBP culture may diffuse among individuals in an organization, even while experiencing significant change. It also demonstrates that a uni...

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Evidence-Based Practice: Step by Step: Igniting a Spirit of Inquiry

Cited by 125 publications

References 7 publications

Teaching Strategies to Support Evidence-Based Practice

Teaching Strategies to Support Evidence-Based Practice

From the Editor

Building a Unit-Level Mentored Program to Sustain a Culture of Inquiry for Evidence-Based Practice

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