Transforming Health Care from the Inside Out: Advancing Evidence-Based Practice in the 21st Century

Fineout-Overholt, Ellen; Melnyk, Bernadette Mazurek; Schultz, Alyce A.

doi:10.1016/j.profnurs.2005.10.005

Cited by 246 publications

(197 citation statements)

References 9 publications

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“…To achieve the standards outlined by the IOM, the American Nurses Association, and the American Association of Colleges of Nursing, nurses must master competencies to rapidly access, evaluate, and integrate evidence into professional nursing practice 8,9 (Table 1). Many barriers have affected the advancement of EBP.…”

Section: Teaching Strategies To Support Evidence-based Practicementioning

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: Teaching Strategies To Support Evidence-based Practicementioning

confidence: 99%

Teaching Strategies to Support Evidence-Based Practice

Winters

Echeverri

2012

Critical Care Nurse

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“…In the twenty-first century, as nursing research has developed, evidencebased practice (EBP) has evolved as a way to translate nursing research into practice. 7,8 EBP is the integration of the best evidence with clinical expertise and patients' values to facilitate clinical decision making. [9][10][11][12][13][14][15][16] Philosophically Paula Lusardi, RN, PhD So You Want to Change Practice: Recognizing Practice Issues and Channeling Those Ideas Evidence-Based Practice nursing research to guide nursing care allows practitioners to provide safe, high-quality care.…”

Section: Changing Practice and The Bedside Nurse: The Evidencebased Pmentioning

confidence: 99%

So You Want to Change Practice: Recognizing Practice Issues and Channeling Those Ideas

Lusardi

2012

Critical Care Nurse

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Applying the best evidence to support nursing practice and generating new knowledge for use in practice are the hallmarks of excellence and allow practitioners to meet patient care quality and safety priorities. Although identifying a patient care problem comes easily to staff nurses, the process of clarifying the problem and channeling those ideas through to a practice change can be daunting for bedside nurses. This article provides guidance to staff nurses who want to identify a clinical problem and change practice.

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“…Identificar y afrontar estas barreras puede ayudar a las organizaciones sanitarias a acortar la brecha entre evidencia y práctica, y lograr un impacto positivo sobre los sistemas de salud. 2 Existe evidencia sobre factores facilitadores: uso de tutores, interacción entre ámbitos académico y asistencial, compromiso institucional, 3,4 desarrollo del pensamiento crítico mediante técnicas educativas participativas (aprendizaje por problemas, ateneos bibliográficos, ejercicios interactivos con soporte informático, mapas conceptuales, foros de discusión, debates y simulación). 5,6 Los profesionales de la salud necesitan desarrollar habilidades específicas, como formulación precisa de preguntas, búsqueda eficiente y evaluación crítica de literatura biomédica, para tomar decisiones a d e c u a d a s a l c o n t e x t o .…”

Section: Introductionunclassified