Evidence-Based Practice / Edition 1

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Evidence-Based Practice: An Implementation Guide for Healthcare Organizations was created to assist the increasing number of hospitals that are attempting to implement evidence-based practice in their facilities with little or no guidance. This manual serves as a guide for the design and implementation of evidence-based practice systems and provides practice advice, worksheets, and resources for providers. It also shows institutions how to achieve Magnet status without the major investment in consultants and external resources.
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Product Details

  • ISBN-13: 9780763776176
  • Publisher: Jones & Bartlett Learning
  • Publication date: 6/14/2010
  • Edition description: 1E
  • Edition number: 1
  • Pages: 282
  • Sales rank: 881,218
  • Product dimensions: 5.90 (w) x 8.90 (h) x 0.80 (d)

Table of Contents

Preface ix

Contributors xi

Chapter 1 Evidence-Based Practice in Health Care Janet Houser 1

Introduction 1

What is Evidence-Based Practice? 1

Strategies for Implementing Evidence-Based Practice 11

EBP and Professional Practice 13

Summary 17

References 17

Chapter 2 Making the Case for Evidence-Based Practice Janet Houser 21

Introduction 21

Identifying the Forum and the Message 24

How to Talk with Groups About EBP 28

Summary 34

References 34

Chapter 3 Leadership and Evidence-Based Practice Colleen J. Goode Sharon Pappas 37

Introduction 37

EBP in Clinical Practice: A History 37

The Role of the Individual 41

Creating the Context-System Development 41

Building the Structural Components 42

The Evidence Base-What Does the Research Tell Us? 42

Influence of External Forces 44

Sustainability 46

Summary 52

References 52

Chapter 4 Preparing and Sustaining Staff Knowledge About EBP JoAnn DelMonte Kathleen S. Oman 55

Introduction 55

New Employee Orientation 55

Educational Strategies and Resources 56

Introductory EBP Education 58

Reading and Appraising Research for Evidence-Based Practice 58

Advanced EBP Content 59

Research Content 62

Introducing the Graduate Nurse to Evidence-Based Practice 63

Maintaining and Updating Knowledge and Skills 67

Motivating Professional Staff 69

Professional Recognition for EBP 69

Summary 70

References 70

Chapter 5 Developing a Structure for Evidence-Based Practice Kathleen S. Oman 73

Introduction 73

EBP or Research Council 73

Council Composition and Members 75

Membership Terms 76

Council Charter 77

Relationship of EBP Council with Standing Committees/Councils 79

Steering Committee 79

Relationship of EBP Council with Nursing Units 80

Summary 81

References 82

Chapter 6 Guiding Principles for Evidence-Based Practice Cynthia A. Oster 83

Introduction 83

Defining Evidence-Based Practice for an Organization 83

Writing a Mission Statement for EBP 84

Identifying Objectives for Evidence-Based Practice 86

Selecting an Organizational Evidence-Based Practice Model 88

Summary 107

References 107

Chapter 7 Determining Resources Available for EBP Janet Houser 111

Introduction 111

Assessing Organizational Readiness 111

The Critical Foundation: The Leadership Support 114

Staff Development Resources 115

Real-Time Resources 116

Resources for Searching for Evidence 117

Practical Resources 122

Summary 122

References 123

Chapter 8 Systems for Identifying EBP Opportunities Connie Pardee Jeanine Rundquist 125

Introduction 125

Communication Processes Within the Organization 126

Linkages with Other Organizational Departments and Groups 127

Processes for Helping Clinicians Recognize Opportunities 131

Tools for Prioritizing EBP Opportunities 135

Summary 138

References 138

Chapter 9 Systems for Defining and Appraising Evidence M. Eric Rodgers Allison Elaine Williams Kathleen S. Oman 139

Introduction 139

Review of Leveling Models 140

Finding the Evidence 146

References 149

Chapter 10 Designing Studies for EBP Cathy J. Thompson 151

Introduction 151

Conducting Systematic Reviews 151

Design of Clinical Science Projects 167

Design of Clinical Research 168

References 172

Chapter 11 Using Technology to Support EBP Lisa K. Traditi 175

Introduction 175

Asking an Answerable Question 175

Creating a Search Strategy 177

Knowing Where to Look 178

Public Sources of EBP Information 183

Free Access Sources for Research Results 183

Organizational Web Sites 185

Local Resources 185

References 185

Chapter 12 EBP Implementation Mary Beth Flynn Makic Regina M. Fink 187

Introduction 187

Mentoring 187

Champions of Change 190

How to Use EBP Models to Guide Practice Change 194

Journal Clubs 196

Resources for Effective Implementation of EBP 204

Integrating Evidence into Policies and Procedures 204

Translating Research into Practice (TRIP) 206

National Resources 209

Disseminating the Evidence 211

Summary 212

Acknowledgement 212

References 212

Chapter 13 Evidence-Based Practice Dissemination Kathleen S. Oman 215

Introduction 215

Appropriate Audience 215

Writing an Abstract 216

Creating a Poster Presentation 218

Effective Podium Presentations 222

Writing for Publication 226

References 229

Chapter 14 Integrating Evidence-Based Practice with Organizational Systems: A Case Example Terry Capuano Carolyn L. Davidson Kim S. Hitchings 231

Introduction 231

Integrating Evidence in an Organization's Care Delivery Model 231

Integrating Evidence in an Organization's Professional Practice Model 233

Clinical Quality 238

Integration of Evidence-Based Practice into Quality Improvement 239

Summary 246

References 246

Appendix A Mock Survey Questions for the New Knowledge, Innovations & Improvements Component of the Magnet Site Survey 249

Appendix B Materials to Have Available for Magnet Site Visitors 251

Appendix C Checklist for Evaluating a Research Study 253

Appendix D Assessment of Internal Resources for EBP/Research Systems 255

Appendix E Prioritization Matrix 257

Appendix F Worksheet for Appraising a Practice Guideline 259

Appendix G Worksheet for Rating the Strength of a Body of Literature 261

Appendix H Worksheet for Planning and Evidence-Based Practice Review 263

Appendix I Planning a Focused Research Study 267

Appendix J The Link Between Evidence and Recommendations for Practice 269

Index 271

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