Table of Contents
Unit 1 Steps Zero, One, Two: Getting Started
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of inquiry 3
Chapter 2 Asking Compelling, Clinical Questions 24
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions 40
Unit 1 Making EBP Real: A Success Story. Using Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections in a Long-Term Acute Care Facility 70
Unit 2 Step Three: Critically Appraising Evidence
Chapter 4 Critically Appraising Knowledge for Clinical Decision Making 77
Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making 87
Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making 139
tUnit 2 Making EBP Real: A Success Story. Making EBP a Reality by Reducing Patient Fails Through Transdiscipiinary Teamwork 166
Unit 3 Steps Four and Five: Moving From Evidence to Sustainable Practice Change
Chapter 7 Integration of Patient Preferences and Values and Clinician Expertise Into Evidence-Based Decision Making 171
Chapter 8 Advancing Optimal Care With Rigorously Developed Clinical Practice Guidelines and Evidence-Based Recommendations 182
Chapter 9 Implementing Evidence in Clinical Settings 202
Chapter 10 The Role of Outcomes and Quality improvement in Enhancing and Evaluating Practice Changes 224
Chapter 11 Leadership Strategies and Evidence-Based Practice Competencies to Sustain a Culture and Environment That Supports Best Practice 235
Unit 3 Making EBP Real: A Success Story. Improving Outcomes for Depressed Adolescents with the Brief Cognitive Behavioral COPE Intervention Delivered in 30-Minute Outpatient Visits 248
Unit 4 Creating and Sustaining a Culture and Environment for Evidence-Based Practice
Chapter 12 Innovation and Evidence: A Partnership in Advancing Best Practice and High Quality Care 255
Chapter 13 Models to Guide Implementation and Sustainability of Evidence-Based Practice 274
Chapter 14 Creating a Vision and Motivating a Change to Evidence-Based Practice in Individuals, Teams, and Organizations 316
Chapter 15 Teaching Evidence-Based Practice in Academic Settings 330
Chapter 16 Teaching Evidence-Based Practice in Clinical Settings 363
Chapter 17 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence Based Practice 376
Unit 4 Making EBP Real: A Success Story. Mercy Heart Failure Pathway 386
Unit 5 Step Six: Disseminating Evidence and Evidence-Based Practice Implementation Outcomes
Chapter 18 Disseminating Evidence Through Publications, Presentations, Health Policy Briefs, and the Media 391
Unit 5 Making EBP Real: A Success Story. Faculty Research Projects Receive Worldwide Coverage 432
Unit 6 Next Steps: Generating External Evidence and Writing Successful Funding Proposals
Chapter 19 Generating Evidence through Quantitative Research 439
Chapter 20 Generating Evidence Through Qualitative Research 476
Chapter 21 Writing a Successful Grant Proposal to Fund Research and Evidence-Based Practice Implementation Projects 490
Chapter 22 Ethical Considerations for Evidence Implementation and Evidence Generation 515
Unit 2 Making EBP Real: Selected Excerpts From a Funded Grant Application. COPE/Healthy Lifestyles for Teens: A School-Based RCT 531
Appendix A Templates for Asking Clinical Questions 537
Appendix B Rapid Critical Appraisal Checklists 539
Appendix C Evaluation Table Template and Synthesis Table Template for Critical Appraisal 551
Appendix D Walking the Walk and Talking the Talk: An Appraisal Guide for Qualitative Evidence 554
Appendix E Example of a Health Policy Brief 572
Appendix F Example of a Press Release 575
Appendix G Appendix An Example of a Successful Media Dissemination Effort: Patient-Directed Music Intervention to Reduce Anxiety and Sedative Exposure in Critically III Patients Receiving Mechanical Ventilatory Support 577
Appendix H Approved Consent Form for a Study 584
Appendix I System-Wide ARCC Evidence-Based Practice Mentor Role Description 587
Appendix J ARCC Timeline for an EBP Implementation Project 589
Appendix K Sample Instruments to Evaluate Organizational Culture and Readiness for Integration of EBP, EBP Beliefs, and EBP Implementation in Clinical and Academic Settings 593
Glossary 601
Index 613