Implementing the Evidence-Based Practice (EBP) Competencies in Health Care / Edition 1

Implementing the Evidence-Based Practice (EBP) Competencies in Health Care / Edition 1

by Bernadette Mazurek Melnyk
ISBN-10:
1940446422
ISBN-13:
9781940446424
Pub. Date:
06/01/2016
Publisher:
Sigma Thetau Tau International

Paperback

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Overview

Implementing the Evidence-Based Practice (EBP) Competencies in Health Care / Edition 1

Hospitals and healthcare systems around the world have attempted to build and sustain evidence-based practice (EBP) cultures and environments, yet they have struggled to clearly understand what EBP competency means. Implementing the Evidence-Based Practice (EBP) Competencies in Healthcare clears up that confusion and serves as a guide for clinicians, leaders, faculty, EBP mentors, and students in achieving EBP competency, facilitating evidence- based decision making in daily practice, and accelerating the speed at which research knowledge is translated into real-world settings to improve health outcomes and decrease healthcare costs. Authors Bernadette Mazurek Melnyk, Lynn Gallagher-Ford, and Ellen Fineout-Overholt provide step-by-step explanations and case scenarios that illustrate realistic advice and ready-to-use resources to help organizations integrate EBP broadly and deeply across their infrastructure to improve patient care quality and safety.

Product Details

ISBN-13: 9781940446424
Publisher: Sigma Thetau Tau International
Publication date: 06/01/2016
Pages: 352
Sales rank: 375,381
Product dimensions: 7.30(w) x 9.00(h) x 0.90(d)

Table of Contents

About the Authors viii

Contributing Authors xiii

Introduction xxii

I Introduction to the Evidence-Based Practice Competencies 1

1 The Foundation for Improving Healthcare Quality, Patient Outcomes, & Costs with Evidence-Based Practice 3

Setting the Stage 4

Evidence-based Practice and the Quadruple Aim in Healthcare 5

Definition of Evidence-based Practice 8

The Seven Steps of Evidence-based Practice 10

Rationale for the New EBP Competencies 16

Summary 16

References 16

2 Development of and Evidence to Support the Evidence-Based Practice Competencies 19

Setting the Stage 20

Importance of Evidence-based Practice Competencies 21

Implications for Use of the EBP Competencies 28

Summary 29

References 29

II Achieving Competency with the Evidence-Based Practice Competencies 31

3 The Evidence-Based Practice Competencies Related to Clinical Inquiry 33

Setting the Stage 34

Clinical Inquiry Defined and Described 35

Building a Culture That Supports Clinical Inquiry 36

Summary 53

References 54

4 The Evidence-Based Practice Competencies Related to Searching for Best Evidence 55

Setting the Stage 56

Developing a Systematic Approach to Searching 58

Summary 74

References 74

5 The Evidence-Based Practice Competencies Related to Critical Appraisal: Rapid Critical Appraisal, Evaluation, Synthesis, and Recommendations 77

Setting the Stage 78

Understanding the Critical Appraisal Process 81

Taking a Group Approach to Critical Appraisal 89

Summary 106

References 106

6 The Evidence-Based Practice Competencies Related to Implementation 109

Setting the Stage 110

Implementing an Evidence-based Practice Change: Planning for Change 112

Tools to Guide the EBP Change Process 114

Summary 128

References 128

7 The Evidence-Based Practice Competencies Related to Outcomes Evaluation 129

Setting the Stage 130

Evaluating Outcomes 131

Summary 141

References 141

8 The Evidence-Based Practice Competencies Related to Leading and Sustaining Evidence-Based Practice 143

Setting the Stage 144

Essential Components of an Evidence-based Practice Culture and Environment 145

The ARCC Model: A System-Wide Framework for Implementing and Sustaining EBP 151

Summary 159

References 160

9 The Evidence-Based Practice Competencies Related to Disseminating Evidence 163

Setting the Stage 164

The Importance of Disseminating Evidence 164

Summary 181

References 181

III A Practical Guide to Integrating the Evidence-Based Practice Competencies in Different Roles 183

10 Integrating the Evidence-Based Practice Competencies in Healthcare Settings 185

Strategies for Integrating the EBP Competencies in Healthcare Settings 186

Calculating the ROI of EBP 195

Developing Educational Programs around EBP Competencies 198

Creating Opportunities for Interprofessional Learning and Collaboration 201

Developing Other Skills 201

Examples of Integration of the EBP Competencies 202

Summary 202

References 203

11 Integrating the Evidence-Based Practice Competencies into the Role of Advanced Practice Nurses 205

Clinical Nurse Specialists' Role in EBP 207

The CNS as an EBP Mentor 209

The CNS and the EBP Competencies 210

Building the Infrastructure for EBP at an Academic Medical Center through the Role of the CNS 211

Summary 222

References 222

12 Using the Evidence-Based Practice Competencies with Policy and Procedure Committees 225

EBP Competency and the Patient/Family Care Policy Committee 226

A Cost-Effective EBP Competency Assessment and Education 228

Determining an Interprofessional Education Framework 229

Challenges to Using the Evidence-based Practice Competencies with Policy and Procedure Committees 234

Development of a Unit-Based EBP Policy: A Personal Narrative 237

Summary 243

References 244

13 Teaching the Evidence-Based Practice Competencies in Clinical and Academic Settings 245

Matching EBP Competencies to Existing Standards 249

Teaching and Evaluation Strategies for Incorporating EBP Competencies 262

Summary 273

References 273

IV Appendixes 277

A Picot Worksheet and Search Strategy Development 279

B Example of a Completed General Appraisal Overview (GAO) 283

C Example of a Completed Rapid Critical Appraisal Checklist with Rationale 287

D Evaluation Table Template 293

Glossary 297

Index 309

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