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Council for Training in Evidence-Based Behavioral Practice Robin Newhouse, PhD, RN, CNA, CNOR. Nursing Perspectives. EBP is….
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Council for Training in Evidence-Based Behavioral PracticeRobin Newhouse, PhD, RN, CNA, CNOR Nursing Perspectives
EBP is…. …a problem-solving approach to clinical decision-making within a health care organization that integrates the best available scientific evidence with the best available experiential (patient and practitioner) evidence, considers internal and external influences on practice, and encourages critical thinking in the judicious application of such evidence to care of the individual patient, patient population, or system. Newhouse R, Dearholt S, Poe S, Pugh LC, White K. (2005). The Johns Hopkins Nursing Evidence-based Practice Model. Baltimore, MD: The Johns Hopkins Hospital & Johns Hopkins University School of Nursing
JHN Evidence-based Practice Conceptual Model Practice External Factors Internal Factors Culture Environment Equipment/Supplies Staffing Effectiveness Standards Accreditation Core Measures Legislation Licensing Standards • Research • Experimental • Quasi-experimental • Non-experimental • Qualitative • Non-Research • Organizational experience • Quality improvement • Financial data • Clinical expertise • Patient preference Education Research The Johns Hopkins Hospital/ The Johns Hopkins University
EBP Process Practice Question, Evidence, Translation (PET) Practice Question Evidence Translation Newhouse, R.P., Dearholt, S., Poe, S., Pugh, L.C., White, K (2005) Evidence Based Practice: A Practical Approach to Implementation, Journal of Nursing Administration, 35(1), 35-40. The Johns Hopkins Hospital/ The Johns Hopkins University
EBP Activities Magnet accreditation Competencies Acute care infrastructure Professional standards Incorporation into curriculum Synthesis Informatics integration
Issues and Controversy • State of evidence in nursing • Funding • Organizational infrastructure • Transferability • Availability of experts/mentors • Adoption of evidence