EBP is the integration of clinical expertise, patient values, and the best research evidence available into the decision making process for patient care. Clinical expertise refers to the clinician's cumulated experience, education, and clinical skills. The patient brings to the encounter his or her own personal and unique concerns, expectations, and values. The best evidence is usually found in clinically relevant research that has been conducted using sound methodology (Sackett, 2002).
Evidence-Based Practice, Step by Step
This collection of articles authored by Melynk, Fineout-Overholt, et al., are from the Arizona State University College of Nursing and Health Innovation's Center for the Advancement of Evidence-Based Practice.
The purpose of this series is to give nurses the knowledge and skills they need to implement EBP consistently, one step at a time. Articles appeared every two months to allow time for staff to incorporate information as they worked toward implementing EBP at their institutions.
Evidence-Based Practice, Step by Step:
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The Five A's of the Evidence Cycle:
Building a PICO/PICOT/PICOTS Framework
Incorporating best evidence into nursing requires a systematic approach. A clear series of steps, known as the Evidence Cycle, can provide an excellent paradigm to guide you through this process. It involves knowing the right question to ask, turning that question into a good search, knowing the best place to look, finding what is available, appraising the results, and then using the evidence you find to care for your patient population. Use the "5 A's" as a step-by-step guide to locate best evidence.