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Evidence-Based Toolkit

Developing an EBP project at UVA

Evidence-based practice (EBP) is one of the Core Principles of our clinical practice as outlined by the UVA Professional Nursing Staff Organization.

Start with our EBP Statement - it outlines our philosophy of evidence-based practice and gives an overview of the process.

Our EBP Framework is a flowchart illustrating the step-by-step activities involved in conducting EBP, adapted from Titler et al (2001) Iowa Model of Evidence-based Practice to Promote Quality Care.

Our EBP Template is a worksheet used by any clinician at UVA Health System to evaluate the evidence, pro and con, when exploring a practice issue. (An example of a completed Template is also available). The template was adapted from Newhouse, R. P. et al (2007) Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines. Sigma Theta Tau International.

  • Using the Template, state the problem/issue and the scope of the problem/issue (is it local or universal; does it affect nursing only, or other disciplines?)
  • Frame your question in the PICO format:
    - Patient or problem: Describe your patient or the problem- be specific!
    - Intervention: Could be treatment, cause, prognostic factor, etc
    Comparison Intervention (not always: Could be standard therapy, no intervention, etc.)
    - Outcome(s): Could be the desired outcome, or could be the result not desired
  • Form a team to determine what is the evidence/research that supports the problem identification.
  • Do a comprehensive literature search and assemble relevant literature. The Health Sciences Library has developed a page of evidence-based resources to use in order to structure your search: https://www.hsl.virginia.edu/portal/sonursing/ebn.cfm
  • Evaluate the strength of evidence of the information found from a literature search: use the Levels of Evidence from Newhouse, R., Dearholt, S., Poe, S., Pugh, LC., & White, K. (2007). The Johns Hopkins Nursing Evidence-Based Practice Rating Scale. Baltimore, MD: The Johns Hopkins Hospital, Johns Hopkins University School of Nursing. Appendix B.

Send the completed Template to the .

After reviewing the evidence, the R3 committee may send a recommendation to the PNSO Clinical Practice Committee or the Ambulatory Nurse Committee for consideration/implementation.

More Resources

Online Journal Club on the Library’s Nursing Resources page that uses the Level and Quality of Evidence Appraisal from the UVa Template.

EBP, Quality Improvement, or Research?

  • From the UVa Institutional Review Board, information outlining the difference between a research project vs. a quality improvement project.
  • See a simple chart showing the differences between EBP, Research, and Quality Improvement.

Tutorial: Take the Introduction to Evidence-Based Practice Tutorial from Duke University Medical Center Library and the Health Sciences Library at the University of North Carolina at Chapel Hill.

Articles:

  • For more information on the evidence-based practice process, see the American Journal of Nursing’s series from the Arizona State University College of Nursing and Health Innovation’s Center for the Advancement of Evidence-Based Practice. The first of six articles can be found here. Others can be found by searching the CINAHL database.
  • For instructions on database searching (Medline, CINAHL, etc.), finding a class, or requesting a consult from the Health Sciences Library, email kkn3u@virginia.edu or call 434-924-1607.
  • How to Read A Paper - This BMJ series explains how to read and interpret different kinds of research papers, and gives a more technical overview of the statistical knowledge needed to evaluate research evidence. Links to the series can be found here.
 
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