Medical Center

Skip to content. | Skip to navigation

Personal tools

Site Logins
Home > Professional Nursing Staff Organization > Core Principles > Evidence-Based Practice

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.


  • 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.
Thanks for Visiting!

Welcome to the Professional Nursing Staff Organization! All Registered Nurses employed by the UVA Health System's Medical Center, School of Nursing and School of Medicine are members of our Professional Nursing Staff Organization (PNSO). Please provide us feedback!

Be a UVA Nurse!