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Introduction to Evidence-Based (Informed) Practice (EBP). Ms. Laura Banfield, Health Sciences Library Dr. Michelle Butt, School of Nursing. Fall 2009. Learning Objectives. Define evidence-based (informed) practice and the steps in the process
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Ms. Laura Banfield, Health Sciences Library
Dr. Michelle Butt, School of Nursing
(Sackett et al., 2000)Evidence-Based Practice (EBP)
Clinical state, setting, and circumstances
Health care resources
DiCenso, Cullum & Ciliska [as adapted from Haynes, Devereaux & Guyatt (2002)]
Introduction to EBP
alongside clinical expertise and the
patient’s perspective to plan care”
(Flemming, 1998, p.36)
occurs via peer assessment, an audit, or
through a process of self-reflection
Flemming, K. (1998). Asking answerable questions. Evidence-Based Nursing, 1(2), 36-7.
*From:Flemming, K. (1998). Asking answerable questions. Evidence-Based Nursing, 1(2),
Two Types of Clinical Questions:
blood pressure in hypertensive patients?
and the incidence of brain tumors?
Quantitative Researchis an “objective, systematic process to describe and test relationships and, examine cause and effect interactions among variables” (Burns & Grove, 1993, p. 777)
Qualitative Researchis a systematic, subjective approach used to describe life experiences and give them meaning” (Burns & Grove, 1993, p. 777)
**Burns & Groove, 1993; Roberts & Burke, 1989
Therapy/Treatment/Intervention; Prevention and Control – Effectiveness
Prognosis – Outcome
Diagnosis and Screening/Assessment
Quantitative Research Studies
Quantitative research designs (studies)
* This is what you will do for your evidence-based resources report (assignment)
Is water as effective as alcohol in preventing umbilical cord infections in newborn infants?
Question - Therapy
Do vending machines in high schools increase the risk of
Roberts & Burke (1989)
Sampling of a small group of people
Data collected via in-depth unstructured interviews, observation, focus groups, diaries
Analysis of findings in narrative format
Examples of qualitative research designs include:
How do caregivers feel about placing a spouse with Alzheimer’s Disease in a nursing home?
Nursing & Allied Health (CINAHL) subject headings
MeSH (Medical Subject Headings)
Map your question to the thesaurus
Steps in Searching for