NUR 513 Topic 7 Discussion 1 Example

Evidence-based practice (EBP) is when research, clinical expertise, and patient values and preferences coincide to guide safe practice for patients (Horntvedt et al., 2018). There are six steps in the process to help formulate research: assess, ask, acquire, appraise, apply, and evaluate (EBP, 2022). Start with the patient and determine or “assess” what is the clinical problem. Ask a clinical question derived from the problem you assessed. Acquire the appropriate resources to conduct a search using databases. Appraise the validity of the research and usefulness in practice. Laslty, apply the evidence to the patient and evaluate the patient’s outcome (EBP, 2022).

NUR 513 Topic 7 Discussion 1 Example

When asking a clinical question, you could apply the PICOT method to provide a structed search question. PICOT stands for: patient population; intervention; comparison intervention; outcome and time (DeNisco, 2021).

When starting to locate sources of information for an EBP proposal one search bank is the Agency for Healthcare Research and Quality (AHRQ). The AHRQ is designed to make health care safer and more accessible and works with the U.S. Department of Health and Human Services to make sure that evidence is understood and used (AHRQ website, n.d.). The next database I would use is the Cochrane Library. The Cochrane library is a powerful tool to enhance healthcare knowledge and decision-making (Cochrane, n.d.).

NUR 513 Topic 7 Discussion 1 Example References

  • (n.d.). Agency for Healthcare Research and Quality (AHRQ). https://www.ahrq.gov/
  • About us. (n.d.). Cochrane | Trusted evidence. Informed decisions. Better health. https://www.cochrane.org/about-us
  • DeNisco, S. (2021). Advanced practice nursing: Essential knowledge for the profession. Jones & Bartlett Learning.
  • Evidence-based practice (EBP). (2022). LibGuides at University of Missouri – St Louis. https://libguides.umsl.edu/ebp/process
  • Horntvedt, M. T., Nordsteien, A., Fermann, T., & Severinsson, E. (2018). Strategies for teaching evidence-based practice in nursing education: A thematic literature review. BMC Medical Education, 18(1). https://doi.org/10.1186/s12909-018-1278-z

Sample 1

The evidence-based research process is guided by the PICO or PICOT method. Through this method a clinical question is turned into a searchable format for finding the most relevant evidence. The first step of the PICOT method is to determine the population and the condition or disease in question. The next step is to determine what interventions or variables you are interested in researching relative to your population and condition or disease. The third step is what you are comparing your intervention to, followed by the next step of determining what improved outcome you are looking for. Not all evidence-based research needs the “T” step of PICOT, but the “T” is for the time period you are looking at for the research studies (DeNisco, 2021).

Once the PICOT question is developed, you begin to search databases for the best and most current evidence. The answers to the PICOT questions form your key words you will use to search for research evidence. Once you have gathered the evidence, you will then critically appraise the evidence. You will formulate recommendations based on the strength and quality of the most relevant and best evidence. This evidence is integrated with clinical expertise and your patients’ goals and values to inform your practice change. The next step is to evaluate the outcomes of the change in practice, followed by dissemination of the practice change in your facility or group (DeNisco, 2021).

To begin researching a practice problem, I would search for sources of evidence in databases. One database relevant for Healthcare Quality and Patient Safety is the Agency for Healthcare Research and Quality (AHRQ). This is a free database that includes evidenced-base practice, outcomes and effectiveness, technology assessments, and clinical practice guidelines. CINAHL Complete is a comprehensive research database for nursing and allied health, which requires a subscription (DeNisco, 2021).

Reference

  • DeNisco, S. (2021). Advanced practice nursing: Essential knowledge for the profession. Jones & Bartlett Learning.