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Nursing and Allied Health: Evidence- Based Practice

Best Evidence: The Cochrane Database of Systematic Reviews

The Cochrane Database of Systematic Reviews is the leading source of systematic reviews in health care.  The CDSR is one of seven databases in the Cochrane Library and is produced by the Cochrane Collaborative, the world's leading resource for evidence-based practice.

Cochrane reviews are indexed in Cinahl.

Evidence Based Organization

What is Evidence- Based Practice?

EBP is a method of effectively translating EBM into practice: using the best existing evidence and research, knowledge of clinical experts, and patient preferences, in clinical practice.

Nurses conduct Evidence-Based research to support Evidence-Based Practice. Nurses use EMP because nurses want the best outcomes for their patients.  

The Focus = finding evidence of the best methods, interventions and practices 
The Evidence = found in the most current professional research literature
The Goal = best outcomes for the patient

Hierachy of Evidence

EBP Five Steps

Step One: Ask a Clinical Question

Using the PICO format can be instructive!

Patient Population
Intervention
Comparison Intervention
Outcome

Types of Questions: Etiology, Diagnostic, Prevention, Prognosis/Prediction, Therapy, Qualitative

Step Two: Acquire the most relevant, most current, best evidence. See Evidence Hierarchy image below.

Step Three: Appraise the evidence.

Step Four: Apply all evidence with clincial experience, patient preferences and values in making a practice decision or change.

Step Five: Access the practice decision or change.

 

 

Other EDP Databases

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