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  Home >> Evidence-Based Instruction >> Introduction to Evidence-Based Nursing Practice (EBP)

 
Introduction to Evidence-Based Nursing Practice (EBP)
 
Library Workshop

  1. General research tools
  2.  
  3. Research article databases
    • CINAHL is the major bibliographic database for the English-language journals in nursing and allied health fields. 3,001 journals are selectively or comprehensively indexed. Publications of the American Nurses' Association and the National League for Nursing are included as well as books in nursing and allied health fields, which include physical therapy, respiratory therapy, cardiopulmonary technology, medical and laboratory technology, occupational therapy, radiologic technology, social services in health care, emergency services, medical records, health sciences librarianship, medical assisting, the physician's assistant, surgical technology, and health education. 1937 to present. Links to 336 full-text journals. Free trial access through Jan 1, 2006.
      • CINAHL search concepts:
        • Advanced Search
        • CINAHL Headings (Browse)
        • Review subject heading information (Tree, Qualify Subheadings, Used For)
        • Explode; Major Concept
        • Select boolean operator; Add
        • Search button
        • Refine Search tab: (Limit: date; peer reviewed; research, etc.)
        • UC-eLinks
    • PubMed@UCI  PubMed is the premier bibliographic database for medicine. Indexes 4,800 medical, nursing, and dental journals. 88% English language; Contains links to full-text articles owned by UCI. 1966 to present.
      • PubMed search concepts:
        • Journal subsets: Nursing and Health Care Administration
        • Mesh Browser
        • Limit topic search to pub type (Clinical Trials)
        • Topic search AND (Explode Research or Explode Nursing Research)
        • Evidence-based filters: Clinical Queries
        • Reviews (systematic reviews)
        • Practice guidelines
        • UC-eLinks
  4.  
  5. Evidence-Based Practice
    • What is evidence-based nursing practice?
      • "Evidence-Based Nursing is the process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient preferences."
      • Magnet hospitals: research and evidence-based practice mandates -- "Quality patient care is provided through sustaining excellence in nursing services."
      • Solves problems encountered by nurses by carrying out four steps below...
    •  
    • EBP is a 4 step process:
      1. Clearly identify the issue or problem based on accurate analysis of current nursing knowledge and practice
      2. Search the literature for relevant research
        • Select appropriate resources: Google/Google Scholar, CINAHL, PubMed, others
        • Design search strategy that optimizes value of selected databases and their features
        • Use thesaurus terms whenever possible
        • Select limits
        • Review results; modify
      3. Evaluate the research evidence using established criteria regarding scientific merit
      4. Choose interventions and justify the selection with the most valid evidence
    •  
    • Key formats for EBP:
      • Original research
        • Individual studies
      • Evidence summaries
        • Systematic reviews: integrative reviews; meta-analysis
      • Translation literature
        • Care Plans
        • Clinical Innovations
        • Critical Path
        • Practice guidelines
        • Protocols
        • Standards
     
  6. Example searches
    1. Peer-reviewed, research articles on nursing care of the patient with a broken hip
    2. What is best evidence on the methods used to confirm placement of NGT (nasogastric tubes)?
    3. Pain management protocols for hip replacement
    4. Recent research articles (2003+) on Oncology Nurses' burnout because burnout leads to job dissatisfaction
  7.  
  8. Research-based nursing journals (journals can be found either in print and/or online via ANTPAC)
  9.  
  10. Web sites
 
Subject Librarian:
Susan Lessick, MLS MA AHIP
Head, Grunigen Medical Library
Serials & Electronic Collections Librarian
    for the Health Sciences
slessick@uci.edu
University of California
The UCI Libraries
P.O. Box 19557
Irvine, CA 92623-9557
(714) 456-6487
 
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