This document discusses evidence-based nursing practice and recent related research. It begins with introducing evidence-based nursing as integrating best research evidence with clinical expertise and patient preferences. It then outlines objectives, definitions, needs, barriers, steps, models, advantages, and disadvantages of evidence-based nursing practice. Finally, it summarizes two recent research studies. The first studied improving evidence-based practice in postgraduate nursing programs and found blended learning and other teaching strategies improved skills. The second explored leadership practices of nurse managers in implementing evidence-based nursing and identified behaviors within an existing leadership model.

1. GOOD AFTERNOON

2. EVIDENCE BASED NURSING
PRACTICE - BEST PRACTICES
SUBMITTED TO
MRS TANIMA VERMA
CLINICAL INSTRUCTOR
K.G.M.U COLLEGE OF NURSING
SUBMITTED BY
POOJA BAGHARI
MSC NURSING I YEAR
K.G.M.U COLLEGE OF NURSING

3. “Knowledge is of no value unless you
put it into practice,,,,,
Anton Chekhov

4. OBJECTIVES OF EVIDENCE BASED
NURSING PRACTICE
 INTRODUCTION
 DEFINITION
 NEEDS
 BARRIERS
 STEPS
 MODELS
 ADVANTAGES
 DISADVANTAGE
 GOALS
 RECENT RESEARCH

5. INTRODUCTION
Evidence Based Nursing Practice involves integrating best
available research evidence with professional expertise
while also taking account of patient preference, the
patient state, setting, circumstances and health care
resources. It has become a major concern of health care
policymaker, care provider and professional groups.

6. DEFINITION
Evidence Based Nursing Practice established research
findings as well as other valid and relevant evidence.
Or
Evidence Based Nursing Practice used to close gap
between research being conducted and practice gap.
By Marquette Flaugher

7. NEEDS
 For making sure that each client get the best
possible services.
 Update knowledge and is essential for lifelong
learning.
 Provide clinical judgment.
 Improvement care provided and save lives.

8. BARRIERS
 Difficulty in bringing change.
 Lack of administrative support.
 Lack of knowledge mentors.
 Lack of time for research.
 Lack of knowledge for research.
LACK OF
KNOWLEDGE
MENTORS

9. CONT……
 Research report not easily available.
 Complexity of research reports.
 Lack of knowledge about Evidence Based Practice.

10. STEPS

11. PRACTICE
RESEARCH
• Experimental
• Quasi –experimental
• Qualitative
NON-RESEARCH
• Organizational
experience-Quality
improvement
• Financial data
PRACTICE
INTERNAL
FACTORS
Culture
Environment
Equipment
supplies
Staffing
EXTERNAL
FACTORS
Accreditation
Legislation
Licensing
Standards
EDUCATION RESEARCH
JOHN HOPKINS NURSING EVIDENCE BASED PRACTICE
MODEL

12. ADVANTAGES
 Provide better information to practitioner
 Enable the consistency of care
 Better care outcome
 Provide client focused care
 Structured process
 Increase confidence in decision making

13. CONT……
 Generalize information
 Contribute to science of nursing
 Provide guidelines for further research
 Helps nurse to provide high quality patient care

14. DISADVANTAGES
 Not enough evidence for evidence
based nursing practice
 Time consuming
 Reduced client choice
 Reduced professional judgment/autonomy

15. CONT….
 Suppress creativity
 Public bias
 Influence legal proceedings

16. GOALS OF EVIDENCE BASE
NURSING PRACTICE
 Provide practicing nurse the evidence based data to
deliver effective care.
 Resolve problem in clinical setting.
 Achieve excellence in care delivery.
 Reduce variation in nursing care and assist with
efficient and effective decision making.


17. I.RECENT RESEACH
Improving evidence based practice in postgraduate nursing
programs: A systematic review: Bridging the evidence practice
gap (BRIDGE project)
Author links open overlay panel Louise D, Hickmana
Michelle, Jane Phillips, Angela Raoc Phillip
ABSTRACT
BACKGROUND: The nursing profession has a significant
evidence to practice gap in an increasingly complex and
dynamic health care environment.

18. OBJECTIVE: To evaluate effectiveness of teaching
and learning strategies related to a capstone project within a
Masters of Nursing program that encourage the development
of evidence based practice capabilities.
DESIGN: Systematic review that conforms to the PRISMA
statement. Sample: Master's Nursing programs that include
elements of a capstone project within a university setting.

19. DATA SOURCES/REVIEW METHODS :
MEDLINE, CINAHL, Cochrane Database of Systematic
Reviews, ERIC and Psyc Info were used to search for RCT's
or quasi experimental studies conducted and 9 June 2017,
published in a peer reviewed journal in English.

20. RESULTS: There are 592 studies, no RCT's specifically addressed
the development of evidence based practice capabilities within the
university teaching environment. Five quasi-experimental studies
integrated blended learning, guided design processes, small group
work, role play and structured debate into Masters of Nursing
research courses. All five studies demonstrated some improvements
in evidence based practice skills and/or research knowledge
translation, with three out of five studies demonstrating significant
improvements.

21. CONCLUSION:There is a paucity of empirical evidence
supporting the best strategies to use in developing evidence
based practice skills and/or research knowledge translation skills
for Master's Nursing students. As a profession, nursing requires
methodologically robust studies that are discipline specific to
identify the best approaches for developing evidence-based
practice skills and/or research knowledge translation skills
within the university teaching environment. Provision of these
strategies will enable the nursing profession to integrate the best
empirical evidence into nursing practice.

22. II . RECENT RESEARCH
Leadership practices of nurse managers for implementing
evidence‐based nursing
AIM : To explore leadership of nurse managers in
evidence‐based nursing implementation.
BACKGROUND : Despite much in the literature that
highlights the significance of involving nurse managers, the
qualitative nature of how their leadership practices influence
the evidence implementation has not yet been fully explored.

23. METHODS : A qualitative secondary data analysis
was conducted on 15 transcripts of interviews of nurse
managers from a parent grounded theory study. The
method for analysis employed the directed content analysis
approach, using the framework of Kouzes & Posner's Five
Practices of Exemplary Leadership model.

24. RESULTS :
All the leadership practice categories of Five Practices of
Exemplary Leadership® were observed in the data. Two
additional categories “getting oneself prepared” and “keep
it going” were also identified as important leadership
practices of nurse managers to exhibit during
evidence‐based practice implementation.

25. CONCLUSION :
This study advances the leadership model by
providing validation of existing exemplars and
suggests two new practices with exemplars for a
better understanding of the nurse managers’ role
during evidence implementation

26. SUMMARY

27. THANK YOU