Evidence-based practice (EBP) in nursing integrates clinical expertise, patient values, and research evidence to enhance patient care. EBP is essential for improving patient outcomes, supporting nurse autonomy, and ensuring practices remain relevant with current health findings. The process involves five key steps: asking clear questions, acquiring evidence, appraising resources, applying findings, and assessing outcomes.

1. EVIDENCE-BASED
PRACTICE IN NURSING
By: ROMMEL LUIS C. ISRAEL III

2. "EBP is the integration
of clinical expertise,
patient values, and the
best research
evidence into the
decision making process
for patient care"
(Sackett D, 1996).

3. •EBP is a problem-solving approach to
decision-making that integrates the best
available scientific evidence with the best
available experiential (patient and
practitioner) evidence, and encourages
critical thinking in the judicious application
of evidence to the care of the individual
patient, patient population or system.

4. EBP IN NURSING
• Evidence-based practice in nursing involves providing holistic, quality
care based on the most up-to-date research and knowledge rather
than traditional methods, advice from colleagues, or personal beliefs.
• Nurses can expand their knowledge and improve their clinical practice
experience by collecting, processing, and implementing research
findings. Evidence-based practice focuses on what's at the heart of
nursing — your patient. Learn what evidence-based practice in
nursing is, why it's essential, and how to incorporate it into your daily
patient care.

6. WHY IS EBP IMPORTANT FOR NURSING?
EBP is important because it moves practice from tradition to sound
scientific evidence.
It provides Nurses a process by which questions can be answered.
EBP improves outcomes for patients by making sure the care they
receive is in line with current best practices.

7. Why Is Evidence-
Based Practice in
Nursing Essential?
(AMERICAN NURSES
ASSOCIATION)
• Implementing evidence-based practice in
nursing bridges the theory-to-practice gap
and delivers innovative patient care using
the most current health care findings.
• The topic of evidence-based practice will
likely come up throughout your nursing
career.
• Its origins trace back to Florence Nightingale.
This iconic founder of modern nursing
gathered data and conclusions regarding the
relationship between unsanitary conditions
and failing health. Its application remains
essential today.

8. Other Benefits of Evidence-Based Practice in
Nursing AMERICAN NURSES ASSOCIATION)
Promotes positive
patient outcomes
Reduces health care
costs by preventing
complications
Contributes to the
growth of the science
of nursing
Allows for
incorporation of new
technologies into
health care practice
Increases nurse
autonomy and
confidence in
decision-making
Ensures relevancy of
nursing practice with
new interventions and
care protocols
Provides scientifically
supported research to
help make well-
informed decisions
Fosters shared
decision-making with
patients in care
planning
Enhances critical
thinking
Encourages lifelong
learning

9. EBP IS AN
EXPLICIT
PROCESS

10. Five Steps to
Implement
Evidence-Based
Practice in Nursing
1. Ask a clear question about the patient's
issue and determine an ultimate goal,
such as improving a procedure to help
their specific condition.
2. Acquire the best evidence by searching
relevant clinical articles from legitimate
sources.
3. Appraise the resources gathered to
determine if the information is valid, of
optimal quality compared to the
evidence levels, and relevant for the
patient.
4. Apply the evidence to clinical practice by
making decisions based on your nursing
expertise and the new information.
5. Assess outcomes to determine if the
treatment was effective and should be
considered for other patients.

11. The Levels of
Evidence-Based
Practice
Level A acquires
evidence from
randomized, controlled
trials and is considered
the most reliable.
Level B evidence is
obtained from quality-
designed control trials
without randomization.
Level C typically gets
implemented when
there is limited
information about a
condition and acquires
evidence from a
consensus viewpoint or
expert opinion.
Level ML (multi-level) is
usually applied to
complex cases and gets
its evidence from more
than one of the other
levels.

12. REFERENCES
• American Nurses Association. (2023, May 5). What Is Evidence-Based
Practice in Nursing? ANA. https://www.nursingworld.org/practice-
policy/nursing-excellence/evidence-based-practice-in-nursing/
• Tsistinas, O. (n.d.). Subject Guides: Johns Hopkins Nursing Evidence-
Based Practice: Home. Guides.upstate.edu.
https://guides.upstate.edu/c.php?g=1023176&p=7411225
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