This document discusses evidence-based practice in nursing and common myths versus realities. It outlines that evidence-based practice integrates the best research evidence with clinical expertise and patient values. The 5 A steps for evidence-based practice are presented as ask, access, appraise, apply, and assess. Myths about evidence-based practice include thinking a claim that a practice is evidence-based makes it true, or that all evidence is equal. Realities include the need to critically appraise evidence and implement practices on a small scale first. Evidence-based practice requires partnerships across disciplines and stakeholders to be successful.

1. Evidence-Based Nursing/Practice: Myths
and Reality
Dr. Anil Sharma, PhD(N)
Principal, Manikaka
Topawala Institute of
Nursing-CHARUSAT,
Changa
Accredited Grade “A” with
NAAC & KCG

2. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
Objectives of Talk
• To know Evidence-Based practice/Nursing
• To illustrate Myths and Realities of Evidence-
Based practice/Nursing

3. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
Evidence-Based practice/Nursing (EBP/EBN)
• Key to delivering the highest quality of healthcare with
best patient outcome at the lowest cost.
• Integration of best research evidence with clinical
expertise, patient values, preferences, and
culture/ethnicity (Sackett et al, 2000)

4. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
Level of Evidence

5. Steps to follow EBP:
5 A:
1. Ask: problem in PICOT format
2. Access: for best available evidence
3. Appraise: critically
4. Apply: the evidence
5. Assess: evaluate care

6. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
The Facts
• EBP is no longer a luxury but a necessity.
• Leadership accountability for EBP is upon us.
• There is an evidence-base applicable to administrative and
leadership decisions as well as clinical phenomena/topics

7. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
Reality
• Show me the evidence
• Know the evidence –
author and year
• Document the evidence
sources
• Must critically appraise all
evidence (Level of Evidence)
• Conduct research and
evidence-based practice
are different processes
Myth
• Saying “this is an evidence
based practice” makes it so.
• “All evidence is created
equal”
• It is published, therefore the
evidence must be good.
• I know how to conduct
research, therefore I know
how to do evidence-based
practice

8. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
Reality
• Evidence has to appraise
critically with critic
guideline.
• Recommend
implementing on a small
scale initially to
– attend to unexpected
consequences
– refine EBPs and
implementation process
Myth
• EBP guidelines are
trustworthy – no need to
critique or critically appraise
them.
• The evidence base is strong,
thus there is not need to
implement the EBPs on a
small scale first

9. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
Reality
• Implementation Requires
Partnerships, Relationship
Building and
Collaboration
• These all will use EBP:
o Nurses
o Physicians
o Patients
o Family caregivers
o Physical Therapists
o Pharmacists
o Others
Myth
• Clinicians will adopt EBPs at
about the same pace
• Focus on the resistors first
and others will follow

10. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
Reality
• Need to Evaluate &
Demonstrate Impact.
• Qualitative impact:
patient stories
• Part of QI program
Myth
• Evaluation is not that
important
• I can inform others verbally
• I just know we are doing
better
• Stories tell the impact

11. Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG
Summary
• EBP work requires partnerships, teams and
engagement of all key stakeholders
• Implementation is a process not an event requiring
multiple strategies
“No matter who we are, where we live
in the world today, we can sustain a way
of life for awhile. But if we are static,
the world will pass us by.”

12. Reference Available on Request @
anilsharma.nur@charusat.ac.in
Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG

13. Thank You
Charotar University of Science & Technology
Accredited Grade “A” with NAAC & KCG