Table
of Contents
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|
|
|
Foreword |
xvii |
|
Introduction |
xix |
PART 1 |
EVIDENCE-BASED
PRACTICE BACKGROUND |
1 |
1 |
Evidence-Based Practice: Context,
Concerns, and Challenges |
3 |
|
EBP: A Definition |
4 |
|
Differentiating Quality Improvement,
Research, and EBP |
5 |
|
The History |
6 |
|
Research Utilization |
6 |
|
EBP and Outcomes |
9 |
|
EBP and Accountability |
10 |
|
Translation of Evidence |
11 |
|
Knowing and Using Evidence |
11 |
|
Nursing’s Role in EBP |
12 |
|
Summary |
13 |
2 |
Critical Thinking and Evidence-Based
Practice |
15 |
|
Evidence-Based Practice and the
Nursing Process |
16 |
|
Critical Thinking, Reasoning,
Reflection, and Judgment |
18 |
|
Nursing Expertise, Intellectual
Competence, and |
|
|
Evidence-Based Practice |
20 |
|
Educating for Critical Thinking Skills |
22 |
|
Critical Thinking and the PET Process |
23 |
|
Critical Thinking in Posing the Practice Question |
23 |
|
Critical Thinking and Appraising Evidence |
25 |
|
Critical Thinkingand Translation |
27 |
|
Recommendations for Nurse Leaders |
27 |
|
Summary |
28 |
PART 2 |
THE JOHNS
HOPKINS NURSING EVIDENCE-BASED PRACTICE MODEL AND GUIDELINES |
31 |
3 |
The Johns Hopkins Nursing
Evidence-Based Practice Model and Process Overview |
33 |
|
The Johns Hopkins Nursing
Evidence-Based Practice Model 34 |
|
|
Nursing Practice |
35 |
|
Nursing Education |
38 |
|
Nursing Research |
39 |
|
The JHNEBP Model—The Core |
40 |
|
Internal and External Factors |
40 |
|
The JHNEBP
Process: Practice Question, Evidence, and Translation |
42 |
|
Practice Question |
43 |
|
Evidence |
46 |
|
Translation |
49 |
|
Summary |
52 |
PART 3 |
PRACTICE
QUESTION, EVIDENCE, TRANSLATION (PET) |
55 |
4 |
The Practice Question |
57 |
|
The Interprofessional
EBP Team |
58 |
|
Practice Problems |
59 |
|
Practice Questions |
63 |
|
Background and Foreground Question |
64 |
|
Developing an Answerable EBP Question |
64 |
|
Summary |
66 |
5 |
Searching for Evidence |
69 |
|
Key Information Formats |
70 |
|
The Answerable Question |
71 |
|
EBP Search Examples |
72 |
|
Selecting Information and Evidence
Resources |
74 |
|
CINAHL |
74 |
|
MEDLINE and PubMed |
74 |
|
The Cochrane Library |
75 |
|
Creating
Search Strategies and Utilizing Free Resources |
76 |
|
Key Components to Creating Search Strategies |
76 |
|
Free Resources |
77 |
|
Evaluating,
Revising, and Storing Search Results |
80 |
|
Summary |
81 |
6 |
Evidence Appraisal: Research |
83 |
|
Publications
That Report Scientific Evidence |
84 |
|
Summaries of
Multiple Studies |
84 |
|
Systematic Reviews |
85 |
|
Meta-Analysis |
87 |
|
Meta-Synthesis |
88 |
|
Individual
Research Studies |
89 |
|
Experimental Studies |
90 |
|
Quasi-Experimental Studies |
91 |
|
Non-Experimental Studies |
93 |
|
Descriptive Designs |
93 |
|
Predictive Designs |
96 |
|
Explanatory Designs |
96 |
|
Time-Dimensional Designs |
97 |
|
Qualitative Designs |
100 |
|
Interpreting
Primary Research Evidence |
102 |
|
Measures of Validity |
103 |
|
Measures of Reliability |
105 |
|
Measures of Precision |
105 |
|
Appraising
the Strength and Quality of Research Evidence. |
107 |
|
Qrading Quality of Research Evidence |
108 |
|
Tips for
Reading Research |
115 |
|
The Title |
116 |
|
The Abstract |
116 |
|
The Introduction |
117 |
|
The Conclusion |
117 |
|
The Method |
117 |
|
The Results |
118 |
|
The Discussion |
118 |
|
The Overall Report |
118 |
|
A Practical Tool for Appraising Research Evidence |
119 |
|
Recommendation for Nurse Leaders |
119 |
|
Summary |
120 |
7 |
Evidence
Appraisal: Non-Research |
125 |
|
Summaries of Research Evidence |
126 |
|
Clinical Practice Guidelines and Consensus/Position Statements |
126 |
|
Literature Reviews |
129 |
|
Interpreting Evidence from Summaries of Research Evidence |
129 |
|
Organizational Experience |
132 |
|
Quality Improvement Reports |
132 |
|
Financial Evaluation |
133 |
|
Expert Opinion |
135 |
|
Case Report |
136 |
|
Community Standard |
136 |
|
Clinician Experience |
137 |
|
Patient/Consumer Preferences |
139 |
|
Recommendations for Nurse Leaders |
140 |
|
Summary |
141 |
8 |
Translation |
145 |
|
Implementing Practice Recommendations |
146 |
|
Additional Models for Translation |
146 |
|
Requirements for Successful Translation |
148 |
|
Pathways to Translation |
148 |
|
Criteria for Successful Translation |
149 |
|
Evidence-Based Practice, Research,
and Quality Improvement |
151 |
|
Creating an Action Plan for
Translation |
152 |
|
Steps in Implementing Change |
153 |
|
Secure Support and Resources |
154 |
|
Implement the Action Plan |
154 |
|
Evaluate Outcomes |
154 |
|
Report Outcomes to Stakeholders |
155 |
|
Identify Next Steps |
156 |
|
Disseminate Findings |
156 |
|
Summary |
158 |
PART 4 |
INFRASTRUCTURE |
161 |
9 |
Creating a Supportive Evidence-Based
Practice Environment |
163 |
|
Choosing an EBP
Model |
166 |
|
Creating and Facilitating a
Supportive EBP Environment |
167 |
|
Establishing the Organizational
Culture |
167 |
|
Reviewing the Nursing Philosophy |
168 |
|
Developing a Strategic Plan |
170 |
|
Ensuring Committed Organizational Leadership |
171 |
|
Identifying and De veloping Mentors and
Informal Leaders |
172 |
|
The Johns Hopkins Nursing Experience |
174 |
|
Overcoming Barriers |
177 |
|
Leading Change and Managing Transition |
179 |
|
Strategies for Managing Transitions |
180 |
|
Building Capacity |
182 |
|
Developing EBP Skills and Knowledge |
182 |
|
Interprofessional Collaboration |
184 |
|
The Johns Hopkins University School of Nursing |
184 |
|
Sustaining the Change |
185 |
|
Setting Expectations for EBP |
186 |
|
Committee Structure |
188 |
|
Communication Plan |
189 |
|
Summary |
191 |
PART 5 |
EXEMPLARS |
195 |
10 |
Exemplars |
197 |
|
Support Surfaces and Pressure Ulcers |
198 |
|
Use of Evidence-Based Practice Model
by a |
|
|
Professional Nursing Association |
202 |
|
Placing Patients Taking Oral Antiplatelet Medications on |
|
|
Bleeding
Precautions |
206 |
|
Fall Injury
Risk Assessment |
209 |
|
Preventing
Pediatric Infiltrates |
213 |
|
The
Frequency of Manufactured Intravenous Fluid Bag Replacement |
216 |
|
Ankyloglossia, Frenotomy, and
Breast Feeding |
219 |
|
APPENDIXES |
|
A |
Project Management Guide |
225 |
B |
Question Development Tool |
227 |
C |
Evidence Level and Quality Guide |
231 |
D |
Practice Question, Evidence, and
Translation Process (PET) |
235 |
E |
Research Evidence Appraisal Tool |
237 |
F |
Non-Research Evidence Appraisal Tool |
241 |
G |
Individual Evidence Summary Tool |
245 |
H |
Synthesis and Recommendations Tool |
249 |
|
Index |
255 |
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