Evidence-based Practice in Nursing & Healthcare

by Melnyk, Bernadette; Fineout-overholt, Ellen

• ISBN13: 9781469855738
• ISBN10: 1469855739
• Edition: 3rd
• Format: Paperback
• Copyright: 2014-10-07
• Publisher: LWW

Summary

Develop the skills and knowledge you need to make evidence-based practice an integral part of your clinical decision making and everyday nursing practice with Evidence-Based Practice in Nursing & Healthcare. Written in a friendly, conversational style, this Third Edition of the authors’ gold standard textbook covers all the information you need to use evidence-based practice to improve patient outcomes. Real world examples and meaningful strategies in every chapter show you how to take a clinical issue from inquiry toa sustainable solution that drives a preferred standard of care.

• Enhance your understanding of the EBP process through Making EBP Real features at the end of each unit that present real world case stories and EBP Fast Facts that highlight important points from each chapter.
• Master the content of the course with critical appraisal checklists, evaluation tables, and synthesis tables.
• Further develop evidence-based practice knowledge and skills using handy web alerts that direct you to helpful Internet resources.
• Take your learning beyond the book with a wide range of online resources, including the American Journal of Nursing EBP Step-by-Step Series, which provides a real-world example of the EBP process, plus learning objectives, journal articles, and checklists, templates, and evaluation tables.

Table of Contents

Unit 1 Steps Zero, One, Two: Getting Started
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry
Chapter 2 Asking Compelling, Clinical Questions 
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions
Unit 1 Making EBP Real: A Success Story. Using Evidence-Based Practice to Reduce Catheter-Associated Urinary Tract Infections in a Long-
Term Acute Care Facility

Unit 2: Step Three: Critically Appraising Evidence
Chapter 4 Critically Appraising Knowledge for Clinical Decision Making
Chapter 5 Critically Appraising Quantitative Evidence for Clinical Decision Making
Chapter 6 Critically Appraising Qualitative Evidence for Clinical Decision Making
Unit 2 Making Ebp Real: A Success Story. Making EBP a Reality by Reducing Patient Falls Through Transdisciplinary Teamwork

Unit 3: Steps Four and Five: Moving From Evidence to Sustainable Practice Change
Chapter 7 Integration of Patient Preferences and Values and Clinician
Expertise Into Evidence-Based Decision Making
Chapter 8 Advancing Optimal Care With Rigorously Developed Clinical Practice Guidelines and Evidence-Based Recommendations
Chapter 9 Implementing Evidence in Clinical Settings
Chapter 10 The Role of Outcomes and Quality Improvement in Enhancing and Evaluating Practice Changes
Chapter 11 Leadership Strategies and Evidence-Based Practice Competencies to Sustain a Culture and Environment That Supports Best Practice
Unit 3 Making EBP Real: A Success Story. Improving Outcomes for Depressed Adolescents with the Brief Cognitive Behavioral COPE
Intervention Delivered in 30-Minute Outpatient Visits

Unit 4: Creating and Sustaining a Culture and Environment for Evidence-Based Practice
Chapter 12 Innovation and Evidence: A Partnership in Advancing Best Practice and High Quality Care
Chapter 13 Models to Guide Implementation and Sustainability of Evidence-Based Practice
Chapter 14 Creating a Vision and Motivating a Change to Evidence-Based Practice in Individuals, Teams, and Organizations
Chapter 15 Teaching Evidence-Based Practice in Academic Settings
Chapter 16 Teaching Evidence-Based Practice in Clinical Settings
Chapter 17 ARCC Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based Practice
Unit 4 Making EBP Real: A Success Story. Mercy Heart Failure Pathway

Unit 5: Step Six: Disseminating Evidence and Evidence-Based Practice Implementation Outcomes
Chapter 18 Disseminating Evidence Through Publications, Presentations, Health Policy Briefs, and the Media
Unit 5 Making EBP Real: A Success Story. Faculty Research Projects Receive Worldwide Coverage

Unit 6: Next Steps: Generating External Evidence and Writing Successful Funding Proposals
Chapter 19 Generating Evidence Through Quantitative Research
Chapter 20 Generating Evidence Through Qualitative Research
Chapter 21 Writing a Successful Grant Proposal to Fund Research and Evidence-Based Practice Implementation Projects
Chapter 22 Ethical Considerations for Evidence Implementation and Evidence Generation
Unit 6 Making EBP Real: Selected Excerpts From a Funded Grant Application. COPE/Healthy Lifestyles for Teens: A School-Based
RCT

Appendix A Templates for Asking Clinical Questions
Appendix B Rapid Critical Appraisal Checklists
Appendix C Evaluation and Synthesis Tables Templates for Critical Appraisal
Appendix D Walking the Walk and Talking the Talk: An Appraisal Guide for Qualitative Evidence
Appendix E Example of a Health Policy Brief
Appendix F Example of a Press Release
Appendix G An Example of a Successful Media Dissemination Effort: Patient-Directed Music
Intervention to Reduce Anxiety and Sedative Exposure in Critically Ill Patients Receiving Mechanical Ventilatory Support
Appendix H Approved Consent Form for a Study
Appendix I System-Wide ARCC Evidence-Based Practice Mentor Role Description 587
Appendix J ARCC Timeline for an EBP Implementation Project
Appendix K Sample Instruments to Evaluate Organizational Culture and Readiness for Integration of EBP, EBP Beliefs, and EBP Implementation in Clinical and Academic Settings

Glossary
Index