Evidence based nursing practice

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Evidence based nursing practice.EBNP

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EVIDENCE BASED
NURSING PRACTICE
BY
Mr ananthakrishnan
asst.professor
Teerthanker mahaveer university
college of nursing

 EVIDENCED BASED NURSING PRACTICE
is the process by which nurses make clinical
decisions using the best available research
evidence, their clinical expertise and patient
preferences.

 30-45% of patients not receiving care
according to scientific evidence
 20-25% of care provided is not needed or
potentially harmful
(Schuster et al., 1998; Grol 2001)

Evidence Based nursing practice solves
problems encountered by nurses by
carrying out four Steps.
1. Clearly identify the issue or problem
based on accurate analysis of current
nursing knowledge and practice

2. Perform literature search for relevant
information .
3.Evaluate the research evidence for
scientific merit , using enabling criteria
4.Select interventions and justify them ,with
the most valid evidence

 These selected models and frameworks can
be used to understand the contextual factors
that could play important roles in the success
or failure of the knowledge translation effort
should be taken into consideration in all
stages of the knowledge translation( KT)
process.

Conceptual Model
• A set of relatively abstract & general
concepts that address phenomena of
central interest to a discipline
•Broad descriptions those concepts
•Propositions that state relatively abstract
& general relations between 2 or more of
the concepts

Assess + Evaluate Monitor
Practice
Environment
Potential
Adopters
Innovation
Interventions Adoption Outcomes

 Stetler model of research utilizatiion
 Iowa model of research in practice
 Ottawa model of research use
 Evidence based multi-disiplinary practice
model.
 Model for change to evidence based practice.
 Centre for advanced nursing practice model

 The Ottawa Model of Research Use (OMRU)
is an interactive model developed by Logan
and Graham (1998). The feasibility and
effectiveness of using the OMRU in actual
practice contexts was supported by findings
from a number of studies .

Cont…
 The OMRU views research use as a
dynamic process of interconnected
decisions and actions by different
individuals relating to each of the
model elements (Logan & Graham,
1998). This model addresses the
implementation of existing research
knowledge.

 The model has gone through some revisions
since its inception. The most recent version of
the OMRU (Graham & Logan, 2004)
Includes six key elements:
 Evidence-based innovation
 Potential adopters
 The practice environment
 Implementation of interventions
 Adoption of the innovation
 Outcomes resulting from implementation of the
innovation

 Critical thinker
 Culturally competent
 Knowledgeable co-ordinator
 Politically aware
 Ethically and Legally grounded
 Effective communicator
 Competent provider of health care
 Responsible manager
 Understands relationshiprelationships

Everything has changed but ourways of thinking.if thesedo not changewe
drift towards unparalleled catastrophe
(Albert Einstein)

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