The process of Evidence-Based Practice (EBP) can be broken up into 5 phases, called the 5 A's of EBP. Those phases are as follows.
Step 1: assess the patient or the problem in front of you.
Step 2: ask or identify the most important question, using the most appropriate question framework.
Step 3: acquire the best available evidence to help you answer the question.
Step 4: appraise the evidence to decide if it's applicable to your patient or scenario.
Step 5: apply the solution to your patient or problem.
EBP is a never-ending process, whether you're using it for patient-care or systems improvement. Each problem or situation should be reassessed to make sure the solution still works and to make sure new problems are addressed.
Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals, Fourth Edition by
The goal of EBP in healthcare is to promote improved interventions, care, and patient outcomes.Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals has proven to be one of the most foundational books on EBP in nursing and healthcare. Building on the strength of previous versions, the fourth edition is fully revised to include updated content based on more than a decade of the model's use, refinement in real-life settings, and feedback from nurses and other healthcare professionals around the world.Key features of the book include:* NEW strategies for dissemination, including guidance on submitting manuscripts for publication* EXPANDED focus on the importance of interprofessional collaboration and teamwork, particularly when addressing the complex care issues often tackled by EBP teams* EXPANDED synthesis and translation steps, including an expanded list of outcome measures to determine the success of an EBP project* Tools to guide the EBP process, such as stakeholder analysis, action planning, and dissemination* Explanation of the practice question, evidence, and translation (PET) approach to EBP projects* Overview of the patient, intervention, comparison, and outcome (PICO) approach to EBP question development* Creation of a supportive infrastructure for building an EBP nursing environment* Exemplars detailing real-world EBP experiences
The 6-S Hierarchy of Pre-Appraised Evidence
Summaries
E.g. evidence summaries and clinical practice guidelines
Synopses of Syntheses
E.g. synopses of systematic reviews
Syntheses
E.g. systematic reviews
Synopses of Studies
E.g. synopses of individual research studies
Studies
Primary literature, i.e. individual research studies
