2. • What is Evidence Base Practice?
• Why Evidence Base Practice?
• What we are practicing currently?
• What change is needed?
• Is EBP has any value?
• Who will prepare evidences?
• Is EBP possible in real life situation?
4. Evidence Based Practice
• Evidence based practice (EBP) is an
approach of making clinical decisions based
upon evidence, combined with clinical
experience and patients expectations.
• Is a way to minimize the theory to practice
5. EBP in nursing
• EBP in nursing is a way of providing nursing
care that is guided by the integration of the
best available scientific knowledge with
• This approach requires nurses to critically
assess relevant scientific data or research
evidence and to implement high quality
interventions for the nursing practice.
7. History of EBP in nursing
• Evidence-based practice was first
systematically introduced in nursing with
the Conduct and Utilization of Research in
Nursing (CURN) project in the late 1970’s.
• They reviewed the research on common
nursing procedures including Structured
Preoperative Teaching, Preventing
Decubitus Ulcers, and Reducing Diarrhea in
8. • The project developed research-based
clinical protocols, systematically
implemented them into practice, and
measured the outcomes.
• The CURN project demonstrated that
synthesized research put into clinical
protocols would be used by clinicians with
beneficial results to patients.
9. Need for EBP
• Documentation and auditing
• Deliver the best possible services
with the available resources.
• Updating of theoretical and clinical
• Provide critical clinical judgment.
• Provide outcome based patient care.
• Develop advanced strategies for
clinical decision making
• Standardization of care and
10. Evidence Resources
care Care of
15. Steps of Evidence-Based Practice
Assess: Evaluate the outcome of applying the evidence to the
Apply: Make clinical decisions utilizing the best available evidence.
Appraise: Determine whether or not the evidence is high-quality
Acquire: Search for relevant evidence to answer questions.
Ask: Formulate answerable clinical questions about a patient,
problem, intervention, or outcome.
16. Pain management
Positioning, Comfort devices,
massage, heat or cold application,
Categorize the pain score with the
measures used. and discussion on
the changes in the pain score.
Make a common clinical decision on
the measure used for each range of
Evaluate the patient based
17. Benefits of Evidence-Based
• Provide better patient care outcome
• Enable consistency of care
• Reduce the delay in care planning
• Client focused care
• All stages of care will be structured systematically
• Increases confidence in decision-making
• Maintain the professional standards
• Provide guidelines for further research
• Helps nurses to provide high quality patient care
• Standardization of academic quality
19. Barriers in EBP
• Lack of value for research in practice
• Difficulty in bringing change
• Lack of administrative support
• Lack of knowledge mentors
• Lack of time for research
• Lack of knowledge about research
• Research reports not easily available
• Complexity of research reports
• Lack of knowledge about EBP
• Lack of in service and continuing education
21. “So never lose an opportunity of urging a
practical beginning, however small, for it is
wonderful how often in such matters the
mustard-seed germinates and roots itself.”
• Beyea SC, Mary Jo Slattery. Evidence-based practice in
nursing : a guide to successful implementation.
Marblehead, Ma: Hcpro; 2006.
• Polly Gerber Zimmermann. Nursing management
secrets. Philadelphia: Hanley & Belfus; 2002.
• Pearson A, Field J, Jordan Z. Evidence-based clinical
practice in nursing and health care : assimilating
research, experience and expertise. Oxford ; Malden, Ma:
Blackwell Pub; 2007.
• Joshi DC, Mamta Joshi. Hospital administration. New
Delhi: Jaypee Bros. Medical Publishers; 2009.
• Mcgibony JR. Principles of hospital administration. New
York, Putnam; 1969.