Evidence-Based Practice An Implementation Guide for Healthcare Organizations

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ISBN: 9780763776176 | 0763776173
Cover: Paperback
Copyright: 6/28/2010

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Evidence-Based Practice: An Implementation Manual for Hospitalswas created to assist the increasing number of hospitals that are attempting to implement evidence-based practice in their facilities with little or no guidance. This manual serves as a guide For The design and implementation of evidence-based practice systems and provides practice advice, worksheets, and resources for providers. it also shows institutions how to achieve Magnet status without the major investment in consultants and external resources.

Preface	p. ix
Contributors	p. xi
Evidence-Based Practice in Health Care	p. 1
Introduction	p. 1
What is Evidence-Based Practice?	p. 1
Strategies for Implementing Evidence-Based Practice	p. 11
EBP and Professional Practice	p. 13
Summary	p. 17
References	p. 17
Making the Case for Evidence-Based Practice	p. 21
Introduction	p. 21
Identifying the Forum and the Message	p. 24
How to Talk with Groups About EBP	p. 28
Summary	p. 34
References	p. 34
Leadership and Evidence-Based Practice	p. 37
Introduction	p. 37
EBP in Clinical Practice: A History	p. 37
The Role of the Individual	p. 41
Creating the Context-System Development	p. 41
Building the Structural Components	p. 42
The Evidence Base-What Does the Research Tell Us?	p. 42
Influence of External Forces	p. 44
Sustainability	p. 46
Summary	p. 52
References	p. 52
Preparing and Sustaining Staff Knowledge About EBP	p. 55
Introduction	p. 55
New Employee Orientation	p. 55
Educational Strategies and Resources	p. 56
Introductory EBP Education	p. 58
Reading and Appraising Research for Evidence-Based Practice	p. 58
Advanced EBP Content	p. 59
Research Content	p. 62
Introducing the Graduate Nurse to Evidence-Based Practice	p. 63
Maintaining and Updating Knowledge and Skills	p. 67
Motivating Professional Staff	p. 69
Professional Recognition for EBP	p. 69
Summary	p. 70
References	p. 70
Developing a Structure for Evidence-Based Practice	p. 73
Introduction	p. 73
EBP or Research Council	p. 73
Council Composition and Members	p. 75
Membership Terms	p. 76
Council Charter	p. 77
Relationship of EBP Council with Standing Committees/Councils	p. 79
Steering Committee	p. 79
Relationship of EBP Council with Nursing Units	p. 80
Summary	p. 81
References	p. 82
Guiding Principles for Evidence-Based Practice	p. 83
Introduction	p. 83
Defining Evidence-Based Practice for an Organization	p. 83
Writing a Mission Statement for EBP	p. 84
Identifying Objectives for Evidence-Based Practice	p. 86
Selecting an Organizational Evidence-Based Practice Model	p. 88
Summary	p. 107
References	p. 107
Determining Resources Available for EBP	p. 111
Introduction	p. 111
Assessing Organizational Readiness	p. 111
The Critical Foundation: The Leadership Support	p. 114
Staff Development Resources	p. 115
Real-Time Resources	p. 116
Resources for Searching for Evidence	p. 117
Practical Resources	p. 122
Summary	p. 122
References	p. 123
Systems for Identifying EBP Opportunities	p. 125
Introduction	p. 125
Communication Processes Within the Organization	p. 126
Linkages with Other Organizational Departments and Groups	p. 127
Processes for Helping Clinicians Recognize Opportunities	p. 131
Tools for Prioritizing EBP Opportunities	p. 135
Summary	p. 138
References	p. 138
Systems for Defining and Appraising Evidence	p. 139
Introduction	p. 139
Review of Leveling Models	p. 140
Finding the Evidence	p. 146
References	p. 149
Designing Studies for EBP	p. 151
Introduction	p. 151
Conducting Systematic Reviews	p. 151
Design of Clinical Science Projects	p. 167
Design of Clinical Research	p. 168
References	p. 172
Using Technology to Support EBP	p. 175
Introduction	p. 175
Asking an Answerable Question	p. 175
Creating a Search Strategy	p. 177
Knowing Where to Look	p. 178
Public Sources of EBP Information	p. 183
Free Access Sources for Research Results	p. 183
Organizational Web Sites	p. 185
Local Resources	p. 185
References	p. 185
EBP Implementation	p. 187
Introduction	p. 187
Mentoring	p. 187
Champions of Change	p. 190
How to Use EBP Models to Guide Practice Change	p. 194
Journal Clubs	p. 196
Resources for Effective Implementation of EBP	p. 204
Integrating Evidence into Policies and Procedures	p. 204
Translating Research into Practice (TRIP)	p. 206
National Resources	p. 209
Disseminating the Evidence	p. 211
Summary	p. 212
Acknowledgement	p. 212
References	p. 212
Evidence-Based Practice Dissemination	p. 215
Introduction	p. 215
Appropriate Audience	p. 215
Writing an Abstract	p. 216
Creating a Poster Presentation	p. 218
Effective Podium Presentations	p. 222
Writing for Publication	p. 226
References	p. 229
Integrating Evidence-Based Practice with Organizational Systems: A Case Example	p. 231
Introduction	p. 231
Integrating Evidence in an Organization's Care Delivery Model	p. 231
Integrating Evidence in an Organization's Professional Practice Model	p. 233
Clinical Quality	p. 238
Integration of Evidence-Based Practice into Quality Improvement	p. 239
Summary	p. 246
References	p. 246
Mock Survey Questions for the New Knowledge, Innovations & Improvements Component of the Magnet Site Survey	p. 249
Materials to Have Available for Magnet Site Visitors	p. 251
Checklist for Evaluating a Research Study	p. 253
Assessment of Internal Resources for EBP/Research Systems	p. 255
Prioritization Matrix	p. 257
Worksheet for Appraising a Practice Guideline	p. 259
Worksheet for Rating the Strength of a Body of Literature	p. 261
Worksheet for Planning and Evidence-Based Practice Review	p. 263
Planning a Focused Research Study	p. 267
The Link Between Evidence and Recommendations for Practice	p. 269
Index	p. 271
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Evidence-Based Practice An Implementation Guide for Healthcare Organizations

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