Evidence-based practice consists of five steps:
1. Ask a searchable clinical question;
2. Find the best evidence to answer the question;
3. Appraise the evidence;
4. Apply the evidence with clinical expertise, taking the patient's wants/needs into consideration;
5. Evaluate the effectiveness and efficiency of the process.
Strauss, S. E. Evidence-Based Medicine: How to Practice and Teach EBM. New York: Churchill Livingstone, 2005.
Evidence-Based Practice Models
"Nurses and other healthcare professionals have developed several evidence-based practice (EBP) models that aid in the implementation of EBP. These models serve as organizing guides that integrate the most current research to create best patient care practices."
ECPI University has adopted the Johns Hopkins Model for Evidence Based Practice to frame clinical inquiry initiatives.
Credit: Marcie Hopkins, U of U Health
EBP is a problem-solving approach to clinical decision-making within a healthcare organization. It integrates the best available scientific evidence with the best available experiental (patient and practitioner) evidence.
5 Steps of EBP
Straus, et al., in Evidence-Based Medicine: How to Practice and Teach EBM, 5th edition, 2019.
From Johns Hopkins nursing evidence-based practice : Models and Guidelines
Dang, D., Dearholt, S., Bissett, K., Ascenzi, J., & Whalen, M. (2022). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines. 4th ed. Sigma Theta Tau International
Using PubMed in Evidence-Based Practice: Provided by the National Library of Medicine, this training course defines EBP, how to use PICO to construct a clinical question, how to use PICO for search terms, and more! Includes scenario practice for identifying PICO components.
Practice Question- Develop and refine your question.
Evidence- Search, appraise, summarize, and synthesize internal and external sources of information.
Translation- Create and implement an action plan, evaluate outcomes, disseminate findings.
Dearholt, S., Dang, Deborah, & Sigma Theta Tau International. (2012). Johns Hopkins Nursing Evidence-based Practice : Models and Guidelines.
Many thanks to Oregon Health & Science University for material and page design.
