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Evidence-Based Practice in Action, Second Edition: Comprehensive Strategies, Tools, and Tips From University of Iowa Hospitals & Clinics 2nd ed. [Pehme köide]

  • Formaat: Paperback / softback, 668 pages, kõrgus x laius x paksus: 279x216x34 mm, kaal: 1524 g, Illustrations, unspecified
  • Ilmumisaeg: 15-Jul-2022
  • Kirjastus: SIGMA Theta Tau International
  • ISBN-10: 1948057956
  • ISBN-13: 9781948057950
  • Formaat: Paperback / softback, 668 pages, kõrgus x laius x paksus: 279x216x34 mm, kaal: 1524 g, Illustrations, unspecified
  • Ilmumisaeg: 15-Jul-2022
  • Kirjastus: SIGMA Theta Tau International
  • ISBN-10: 1948057956
  • ISBN-13: 9781948057950

Evidence-Based Practice in Action, Second Edition, is a practical, easy-to-use manual providing strategies, tools, and tips that show healthcare professionals how to apply and sustain EBP in their setting. Inside are valuable recommendations on topic selection, literature searches, research and evidence review, implementation, and evaluation.

Translate knowledge, research, and clinical expertise into action.

The biggest barrier to effective evidence-based practice (EBP) is the failure to effectively translate available knowledge, research, and clinical expertise into action. This failure is rarely due to lack of information, understanding, or experience. In fact, it usually comes down to a simple lack of tools and absence of a clear plan to integrate EBP into care.

Problem solved: Evidence-Based Practice in Action, Second Edition, is a time-tested, application-oriented EBP resource for any EBP process model and is organized based on The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care. This book offers a proven, detailed plan to help nurses and healthcare professionals promote and achieve EBP implementation, adoption, and sustained use.



The biggest barrier to effective evidence-based practice (EBP) is the failure to effectively translate available knowledge, research, and clinical expertise into action. This failure is rarely due to lack of information, understanding, or experience. In fact, it usually comes down to a simple lack of tools and absence of a clear plan to integrate EBP into care. Problem solved!

Additional Book Resources vi
Acknowledgments vii
About the Lead Authors and Book Editors viii
About the Contributing Authors ix
Foreword xiv
Introduction xv
1 Identify Triggering Issues/Opportunities
1(16)
Clinical or Patient Identified Issue
4(1)
Organization, State, or National Initiative
4(3)
Data/New Evidence
7(1)
Accrediting Agency Requirements/Regulations
7(1)
Philosophy of Care
7(1)
Next Steps
8(1)
Examples
9(5)
Tools
14(3)
2 State the Question or Purpose
17(8)
Form a PURPOSE Statement or Question
19(1)
Benefits of a Well-Developed PURPOSE Statement
19(1)
Next Steps
19(1)
Examples
20(3)
Tools
23(2)
3 Is This Topic a Priority?
25(8)
The Decision Point
26(1)
The Topic Is a Priority
27(1)
The Topic Is Not a Priority
27(1)
Next Steps
27(2)
Tools
29(4)
4 Form a Team
33(16)
Apply Team Science
34(1)
Work Like a Team
34(1)
Set Ground Rules
35(1)
Share a Mental Model
35(1)
Ensure Psychological Safety
35(1)
Identify Team Members and Roles
35(3)
EBP Project Director
36(1)
Project Manager
37(1)
EBP Facilitator
37(1)
Organizational Leader
37(1)
Change Champions
38(1)
Next Steps
38(1)
Examples
39(3)
Tools
42(7)
5 Assemble, Appraise, and Synthesize Body of Evidence
49(34)
Conduct Systematic Search: Assemble
50(5)
Search Terms
50(3)
Connectors, Limits, and Filters
53(1)
Assemble Evidence for Appraisal
53(2)
Weigh Quality, Quantity, Consistency, and Risk: Appraise
55(6)
Types of Evidence
58(3)
Synthesize the Body of Evidence
61(3)
Evidence Funnel
61(3)
Next Steps
64(1)
Examples
65(9)
Tools
74(9)
6 Is There Sufficient Evidence?
83(26)
Strength of Evidence
84(1)
Weigh Evidence and Make Recommendations for Practice
84(1)
The Decision Point
85(2)
Evidence Is Sufficient
85(1)
Evidence Is Not Sufficient
86(1)
Next Steps
87(1)
Examples
88(12)
Tools
100(9)
7 Design and Pilot the Practice Change
109(24)
Design the Practice Change
111(6)
Engage Patients and Verify Preferences
111(1)
Consider Resources, Constraints, and Approval
112(1)
Develop Localized Protocol
113(4)
Pilot the Practice Change
117(3)
Create an Evaluation Plan
118(1)
Collect Baseline Data
119(1)
Develop an Implementation Plan
119(1)
Prepare Clinicians and Materials
119(1)
Promote Adoption
119(1)
Collect and Report Post-Pilot Data
119(1)
Next Steps
120(1)
Examples
121(11)
Tools
132(1)
8 Evaluation
133(50)
Create an Evaluation Plan
134(2)
Data-Driven Precision Implementation Approach
134(1)
EBP Evaluation Framework
134(2)
Collect Baseline Data
136(3)
Data Sources and Collection
136(2)
Timing
138(1)
Data Selection
138(1)
Collect and Report Post-Pilot Data
139(2)
Analysis
139(1)
Reporting and Trending Data
140(1)
Next Steps
141(1)
Examples
142(13)
Tools
155(28)
9 Implementation
183(316)
Develop an Implementation Plan
184(7)
Iowa Implementation for Sustainability Framework
184(4)
Precision Implementation Approach
188(1)
De-implementation
189(2)
Engage Stakeholders
191(1)
Prepare Clinicians and Materials
191(4)
Implementation Phase 1 Create Awareness & Interest
191(2)
Implementation Phase 2 Build Knowledge & Commitment
193(2)
Promote Adoption
195(2)
Implementation Phase 3 Promote Action & Adoption
195(1)
Implementation Phase 4 Pursue Integration & Sustained Use
196(1)
Next Steps
197(1)
Examples
198(4)
Tools
202(19)
Implementation Strategies
221(278)
Phase 1 Create Awareness & Interest
221(44)
Phase 2 Build Knowledge & Commitment
265(64)
Phase 3 Promote Action & Adoption
329(128)
Phase 4 Pursue Integration & Sustained Use
457(42)
10 Is Change Appropriate for Adoption in Practice?
499(12)
Let Evaluation Data Guide Decisions
500(1)
Outcomes and Balancing Measures Data
500(1)
Process Data
501(1)
Knowledge
501(1)
Attitudes
501(1)
Behaviors
501(1)
The Decision Point
502(1)
Change Is Appropriate for Adoption in Practice
502(1)
Change Is Not Appropriate for Adoption in Practice
502(2)
Redesign and Repilot
502(1)
Reassemble
503(1)
Consider Another Issue/Opportunity
503(1)
Next Steps
504(1)
Tools
505(6)
11 Integrate and Sustain the Practice Change
511(30)
Follow the Iowa Model to Integrate and Sustain EBP
512(1)
Identify and Engage Key Personnel
513(3)
Organizational Leaders
513(3)
Local Leaders
516(1)
Change Agents
516(1)
Hardwire Change Into System
516(2)
Workflow
516(1)
De-implementation
517(1)
Systems Thinking
517(1)
Monitor Key Indicators Through Quality Improvement
518(1)
Reinfuse as Needed
518(1)
Next Steps
519(1)
Examples
520(6)
Tools
526(15)
12 Disseminate Results
541(26)
Internal Dissemination
542(1)
External Dissemination
542(4)
Determine Whether Approval Is Necessary for Dissemination
542(1)
Social Media
543(1)
Conference Abstracts
544(1)
Presentation Preparation
544(1)
Publication
544(2)
Next Steps
546(2)
Examples
548(12)
Tools
560(7)
Appendix A The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Health Care 567(2)
Appendix B Iowa Implementation for Sustainability Framework 569(2)
Appendix C Select Evidence-Based Practice Models 571(2)
Appendix D Glossary 573(4)
References 577(68)
Index 645