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Using Evidence to Guide Nursing Practice

Using Evidence to Guide Nursing Practice

Mary Courtney | Helen McCutcheon

(2010)

Additional Information

Book Details

Abstract

Using Evidence to Guide Nursing Practice 2e is an invaluable ‘how-to’ guide for students and experienced nurses alike.  Emphasis is placed on how to develop an evidence-based culture in the workplace, support clinicians to make decisions using the best available evidence and translating this evidence into practice.  This new edition is divided into five concise sections which guide readers from an examination of evidence, to developing a workplace culture that supports Evidence-Based Practice.  It demonstrates how to locate and appraise evidence, how to evaluate practice and finally how to translate evidence into practice with a new applied case study included.

  • includes two new chapters; ‘Locating and appraising the evidence’ and ‘ Evidence to inform nursing practice: An applied approach’
  • highlights Evidence-based Practice (EBP) initiatives and demonstrates how to develop an evidence-based culture in the workplace
  • includes Step-by-step guides to undertaking a systematic review, a clinical audit and a program evaluation
  • each chapter will have contributions from experienced academics and clinicians across Australia so as to ensure health industry relevance and academic rigour are addressed

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
USING EVIDENCE TO GUIDENURSING PRACTICE iii
Copyright\r iv
Contents v
Preface ix
Contributors xi
Reviewers xiii
PART ONE\rIntroduction 1
CHAPTER 1\rEvidence-based nursing practice 3
1.1 Learning objectives 3
1.2\r Introduction 3
1.3\rWhat is ‘evidence-based practice’? 3
1.4\rWhat are the benefits of evidence-based 5
1.5 What are the alternatives to evidence-based practice?\r 5
1.6 Why the rapid spread of evidence-based practice?\r 6
1.7\rWhere is the evidence located? 6
1.8\rMajor structures promoting evidence-bas 8
1.9\rHow can evidence be incorporated into nursing practice? 14
1.10\rWhat is the state of evidence? 16
1.11\rWhat are the challenges for nursing edu 17
APPENDIX 1.1 National Institute of Clinical Studies (NICS): Resources available\r 21
APPENDIX 1.2\rJoanna Briggs Institute Collaboration 23
CHAPTER 2\rUsing the right type of evidence to answer clinical questions 27
2.1 Learning objectives 27
2.2 Introduction 27
2.3 Quantitative research designs 28
2.4 Qualitative research designs 34
2.5 Triangulation and mixed-method studies 35
2.7 Formulating the right question 38
2.8 Conclusion 39
2.9 DISCUSSION QUESTIONS 39
2.10 References 40
PART TWO \rDeveloping anevidence-basedculture 43
CHAPTER 3\rDeveloping a culture of inquiry to sustain evidence-based practice 45
3.1 Learning objectives 45
3.2 Introduction 45
3.3 Evidence-based practice in healthcare 46
3.4 Culture and organisation in healthcare 46
3.5 What is a culture of inquiry? 47
3.6 Development towards a culture of inquiry 48
3.7 Culture of inquiry ‘in action’ 52
3.8 Conclusion 54
3.9 DISCUSSION QUESTIONS 55
3.10 References 55
CHAPTER 4\rDevelopment and useof clinical guidelines 59
4.1 Learning objectives 59
4.2 Introduction\r 59
4.3 What are clinical guidelines? 60
4.4 What are the characteristics of effective clinical guidelines? 61
4.5 How should clinical guidelines be used in practice? 64
4.6 How are guidelines developed? 67
4.7 Conclusion 71
4.8 DISCUSSION QUESTIONS 71
4.9 References 72
PART THREE\rLocating theevidence 75
CHAPTER 5\rLocating and appraising the evidence 77
5.1 Learning objectives 77
5.2 Introduction 77
5.3 Where should I look for evidence? 79
5.4 Is all peer-reviewed research evidence of high quality? 84
5.5 Examples of locating evidence 88
5.6 Conclusion 93
5.7 DISCUSSION QUESTIONS 94
5.8 References 94
CHAPTER 6\rThe systematic review process 97
6.1 Learning objectives 97
6.2 Introduction 97
6.3 The systematic review process 98
6.3.4 Appraising the evidence 103
6.4 The applicability of the evidence 104
6.5 Software applications 105
6.6 Conclusion 109
6.7 DISCUSSION QUESTIONS 109
6.8 References 110
PART FOUR\rHow to evaluateclinical practice 111
CHAPTER 7\rUndertaking a clinical audit 113
7.1 Learning objectives\r 113
7.2 Introduction\r 113
7.3 What is a clinical audit? 114
7.4 How does a clinical audit relate to the quality improvement movement? 115
7.5 What do clinical audits measure? 116
7.6 Audit or research? 117
7.7 Why are clinical audits useful in practice development? 117
7.8 The process of undertaking a clinical audit 118
7.9 Example of a clinical audit 120
7.10 Conclusion 129
7.11 DISCUSSION QUESTIONS 129
7.12 References 130
CHAPTER 8\rUndertaking a program evaluation 133
8.1 Learning objectives 133
8.2 Introduction\r 133
8.3 Definitions 133
8.4 Forms of program evaluation 134
8.5 Conclusion 145
PART FIVE\rTranslatingevidence intopractice 149
CHAPTER 9\rEvidence to inform nursing practice:An appiled approach 151
9.1 Learning objectives\r 151
9.2 Introduction\r 151
9.3 Care pathways and evidence for nursing practice 152
9.4 Reflection and evidence-based practice 153
9.5 Application to practice 156
9.6 Conclusion 164
9.7 Clinical application of evidence-based practice 165
9.8 References 166
Index 169