What is Evidence-Based Practice?
Evidence based practice is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care. The Triangle of Evidence ranks journal articles from the best at the top of the triangle to the least reliable articles at the bottom of the triangle. Rank your article based on where it fits on the Triangle of Evidence. If your article ranks in the top 3 or 4 levels on the evidence triangle, this is a good reason as to why you would value the information in the article.
Clinical expertise refers to the clinician's cumulated experience, education and clinical skills.
The patient brings to the encounter his or her own personal and unique concerns, expectations, and values.
The best evidence is usually found in clinically relevant research that has been conducted using sound methodology. (Sackett, 2000)
© North Metropolitan TAFE 2019 The higher up the pyramid you go the more rigorous the study
Search for an article with the word fall* in the title, will include falls, fallen, falling.
AND
Search for an article title with the words nurs* OR inpatient* OR hospital* OR ward* OR "acute care"
AND
Search for an article title with the words prevent* OR intervent* OR manag* by using the astrix on these words your title search should result in titles with : prevents, prevention, preventing, prevented OR intervention, interventions OR manages, managed, managing.
If you want to target your search for a particular intervention, then include an article title search with those words eg. toileting OR "bed alarms" OR "non slip socks" OR "remote monitoring" OR "patient education" OR "adverse events" OR bed OR safe*
Other key words to consider:
adverse events; bed moves; falls; inpatient; older adults.
"Accidental Falls"
"Fall Risk Prevention"
"Fall Risk" AND Prevention
Australia* OR Canad* OR UK OR United Kingdom
RESEARCH - EVIDENCE BASED PRACTICE
When using the internet to supplement information you have already found, the quality of web sites vary and each must be evaluated according to criteria such as:
Authorship - what are the credentials of the author?
Origin - who hosts the site - university, government department, commercial enterprise?
Reliability - is the web site reliable? Where does your article fit on the Triangle of Evidence?
Currency - when was the web site last updated?
Accuracy - does the author cite the sources used?
Understand the meaning of the words you are reading.
What is "a scoping review"?
"A scoping review is a type of evidence compilation that identifies and maps relevant evidence based on pre-determined inclusion criteria related to a specific topic, field, context, concept, or issue under review. The guiding review question in a scoping review is typically broader than that of a traditional systematic review. Scoping reviews are exploratory in nature, used to assess the extent of available evidence, organize it into categories, and identify gaps in the literature. They also help determine the scope or coverage of the body of literature on a given topic."
"As the name suggests, The Cochrane Library is a collection of resources that can be used as a tool to help clinicians and consumers make decisions about appropriate and effective health care. The information is presented in the form of systematic reviews (also referred to as Cochrane reviews). These reviews are the most rigorous in the world, and provide the foundations for continuous improvement in the quality of health care. Entry to the Library is available via the Cochrane Library." [copied from website]
APA reference
The Department of Health and Aged Care. (n.d.). About the Cochrane Library. https://www.health.gov.au/contacts/cochrane-library
"Australia is one of the first developed countries to negotiate a national subscription to The Cochrane Library, giving all Australians access to the library from their home computer, or any other terminal with Internet access in Australia, free of charge. The Australian Government has funded this national subscription in an effort to provide Australians with the best and latest evidence to inform their health care choices." [Copied from websie]
Empirical Nursing: the art of evidence-based care. 1st ed. (2018)
This book seeks to provide students and practicing nurses with the tools to better understand and engage in scientific arguments to support quality nursing and evidence-based practice. The nature of nursing and its relationship with science remains an area of ongoing debate, controversy and considerable confusion to both students and practitioners. For a science-based health discipline, it is something of a paradox that most nursing students have limited exposure to scientific philosophy education, which is not covered in depth in many modern university nursing programmes. This work seeks to remedy this: in providing material on modern scientific research methods, with particular emphasis on the context of practice, it presents an alternative theoretical iteration of holistic nursing as scientific inquiry. The author is a passionate advocate for empirical and pragmatic approaches to nursing, and the book provides challenging ideas to support a new wave of critical-thinking in contemporary nursing, confronting postmodern dogma with contemporary scientific critique. In doing so, this text engages readers with the art of progressive empirical client-centred care, appropriate for the development of 21st century holistic nursing practice.
How to Read a Paper: The basics of evidence-based medicine and healtcare. 6th ed. (2019)
How to Read a Paper addresses the common criticisms of evidence-based healthcare, dispelling many of its myths and misconceptions, while providing a pragmatic framework for testing the validity of healthcare literature. Now in its sixth edition, this informative text includes new and expanded discussions of study bias, political interference in published reports, medical statistics, big data and more.
The Intersection: where evidence-based nursing and informaiton literacy meet (2018)
The Intersection: Where Evidence Based Nursing and Information Literacy Meet describes how the Association of College and Research Libraries (ACRL) Framework and Information literacy Competency Standards for Nursing mesh with nursing essentials, thus speaking to the information needs of nurses, nurse educators, and librarians who support worldwide nursing programs. In order to find the best evidence from studies, students and practicing nurses must be proficient in the entire range of information literacy skills. Though the references for this document are from U.S. organizations, they are applicable to nursing audiences across the globe.
Introduction to Nursing Research Incorporating Evidence-Based Practice (2017)
Each new print copy includes Navigate 2 Advantage Access that unlocks a comprehensive and interactive eBook, student practice activities and assessments, a full suite of instructor resources, and learning analytics reporting tools. Introduction to Nursing Research: Incorporating Evidence-Based Practice, Fourth Edition is a distinct integration of evidence-based practice and research for the baccalaureate nursing student. The text focuses on how students can incorporate research into their daily practice while considering the newest trends and research. The Fourth Edition focuses on the meaning of evidence, the use of quality improvement, and the practical application of these aspects for the practicing healthcare provider. This is not a typical introduction to nursing research book; it is an evidence-based practice text that uses research. New to the Fourth Edition New chapter on quality Focus on new articles and research End of chapter quizzes Navigate 2 Advantage Access
Nursing Research Critiques: a model for excellence (2018)
This is the first resource to provide APRN students and practicing clinicians with a step-by-step guide to critically analyze evidence from research studies. As part of a profession that relies on best evidence, nurses need to be able to effectively assess research articles. Equipped with these skills, nurses will lead an informed practice and improve patient care. With 14 qualitative and quantitative studies, chapters use previously published research articles to demonstrate the actual critique process.
Tabbner's Nursing Care 2 Vol Set (2021)
Chapter 8 on work, health and safety
Fundamentals of Nursing and Midwifery Research (2019)
An accessible and practical reference for undergraduates in nursing and midwifery explaining the principles and value of health research.
Doing a Literature Review in Nursing, Health and Social Care (2017)
How do I start my literature review? What sources can I go to for information? How do I analyse the work of others? This clear, practical book guides readers undertaking their own literature review through the process, giving them the skills and knowledge they need for success. The chapters address: - Different types of literature reviews - Critically analysing material - Presenting the final piece of work - Best practice in referencing and plagiarism - Systematic approaches to literature reviews It will be an essential guide for all nursing and all allied healthcare students, as well as professionals working in practice.
This is usually a short answer assessment, however some academic areas will embed the knowledge component in with the practical application of the skills; students need to show they know something by applying this knowledge whilst completing a relevant task.
TAFE lecturers assess student’s knowledge by giving students the opportunity to show they know how and why they would apply that knowledge. This can happen via questioning during the practical component.
Auditors prefer knowledge to be assessed before the practical is given as some knowledge is safety related or procedure related, and employees need to know these before they act.
(Auditors do not like multiple choice assessments as they don’t take a lot of skill to write, and they still provide an opportunity for the student to guess rather than demonstrate their knowledge).
This can happen in the workplace or a simulated environment, where the students are given a task or scenario, and then demonstrate the skills.
Assessors will use an observation checklist ticking off behaviours and skills they have seen demonstrated and making notes about their observations.
Some practical assessments have a written component, if the unit includes writing as a skill, assessors may get students to write how they would do something before they proceed with a physical demonstration.
Regardless all units have skills that must be physically observed.