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Nursing Subject Guide

This guide supports our NUR courses and students. You can find links to excellent resources here.

What is Evidence-Based Practice (EBP)?

The most common definition of Evidence-Based Practice (EBP) is from Dr. David Sackett. EBP is “the conscientious, explicit and judicious use of current best evidence in making decisions about the care of the individual patient. It means integrating individual clinical expertise with the best available external clinical evidence from systematic research.” (Sackett D, 1996)

EBP is the integration of clinical expertise, patient values, and the best research evidence into the decision making process for patient care.

Steps in Evidence-Based Practice

The Steps in the EBP Process:

ASSESS
the patient

1. Start with the patient -- a clinical problem or question arises from the care of the patient

ASK
the question

2. Construct a well built clinical question derived from the case 

ACQUIRE
the evidence

3. Select the appropriate resource(s) and conduct a search

APPRAISE
the evidence

4. Appraise that evidence for its validity (closeness to the truth) and applicability (usefulness in clinical practice)

APPLY:
talk with the patient

5. Return to the patient -- integrate that evidence with clinical expertise, patient preferences and apply it to practice

Self-evaluation

6. Evaluate your performance with this patient