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Nursing
Dr Henny Suzana Mediani, MNg, PhD
Faculty of Nursing
Universitas Padjadjaran
Sigma Theta Tau International Honor Society of Nursing
The conscientious, explicit and judicious use of current best evidence in making
decisions about the care of individual patients.
Including Both
-David Sackett
Definitions
Ellis, Howard, Larson & Robertson, 2005; Estabrooks, Chong, Brigidear & Profetto-McGrath,
2005; Estrabrooks, Rutakumwa, O’Leary, Profetto-McGrath, Milner, Levers & Scott-Findlay,
2005; Fink, Thompson & Bonnes, 2005; Johnson & Mighten, 2005; Pravikoff, Tanner & Pierce,
2005; Schultz, Whiting, Kent, Keane & Gallant, 2004; Waddell & Dunn, 2005
Why Evidence-Based Practice Now?
•A growing body of scientific knowledge
•Increased interest in consistent application of
quality services
•Increased interest in outcomes and accountability
by funders
•Past missteps in spreading untested “best
practices” that turned out not to be as effective as
advertised
•Because they work !!
How Things Change
A Problem is
Recognized
Action-Any Action
How Things Change
A Problem is
Recognized Series of Trail and
Errors Adjustments-
Some Better-Some
Action-Any Action Worse
Informed Action
How Things Change
A Problem is
Recognized
Informed Action
3. Integrate information
– Formulate clinical question
– Search relevant databases
– Critically judge quality of evidence
– Develop plan
– Evaluate the practice change
4. Share information
– Dissemination done in variety of ways
Gold Standard for Evidence