PERL of Wisdom: A Tool to Help Bedside Nurses Remember Available Evidence-Based Resources

2009 ◽  
Vol 15 (2) ◽  
pp. 85-89
Author(s):  
Claudia Pagani ◽  
Jackie Jacalan-Baras
Keyword(s):  
Critical Thinking ◽  
Clinical Practice ◽  
Patient Outcomes ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
Nursing Profession ◽  
Evidence Based ◽  
Electronic Resource ◽  
Nursing Skills ◽  
Evidence Based Nursing

Despite the increasing importance of evidence-based practice for the nursing profession, some nurses remain unable to use scientific evidence in their clinical practice to support their critical thinking and nursing skills. PERL (Print, Electronic, Resource Persons, and Location) is an acronym that nurses can use to categorize available resources to practice evidence-based nursing, thereby enhancing patient outcomes.

scholarly journals Application of Evidence-Based Nursing Practice and Its Barriers in Padang, West Sumatera Indonesia

2019 ◽  
Vol 7 (3) ◽  
Author(s):  
Dwi Novrianda ◽  
Hermalinda Herman
Keyword(s):  
Quantitative Research ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
Sampling Technique ◽  
Average Score ◽  
Evidence Based ◽  
Scale Characteristics ◽  
Ebp Implementation ◽  
Evidence Based Nursing ◽  
Health Field

Professional nurses, one of the human resources in the health field, have an obligation to carry out the nursing process, especially nursing based on scientific evidence. This study’s aim was to describe the knowledge, attitudes, implementation towards evidence-based practice and its barriers in the Hospital. A quantitative research with descriptive approach was conducted in the Dr. M. Djamil Hospital Padang. A consecutive sampling technique was utilized with 139 respondents being selected and only 90 respondents completely filled in the questionnaires. The instruments used were Evidence-Based Practice Questionnaire (EBPQ) and BARRIERS Scale. Characteristics of respondents were 70.0% diploma education, mean (SD) age was 36.7 (7.95) years and 13.35 (8.37) years working time. The average EBP-related attribute score was higher than the average score of EBP knowledge/understanding, understanding of research terms, confidence and practice towards EBP. There is a need to improve knowledge and understanding of EBP and research and overcome the obstacles of EBP implementation in the practice of nursing service. 

scholarly journals Approved Clinical Instructors' Perspectives on Implementation Strategies in Evidence-Based Practice for Athletic Training Students

2011 ◽  
Vol 46 (6) ◽  
pp. 655-664 ◽  
Author(s):  
Dorice A. Hankemeier ◽  
Bonnie L. Van Lunen
Keyword(s):  
Critical Thinking ◽  
Clinical Practice ◽  
Athletic Training ◽  
Evidence Based Practice ◽  
Implementation Strategies ◽  
Athletic Training Education ◽  
Evidence Based ◽  
Clinical Instructors ◽  
Approved Clinical Instructors ◽  
Ebp Implementation

Context: Understanding implementation strategies of Approved Clinical Instructors (ACIs) who use evidence-based practice (EBP) in clinical instruction will help promote the use of EBP in clinical practice. Objective: To examine the perspectives and experiences of ACIs using EBP concepts in undergraduate athletic training education programs to determine the importance of using these concepts in clinical practice, clinical EBP implementation strategies for students, and challenges of implementing EBP into clinical practice while mentoring and teaching their students. Design: Qualitative study. Setting: Telephone interviews. Patients or Other Participants: Sixteen ACIs (11 men, 5 women; experience as a certified athletic trainer = 10 ± 4.7 years, experience as an ACI = 6.8 ± 3.9 years) were interviewed. Data Collection and Analysis: We interviewed each participant by telephone. Interview transcripts were analyzed and coded for common themes and subthemes regarding implementation strategies. Established themes were triangulated through peer review and member checking to verify the data. Results: The ACIs identified EBP implementation as important for validation of the profession, changing paradigm shift, improving patient care, and improving student educational experiences. They promoted 3 methods of implementing EBP concepts with their students: self-discovery, promoting critical thinking, and sharing information. They assisted students with the steps of EBP and often faced challenges in implementation of the first 3 steps of EBP: defining a clinical question, literature searching, and literature appraisal. Finally, ACIs indicated that modeling the behavior of making clinical decisions based on evidence was the best way to encourage students to continue using EBP. Conclusions: Athletic training education program directors should encourage and recommend specific techniques for EBP implementation in the clinical setting. The ACIs believed that role modeling is a strategy that can be used to promote the use of EBP with students. Training of ACIs should include methods by which to address the steps of the EBP process while still promoting critical thinking.

scholarly journals Evidence-Based Chiropractic Education: Are We Equipping Graduates for Clinical Practice with Improved Patient Outcomes?

2012 ◽  
Vol 26 (2) ◽  
pp. 184-187 ◽  
Author(s):  
Michael W. Shreeve
Keyword(s):  
Clinical Practice ◽  
Curriculum Development ◽  
Patient Outcomes ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Driving Factor ◽  
Educational Strategies ◽  
Evidence Based Practices ◽  
Chiropractic Education ◽  
Current Curriculum

Evidence-based practice has emerged as a driving factor in current curriculum development in chiropractic education. This commentary discusses educational strategies incorporating evidence-based practices in the doctor of chiropractic curriculum and explores whether all five steps of the evidence-based process and patient outcomes from evidence-based practice are being assessed.

scholarly journals Prevenção de lacerações perineais e episiotomia: evidências para a prática clínica

2018 ◽  
Vol 12 (2) ◽  
pp. 489 ◽  
Author(s):  
Bruna Dedavid da Rocha ◽  
Claudia Zamberlan
Keyword(s):  
Clinical Practice ◽  
Scientific Evidence ◽  
Evidence Based ◽  
Categorical Analysis ◽  
Good Practices ◽  
Perineal Lacerations ◽  
Frequent Use ◽  
Analysis Technique ◽  
Evidence Based Nursing ◽  
Buenas Prácticas

RESUMOObjetivo: analisar as produções científicas sobre a prática clínica em Enfermagem Obstétrica na prevenção de lacerações perineais e redução da episiotomia de rotina. Método: revisão integrativa, realizada no período de março a abril de 2017, nas bases de dados Lilacs e PubMed/MEDLINE. O recorte temporal delimitado foi de cinco anos, totalizando 18 artigos para constituir o corpus da análise classificados quanto ao nível de evidência científica. Os dados foram analisados por meio da técnica de Análise de Conteúdo, na modalidade Análise Categorial. Resultados: emergiram as categorias <<Fatores relacionados à prática da episiotomia e ocorrência de lacerações perineais e indicações para a realização>>; <<Abordagem do profissional que presta assistência ao parto normal>> e <<Estratégias para a prevenção de lacerações perineais>>. Conclusão: a literatura elencada direciona para a redução da prática da episiotomia de rotina e utilização, cada vez mais frequente, de métodos para a prevenção de lacerações perineais. Além disso, os estudos demonstram a importância da assistência prestada por enfermeiras obstétricas, pois essas profissionais utilizam muito mais as boas práticas de atenção ao parto e nascimento em relação à classe médica. Descritores: Enfermagem Obstétrica; Enfermagem Baseada em Evidências; Períneo; Episiotomia; Lacerações; Revisão.ABSTRACT Objective: to analyze the scientific productions about the clinical practice in Obstetric Nursing in the prevention of perineal lacerations and reduction of routine episiotomy. Method: integrative review, carried out from March to April 2017, in Lilacs and PubMed / MEDLINE databases. The delimited temporal cut was five years, totaling 18 articles to constitute the corpus of the analysis, classified according to the level of scientific evidence. Data were analyzed using the Content Analysis Technique, in the Categorical Analysis modality. Results: three categories emerged: << Factors related to the practice of episiotomy and the occurrence of perineal lacerations and indications for performance >>; << Approach of the professional who provides assistance to normal childbirth >> and << Strategies for the prevention of perineal lacerations>>. Conclusion: the literature indicates the reduction of routine episiotomy practice and the increasingly frequent use of methods to prevent perineal lacerations. In addition, the studies demonstrate the importance of the care provided by obstetrical nurses, since these professionals use much more good practices of attention to childbirth and birth, in relation to the medical class. Descriptors: Obstetric Nursing; Evidence - Based Nursing; Perineum; Episiotomy; Lacerations; Review.RESUMEN Objetivo: analizar las producciones científicas sobre la práctica clínica en Enfermería Obstétrica en la prevención de las laceraciones perineales y reducción de la episiotomía de rutina. Método: revisión integrativa, realizada en el período de marzo/ abril de 2017, en las bases de datos Lilacs y PubMed / MEDLINE. El recorte temporal delimitado fue de cinco años, totalizando 18 artículos para constituir el corpus del análisis, clasificado en cuanto al nivel de evidencia científica. Los datos fueron analizados por medio de la técnica de Análisis de Contenido, en la modalidad Análisis Categorial. Resultados: surgieron las categorías: << Factores relacionados a la práctica de la episiotomía y ocurrencia de laceraciones perineales e indicaciones para la realización >>;<< Abordaje del profesional que presta asistencia al parto normal >> y << Estrategias para la prevención de las laceraciones perineales> >. Conclusión: la literatura elaborada dirige para la reducción de la práctica de la episiotomía de rutina y el uso, cada vez más frecuente de métodos para prevenir las laceraciones perineales. Además, los estudios demuestran la importancia de la asistencia prestada por enfermeras obstétricas, pues estas profesionales utilizan mucho más las buenas prácticas de atención al parto y nacimiento, en detrimento de la clase médica. Descriptores: Enfermería Obstétrica; Enfermería Basada em la Evidencia; Perineo; Episiotomía; Laceraciones; Revisión.

scholarly journals Factors Influencing the Use of Evidence-Based Practice among Physiotherapists and Occupational Therapists in Their Clinical Work

2016 ◽  
Author(s):  
Sofi Fristedt ◽  
Kristina Areskoug Josefsson ◽  
Ann-Sofi Kammerlind
Keyword(s):  
Clinical Practice ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
Occupational Therapists ◽  
Clinical Work ◽  
County Council ◽  
Evidence Based ◽  
Management Support ◽  
Qualitative Interview Study ◽  
Randomised Controlled

Background: Evidence-based practice (EBP) is a process through which research is applied in daily clinical practice. Occupational therapists (OTs) and physiotherapists (PTs) are expected to work in line with EBP in order to optimise health care resources. This expectation is too seldom fulfilled. Consequently, research findings may not be implemented in clinical practice in a timely manner, or at all. To remedy this situation, additional knowledge is needed regarding what factors influence the process of EBP among practitioners. The purpose of the present study was to identify factors that influence the use of EBP and the experienced effects of the use of EBP among PTs and OTs in their clinical work. Method: This was a qualitative interview study that consisted of six group interviews involving either OTs or PTs employed by the Jönköping County Council in the South of Sweden. Resulting data were analysed using content analysis. Results: The analysis resulted in the following categories: “definition of evidence and EBP”, “sources of evidence”, “barriers to acquiring evidence and to using evidence in clinical work”, “factors that facilitate the acquisition of evidence and the use of evidence in clinical work”, and “personal experiences of using EBP”. Basing clinical practice on scientific evidence evoked positive experiences, although an ambivalent view towards acting on clinical experience was evident. Participants reported that time for and increased knowledge about searching for, evaluating, and implementing EBP were needed. Conclusion: Because OTs are more oriented towards professional theories and models, and PTs are more focused on randomised controlled trials of interventions, different strategies appear to be needed to increase EBP in these two professions. Management support was considered vital to the implementation of EBP. However, the personal obligation to work in line with EBP must also be emphasised; the participants apparently underestimate its importance.

What Does Evidence-Based Practice Mean to You? A Follow-Up Study Examining School-Based Speech-Language Pathologists' Perspectives on Evidence-Based Practice

2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham
Keyword(s):  
Clinical Practice ◽  
Research Evidence ◽  
Evidence Based Practice ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Speech Language Pathologists ◽  
School Based ◽  
Research Findings ◽  
Ebp Implementation

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.

The effectiveness of evidence-based nursing on development of nursing students' critical thinking: A meta-analysis

2018 ◽  
Vol 65 ◽  
pp. 46-53 ◽  
Author(s):  
Chuyun Cui ◽  
Yufeng Li ◽  
Dongrong Geng ◽  
Hui Zhang ◽  
Changde Jin
Keyword(s):  
Critical Thinking ◽  
Nursing Students ◽  
Meta Analysis ◽  
Evidence Based ◽  
Evidence Based Nursing

scholarly journals The PICO strategy for the research question construction and evidence search

2007 ◽  
Vol 15 (3) ◽  
pp. 508-511 ◽  
Author(s):  
Cristina Mamédio da Costa Santos ◽  
Cibele Andrucioli de Mattos Pimenta ◽  
Moacyr Roberto Cuce Nobre
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
Research Question ◽  
Clinical Decision ◽  
Evidence Based ◽  
Review Of The Literature

Evidence based practice is the use of the best scientific evidence to support the clinical decision making. The identification of the best evidence requires the construction of an appropriate research question and review of the literature. This article describes the use of the PICO strategy for the construction of the research question and bibliographical search.

The Client-Centred Evidence-Based Practice of Occupational Therapy

1998 ◽  
Vol 65 (3) ◽  
pp. 136-143 ◽  
Author(s):  
Mary Egan ◽  
Claire-Jehanne Dubouloz ◽  
Claudia Von Zweck ◽  
Josée Vallerand
Keyword(s):  
Occupational Therapy ◽  
Process Model ◽  
Evidence Based Practice ◽  
Scientific Evidence ◽  
Treatment Decision ◽  
Population Based ◽  
Individual Characteristics ◽  
Evidence Based ◽  
Health Related ◽  
Problem Solving Process

Evidence-based practice has its roots in evidence-based medicine. This term refers to the formulation of treatment decision using the best available research evidence. While the concept has gained increased attention among health care workers in the recent past, practice based on scientific evidence has been recommended for over 300 years. However, all health-related professions continue to report difficulties adopting evidence-based practice. Notably, practitioners are often concerned that results of population-based research may not be relevant for their specific patients. This may be of particular concern for occupational therapists who aim to provide client-centred intervention, taking into consideration individual characteristics of the client, the environment and the occupation. As well, those wishing to practice evidence-based occupational therapy must determine which decisions are made during the course of therapy and what evidence may impact on these decisions. The Occupational Performance Process Model (Fearing, Law & Clark, 1997) outlines the occupational therapy problem solving process and assists therapists to integrate knowledge from both client and therapist. A framework for evidence-based occupational therapy is presented, based on this model.

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