LECTURE 11: EVIDENCE INFORMED
PRACTICE
EBP45-45Evidence45Based45Practice45-45answer--An45approach45to45clinical45practice
A45way45to45keep45current45with45new45developments
Evidence-
based45practice45(EBP)45has45been45defined45as45"the45conscientious,45explicit,45and45j
udicious45use45of45current45best45evidence45in45making45decisions45about45the45care45of
45individual45patients"45(Sackett,451996).45
Evidence45based45health45care45is45the45integration45of45individual45clinical45expertise45
with45the45best45available45external45clinical45evidence45and45the45values45and45expecta
tions45of45the45patient
Involves45life-long,45self-directed,45problem-based45learning
Involves45exploring45the45relationship45between45clinical45reasoning45and45research45evi
dence
Involves45practice
Evidence-
based45practice45stems45from45A.L.45Cochrane's45work45in45relation45to45evidence-
based45medicine,45and45is45increasingly45being45adopted45by45most45health45profession
s45in45health45systems45in45developed45countries.45
Cochrane45drew45attention45to45the45lack45of45information45about45the45effects45of45healt
h45care,45with45particular45reference45to45medicine,45and45suggested45that:
EBM45-45answer---45Evidence45Based45Medicine
EBN45-45answer---45Evidence45Based45Nursing
Evidence-based45nursing45emerged45from45evidence-
based45medicine45and45is45a45quest45to45develop45an45informed45basis45for45clinical45de
cision-making.
EIN45-45answer---45Evidence45Informed45Nursing
45The45movement45towards45evidence-
informed45practice45in45nursing45has45gained45momentum45within45the45last45decade.45A
45review45of45nursing45regulatory45bodies45and45nursing45associations45(e.g.45College45o
f45Nurses45of45Ontario,45Canadian45Nurses45Association,45and45Registered45Nurses45As
sociation45of45Ontario45)45reveals45policies45and45practice45guidelines45which45focus45on
45and45promote45evidence-based45practice.45
PRACTICE
EBP45-45Evidence45Based45Practice45-45answer--An45approach45to45clinical45practice
A45way45to45keep45current45with45new45developments
Evidence-
based45practice45(EBP)45has45been45defined45as45"the45conscientious,45explicit,45and45j
udicious45use45of45current45best45evidence45in45making45decisions45about45the45care45of
45individual45patients"45(Sackett,451996).45
Evidence45based45health45care45is45the45integration45of45individual45clinical45expertise45
with45the45best45available45external45clinical45evidence45and45the45values45and45expecta
tions45of45the45patient
Involves45life-long,45self-directed,45problem-based45learning
Involves45exploring45the45relationship45between45clinical45reasoning45and45research45evi
dence
Involves45practice
Evidence-
based45practice45stems45from45A.L.45Cochrane's45work45in45relation45to45evidence-
based45medicine,45and45is45increasingly45being45adopted45by45most45health45profession
s45in45health45systems45in45developed45countries.45
Cochrane45drew45attention45to45the45lack45of45information45about45the45effects45of45healt
h45care,45with45particular45reference45to45medicine,45and45suggested45that:
EBM45-45answer---45Evidence45Based45Medicine
EBN45-45answer---45Evidence45Based45Nursing
Evidence-based45nursing45emerged45from45evidence-
based45medicine45and45is45a45quest45to45develop45an45informed45basis45for45clinical45de
cision-making.
EIN45-45answer---45Evidence45Informed45Nursing
45The45movement45towards45evidence-
informed45practice45in45nursing45has45gained45momentum45within45the45last45decade.45A
45review45of45nursing45regulatory45bodies45and45nursing45associations45(e.g.45College45o
f45Nurses45of45Ontario,45Canadian45Nurses45Association,45and45Registered45Nurses45As
sociation45of45Ontario45)45reveals45policies45and45practice45guidelines45which45focus45on
45and45promote45evidence-based45practice.45