Evidence-Based Practice In Nursing & Healthcare: A Guide To
Best Practice 4th Edition
By Bernadette Mazurek Melnyk, Ellen Fineout-Overholt (With
Answer Key)
,Table Of Contents
Chapter 1 Making The Case For Evidence-Based Practice And Cultivating A Spirit Of Inquiry... 4
Chapter 2 Asking Compelling Clinical Questions ...................................................................... 10
Chapter 3 Finding Relevant Evidence To Answer Clinical Questions ........................................ 16
Chapter 4 Critically Appraising Knowledge For Clinical Decision Making ................................. 22
Chapter 5 Critically Appraising Quantitative Evidence For Clinical Decision Making ............... 28
Chapter 6 Critically Appraising Qualitative Evidence For Clinical Decision Making .................. 35
Chapter 7 Integration Of Patient Preferences And Values And Clinician Expertise Into
Evidence-Based Decision Making ............................................................................................. 41
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines .......................... 47
Chapter 9 Implementing Evidence In Clinical Settings .............................................................. 53
Chapter 10 The Role Of Outcomes And Evidence- Based Quality Improvement In Enhancing
And Evaluating Practice ............................................................................................................. 60
Chapter 11 Implementing The Evidence-Based Practice Competencies In Clinical And
Academic Settings To Ensure Healthcare Quality And Improved Patient Outcomes................ 66
Chapter 12 Leadership Strategies For Creating And Sustaining Evidence-Based Practice
Organizations ............................................................................................................................ 72
Chapter 13 Innovation And Evidence: A Partnership In Advancing Best Practice And High
Quality Care............................................................................................................................... 78
Chapter 14 Models To Guide Implementation And Sustainability Of Evidence-Based Practice86
Chapter 15 Creating A Vision And Motivating A Change To Evidence-Based Practice In
Individuals, Teams, And Organizations ..................................................................................... 92
Chapter 16 Teaching Evidence-Based Practice In Academic Settings ....................................... 98
Chapter 17 Teaching Evidence-Based Practice In Clinical Settings ......................................... 104
Chapter 18 ARCC Evidence-Based Practice Mentors: The Key To Sustaining Evidence-Based
Practice.................................................................................................................................... 110
Chapter 19 Using Evidence To Influence Health And Organizational Policy ........................... 116
Chapter 20 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs,
And The Media ........................................................................................................................ 122
Chapter 21 Generating Evidence Through Quantitative And Qualitative Research ............... 128
,Chapter 22 Writing A Successful Grant Proposal To Fund Research And Evidence-Based
Practice Implementation Project ............................................................................................ 134
Chapter 23 Ethical Considerations For Evidence Implementation And Evidence Generation 141
, Chapter 1 Making The Case For Evidence-Based Practice And Cultivating
A Spirit Of Inquiry
1. In The Hospital Where Nurse L. Provides Care, Tradition Dictates That Oral Temperatures
Be Included In Every Set Of Patient Vital Signs, Regardless Of Patient Diagnosis Or Acuity. This Is
Most Likely An Example Of Which Of The Following Phenomena?
A) The Prioritization Of Internal Evidence Over External Evidence
B) Practice That Lacks Evidence To Support Its Application
C) The Integration Of Personal Expertise Into Nursing Care
D) Evidence-Based Practice
2. The Clinical Nurse Educator (CNE) On A Postsurgical Unit Has Recently Completed A
Patient Chart Review After The Implementation Of A Pilot Program Aimed At Promoting Early
Ambulation Following Surgery. Which Of The Following Components Of EBP Is The Nurse Putting
Into Practice?
A) Patient Preferences
B) Research Utilization
C) Experience
D) Internal Evidence
3. Nurse R. Has Observed That Reorienting Demented Patients As Frequently As Possible
Tends To Minimize The Patients' Level Of Agitation In The Evening. The Nurse Has Shared This
Observation With A Colleague, Who Is Skeptical, Stating That, “It's Best To Stick To Evidence-
Based Practice.” How Can Nurse R. Best Respond?
A) “EBP Can Include Clinicians' Personal Expertise.”
B) “Personal Experience Is Often More Sound Than Formal Evidence-Based Practice.”