The 5 Steps of EBP
Evidence-based practice consists of five steps:
1. Ask a searchable clinical question;
2. Find the best evidence to answer the question;
3. Appraise the evidence;
4. Apply the evidence with clinical expertise, taking the patient's wants/needs into consideration;
5. Evaluate the effectiveness and efficiency of the process.
Use the tabs of this LibGuide to learn:
- how to ask a searchable clinical question;
- what to look for;
- where to search for the best evidence;
- how to appraise the evidence you find.
Source: Strauss, S. E. Evidence-Based Medicine: How to Practice and Teach EBM. New York: Churchill Livingstone, 2005.
Evidence-Based Practice, Step by Step
Written from 2009 - 2011, AJN’s Series is developed to give nurses the knowledge and skills they need to implement EBP consistently, one step at a time. The case scenario used throughout is Rapid Response Teams.
What is EBP
Evidence-based medicine (EBM) or evidence based practice (EBP), is the judicious use of the best current evidence in making decisions about the care of the individual patient. EBP also integrates clinical expertise and takes patient desires, values, and needs into consideration.
Dr. David Sackett and his colleagues at McMasters University in Ontario, Canada, initially proposed EBM.
Sackett DL, Straus SE, Richardson WS, et. al. Evidence-Based Medicine: How to Practice and Teach EBM. Edinburgh: Churchill Livingstone, 2000.
EBP differs slightly from EBM, in that it is an umbrella term of sorts; it encompasses evidence-based medicine, evidence-based nursing, evidence-based physical therapy, evidence-based dentistry, etc.
Johns Hopkins Evidence Based Practice Model
From Johns Hopkins nursing evidence-based practice : Models and Guidelines
Dearholt, S., Dang, Deborah, & Sigma Theta Tau International. (2012). Johns Hopkins Nursing Evidence-based Practice : Models and Guidelines.
Evidence Based Practice for Nursing Students
Consise explanation of the steps and process of ebp for nursing. Sponsored by McMaster University's Health Science Library with links to resouces.
JAMA Evidence (requires logn for off-campus access)
An evidence based practice learning tool, which contains the two core textbooks, education guides, calculators, PowerPoint slide sets, and worksheets to assist users with the study and understanding of evidence based practice concepts.
University of Toronto Centre for Evidence-based Medicine
The website that accompanies the evidence-based practice text by Sackett et al. (2000) entitled "Evidence-Based Medicine: How to practice and teach EBM". It contains links for a glossary of EBP terms, worksheets for critically appraising individual articles on diagnosis, therapy, prognosis, etc. among other resources, including handy online calculators for plugging in numbers to determine sensitivity, specificity, number needed to treat, odds ratios, etc.
*For a copy of the Iowa Model of EBP, complete this online request form.