What is the latest on EBP? Check out these recent articles…

1: BMJ. 2008 Apr 26;336(7650):924-6.

GRADE: an emerging consensus on rating quality of evidence and strength of

recommendations.

Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann
HJ; GRADE Working Group.

Collaborators: Alderson P, Alonso-Coello P, Andrews J, Atkins D, Bastian H, de
Beer H, Brozek J, Cluzeau F, Craig J, Djulbegovic B, Falck-Ytter Y, Fervers B,
Flottorp S, Glasziou P, Guyatt G, Harbour R, Haugh M, Helfand M, Helfand M,
Jaeschke R, Jones K, Kunnamo I, Kunz R, Liberati A, Marzo M, Mason J, Mrukovics
J, Norris S, Oxman A, Robinson V, Schünemann H, Tan Torres T, Tovey D, Tugwell P,
Tuut M, Varonen H, Vist G, Wittington C, Williams J, Woodcock J.

Department of Clinical Epidemiology and Biostatistics, McMaster University,
Hamilton, ON, Canada L8N 3Z5. guyatt@mcmaster.ca

PMID: 18436948 [PubMed - indexed for MEDLINE]

2: Medsurg Nurs. 2008 Feb;17(1):55-60.

Nurse knowledge, skills, and attitudes related to evidence-based practice: before

and after organizational supports.

Munroe D, Duffy P, Fisher C.

School of Nursing, Northern Illinois University, DeKalb, IL, USA.

Publication Types:
Evaluation Studies

PMID: 18429543 [PubMed - indexed for MEDLINE]

3: J Contin Educ Nurs. 2008 Apr;39(4):166-72.

Nurses reclaiming ownership of their practice: implementation of an

evidence-based practice model and process.

Reavy K, Tavernier S.

Boise State University, Department of Nursing, Boise, Idaho 83725-1840, USA.

This article describes a new model and process to implement evidence-based
practice. This model builds on concepts from the Iowa Model of Evidence-Based
Practice, the Stetler model, and Rosswurm and Larrabee's model. The new model
focuses on the centrality and involvement of staff nurses in making
evidence-based practice clinical changes. Two figures illustrate the model and
the implementation process. A detailed case study based on the model is included.
Barriers identified in the literature review are addressed in the case study.
Implementation of this model creates opportunities for staff nurses to recognize
ownership of their practice and their role in changing the practice setting to a
culture of evidence-based practice.

PMID: 18429370 [PubMed - indexed for MEDLINE]

4: J Contin Educ Nurs. 2008 Mar;39(3):105-9; quiz 110-1.

Increasing understanding of nursing research for general duty nurses: an

experiential strategy.

Sawatzky-Dickson DM, Clarke DE.

Health Sciences Centre, Winnipeg, Manitoba, Canada.

Misconceptions and trepidation about research abound among practicing nurses.
However, in light of the movement toward increasing accountability to consumers
and the concurrent drive toward evidence-based practice, the need for nursing
research can no longer be ignored. Innovative approaches to augment nurses'
training and education in research and evidence-based practice must be
incorporated into continuing education programs. The Nursing Research and
Evidence-Based Practice Committee of a large tertiary care teaching hospital in
Winnipeg, Manitoba, Canada, developed a series of opportunities for staff nurses
to participate in research projects and have ongoing exposure to the steps in the
research process. The Great Canadian Cookie Experiment was an opportunity to
participate in quantitative research. Qualitative data from patients' thank you
cards were analyzed in an interactive fashion during luncheon seminars held
during Nursing Week in 2 subsequent years. A survey of nurses who participated in
the luncheon seminars indicated an overall increase in their knowledge about
qualitative research methods and an appreciation for participating in the process
of nursing research. Continued visibility of nursing research will contribute to
changing nurses' attitudes toward fostering an evidence-based approach to
clinical practice.

PMID: 18386697 [PubMed - indexed for MEDLINE]

5: Int J Nurs Terminol Classif. 2008 Jan-Mar;19(1):14-9.

An exemplar of the use of NNN language in developing evidence-based practice

guidelines.

Kautz DD, Van Horn ER.

University of North Carolina at Greensboro, NC, USA. ddkautz@uncg.edu

PURPOSE. To explore the use of standardized language, NNN, in the development of
evidence-based practice (EBP). DATA SOURCES. Published research and texts on
family interventions, nursing diagnoses (NANDA-I), nursing interventions (NIC),
and nursing outcomes (NOC). DATA ANALYSIS. Research literature was summarized and
synthesized to determine levels of evidence for the NIC intervention Family
Integrity Promotion. CONCLUSIONS. The authors advocate that a "standards of
practice" category of levels of evidence be adopted for interventions not
amenable to randomized controlled trials or for which a body of research has not
been developed. Priorities for nursing family intervention research are
identified. IMPLICATIONS FOR NURSING PRACTICE. The use of NANDA-I nursing
diagnoses, NIC interventions, and NOC outcomes (NNN language) as research
frameworks will facilitate the development of EBP guidelines and the use of
appropriate outcome measures.

Publication Types:
Review

PMID: 18331480 [PubMed - indexed for MEDLINE]

6: J Nurs Manag. 2008 Apr;16(3):334-43.

Examining the knowledge, attitude and use of research by nurses.

Bonner A, Sando J.

School of Nursing Sciences, James Cook University, Cairns, Australia.
abonner@csu.edu.au

AIM: This study sought to determine the knowledge, attitudes and use of research
by nurses. BACKGROUND: There is little evidence about whether nurses are aware of
using research and how much research they use in their clinical practice. METHOD:
Using a descriptive design, 347 registered and Enrolled Nurses completed the
Edmonton Research Orientation Survey. RESULTS: Senior Nurse Managers were more
likely to have a positive attitude towards research, and completion of university
subjects on nursing research was significant in determining attitude and
knowledge of research. All nurses, regardless of position identified barriers to
performing research. CONCLUSION: Nurses require specific research education,
clinical nursing leadership and work environments conducive to ensure practice is
evidenced-based. IMPLICATIONS FOR NURSING MANAGEMENT: A positive attitude towards
research by Senior Nurse Managers has the potential to influence other nurses in
establishing an active nursing research culture and promote evidence-based
practice in the workplace.

Publication Types:
Research Support, Non-U.S. Gov't

PMID: 18324993 [PubMed - indexed for MEDLINE]

7: J Nurs Manag. 2008 Apr;16(3):327-33.

Increasing research evidence in practice: a possible role for the consultant

nurse.

Chummun H, Tiran D.

School of Health & Social Care, University of Greenwich, London, UK.
n.h.chummun@gre.ac.uk

AIMS: To determine the extent to which clinical nursing practice has adopted
research evidence. To identify barriers to the application of research findings
in practice and to propose ways of overcoming these barriers. BACKGROUND: Way
back in 1976, nursing and midwifery practice started adopting research evidence.
By 1990s, there was some transparency of research evidence in practice, but more
could have been done to widen its adoption. Many barriers were identified which
could hinder implementation of the evidence in practice, and the effort to remove
these remains weak. EVALUATION: 25 research articles from across Europe and
America were selected, and scrutinized, and recommendations analysed. FINDINGS:
Many clinical practitioners report a lack of time, ability and motivation to
appraise research reports and adopt findings in practice. The clinical
environment was not seen as research friendly as there were a general lack of
research activities and facilities locally. There was a clear lack of research
leadership in practice. IMPLICATION FOR NURSING MANAGEMENT: This paper reviewed
the research evidence from several published research papers and provides
consultant nurses with practical suggestions on how to enhance research evidence
application in their practice. It recommends how consultant nurses can make their
practice more research transparent by providing the required leadership, creating
a research-friendly organization, developing a clear research agenda and
facilitating staff develop a local research framework for reading research and
implementing research evidence in their practice.

Publication Types:
Review

PMID: 18324992 [PubMed - indexed for MEDLINE]

8: J Gen Intern Med. 2008 May;23(5):635-40. Epub 2008 Jan 5.

Tips for teachers of evidence-based medicine: understanding odds ratios and their

relationship to risk ratios.

Prasad K, Jaeschke R, Wyer P, Keitz S, Guyatt G; Evidence-Based Medicine Teaching
Tips Working Group.

Department of Neurology, Neurosciences Centre, All India Institute of Medical
Sciences, New Delhi, India.

Publication Types:
Review

PMID: 18181004 [PubMed - indexed for MEDLINE]