Evidence-based practice (EBP) is the process of collecting, processing, and implementing research findings to improve clinical practice, the work environment, or patient outcomes. Evidence-Based Practice uses the best available evidence to make informed patient-care decisions. It compares current professional and clinical practices with new research facts and outcomes as they emerge and asks if current nursing interventions are the most effective or the safest for patients. EBP uses the evidence from clinical research as the basis for clinical decision-making. According to the American Nurses Association (ANA), nursing interventions should be practical, methodical decisions based on EBP research studies. EBP provides the highest quality and most cost-efficient patient care possible (Chrisman et. al., 2014).
Evidence Based Medicine
Evidence Based Practice is an offshoot of Evidence Based Medicine. According to Sackett (1996), Evidence Based Medicine (EBM) is:
The conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence-based medicine requires integration of individual clinical expertise and patient preferences with the best available external evidence from systematic research.
Historically, EBM primarily involved physicians and focused on the “treatment” aspect of medicine. EBP takes a more multidisciplinary approach (nurses, clinicians, NPs, PAs, physical & occupational therapists, etc. and includes many facets of health such as etiology, prevention, diagnosis, treatment, and more (What is the difference, n.d).
One of the greatest achievements of Evidence Based Medicine has been the development of systematic reviews and meta-analyses, methods by which researchers identify multiple studies on a topic, separate the best ones and then critically analyze them to come up with a summary of the best available evidence (Masic et al., 2008).
Evidence Based Practice in Nursing
Evidence-based practice is a conscientious, problem-solving approach to clinical practice that incorporates the best evidence from well-designed studies, patient values and preferences, and a clinician's expertise in making decisions about a patient's care (Evidence-based practice, n.d)
A short video from Steely Library at Northern Kentucky University about the concept of Evidence-Based Practice.
Chrisman, J., Jordan, R., Davis, C., & Williams, W. (2014). Exploring evidence-based practice research. Nursing Made Incredibly Easy, 12(4), 8–12.
Evidence-based practice (n.d.). Nurse.com. https://www.nurse.com/evidence-based-practice
What is the difference between evidence-based medicine (EBM) and evidence-based practice (EBP)? (2017, March 17). Ask Ovid Support. https://wkhealth.force.com/ovidsupport/s/article/What-is-the-difference-between-Evidence-based-Medicine-EBM-and-Evidence-based-Practice-EBP-1490023372004