Advancing Evidence-Based Practice in Nursing and Healthcare
- 2nd Edition - December 9, 2024
- Editors: Mary Jo Vetter, Kathleen Evanovich Zavotsky
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 3 6 2 1 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 3 7 5 6 - 6
Develop your skills to expertly conduct evidence-based practice (EBP) or quality improvement (QI) projects! Advancing Evidence-Based Practice in Nursing and Healthcare, 2n… Read more
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Request a sales quoteDevelop your skills to expertly conduct evidence-based practice (EBP) or quality improvement (QI) projects! Advancing Evidence-Based Practice in Nursing and Healthcare, 2nd Edition, is a straightforward yet comprehensive guide to planning, implementing, and evaluating EBP and QI projects to improve healthcare quality and outcomes. Building on the legacy built by Geri LoBiondo-Wood and Judi Haber, this edition is newly tailored to meet the goals and strategic priorities of a variety of healthcare settings, with the tenets of ANCC Magnet designation, JCAHO accreditation, and other current regulatory and quality standards integrated throughout. This edition features a new focus on both academic and practice settings, including content informed by recent guidance documents such as The Essentials: Core Competencies for Professional Nursing Education (AACN, 2021), Advancing Healthcare Transformation: A New Era for Academic Nursing (AACN, 2016), and the principles of Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity (NASEM, 2021). Also new to this edition are 10 new chapters (including topics related to the impact of academic practice partners; nurse wellness; diversity, equity, inclusion, and belonging; population health and innovation; new models of evidence-based practice; and more!) and an entirely new unit on Evidence-Based Practice Innovation in Healthcare.
- NEW! Focus on both academic and practice settings includes content informed by recent guidance documents such as The Essentials: Core Competencies for Professional Nursing Education (AACN, 2021), Advancing Healthcare Transformation: A New Era for Academic Nursing (AACN, 2016), and the principles of Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity (NASEM, 2021)
- NEW! Ten additional chapters cover topics related to the impact of academic practice partners; nurse wellness; diversity, equity, inclusion, and belonging; population health and innovation; new models of evidence-based practice; and more — plus an entirely new Evidence-Based Practice Innovation in Healthcare unit
- NEW! Tailored content addresses the goals and strategic priorities of a variety of healthcare settings, with the tenets of ANCC Magnet designation, JCAHO accreditation, and other current regulatory and quality standards integrated throughout
- UPDATED! Evidence-based practice (EBP) and quality improvement (QI) coverage presents the most up-to-date thinking on processes and projects, as well as examples and excerpts from high-quality, published EBP and QI projects
- Additional practice examples help you prepare to apply key concepts to the practice setting
- Increased emphasis on need-to-know content guides you through EBP and QI projects
- Contributions from 48 expert authors from practice and academia share their expertise on the impact of EBP/QI/research on healthcare outcomes
- Straightforward yet comprehensive guidance covers planning, implementation, and evaluation of EBP and QI projects to improve healthcare quality and outcomes
- Logical organization begins with foundational content and then works through the processes of developing EBP and exploring clinical questions, implementing results, evaluating and disseminating information, and innovating in healthcare
Undergraduate and graduate students in nursing and other health professions programs that emphasize evidence-based practice (EBP)
- Title of Book
- Cover image
- Title page
- Table of Contents
- Copyright
- About the Authors
- Contributors
- Introduction
- Acknowledgments
- Part I. Introduction
- 1. Leadership Implications for Evidence-Based Practice, Nursing Practice, and Healthcare
- Scope of Influence
- Leadership Opportunities
- Call to Action
- Conclusion
- 2. Academic–Practice Partnership for the Future of Nursing and Healthcare
- MUTUAL BENEFITS OF Academic–Practice Partnerships
- History
- Academic–Practice Partnership Characteristics
- Operationalizing Academic–Practice Partnerships
- Synthesis
- 3. Overview of Evidence-Based Practice
- Historical Overview
- Definition of Terms
- The National Agenda for Evidence-Based Practice
- Steps of Evidence-Based Practice
- The Evidence-Based Practice Team
- Engaging Consumers in Evidence-Based Practice
- Call to Action
- Synthesis
- 4. Models to Support Evidence-Based Practice Outcomes
- Problem Identification and Nature of the Evidence
- Finding, Leveling, and Grading the Evidence
- Critical Appraisal and Synthesis of Evidence
- Proposing Evidence-Based Practice Recommendations for Action
- Implementation and Dissemination of the Practice Change
- Evaluation of the Practice Change
- Evidence-Based Practice/Quality Improvement/Implementation Science/Research
- Evidence-Based Practice Models
- Quality Improvement Models
- Model for Improvement
- Lean Six Sigma
- Implementation Science (IS) Models
- Consolidated Framework for Implementation Research
- Promoting Action on Research Implementation in Health Services
- Combined Models
- I3 Model
- Evidence-Based Practice Improvement Model
- Synthesis
- Part II. Processes of Developing Evidence-Based Practice and Questions in Various Clinical Settings
- 5. Developing Compelling Clinical Questions
- What Is a Clinical Question?
- Therapy/Intervention
- Diagnosis/Assessment
- Prognosis
- Causation/Harm/Etiology
- Meaning or Process
- Why Are Clinical Questions Important?
- Sources of Clinical Questions
- Types of Clinical/PICOT Questions
- Clinical Questions Differ From Research Questions and Hypotheses
- Synthesis
- 6. Searching the Literature for Evidence
- Production and Communication Of Evidence In Nursing
- Hierarchy and Evidence Types
- Communication Of Evidence
- Discovering Evidence
- Literature Databases
- Indexing and Metadata
- Other Tools and Repositories
- Institutional and Preprint Repositories
- Data Sets, Health Care Statistics, and Trial Registries
- Point-of-Care Tools
- Evidence Awareness Tools, Aggregators, and Alert Services
- Defining Your Evidence Need
- Clinical Questions and Eligibility Criteria
- Background Questions
- Techniques For Searching Databases
- Approaching a Search: Considering Sensitivity and Specificity
- Getting Started: Identifying Core Search Concepts and Descriptive Vocabulary
- Core Concepts and Finding Search Terms
- Identifying Subject Headings
- Structuring a Search Query
- Boolean Operators and Punctuation
- Field Tags and Unqualified Searching
- Refining and Revising a Search
- Filters
- Additional Strategies for Narrowing or Broadening
- When Are You Finished?
- Documenting, Screening, And Organizing Results
- Saving Search Strategies
- Managing and Screening Records
- Appraising And Synthesizing The Evidence
- Critical Appraisal
- Extracting Data from Studies and Synthesizing Findings
- Synthesis
- 7. Principles of Assessing Research Quality
- Issues Relating to Maximizing Applicability of Findings to Practice
- An Objectively Conceptualized Research Question
- Homogeneous Sample
- Data Collection Constancy
- Intervention Fidelity
- Critical Appraisal Criteria
- Internal Validity
- External Validity
- Selection Effects
- Reactive Effects
- Measurement Effects
- Synthesis
- Quantitative Research
- 8. Intervention Studies
- Study Designs
- Experimental Designs
- Quasi-Experimental Designs
- Intent to Implement
- Pilot Studies
- Pragmatic Clinical Trials
- Factorial Designs
- Threats to Validity
- Threats to Internal Validity
- Person Factors
- Measurement or Statistical Factors
- Situational Factors
- Threats to External Validity
- Validity of Statistical Conclusions
- A Final Note About Validity
- Synthesizing Intervention Studies for an Evidence-Based Practice Review
- Scope of the Question
- Selecting Studies for Inclusion in a Synthesis
- Synthesizing the Studies
- Factors in Implementation
- Synthesis
- 9. Observational Studies
- Observational Studies
- Purpose of Observational Studies
- Types of Observational Studies
- Cohort Studies
- Case-Control Studies
- Case Series
- Survey Studies
- Types of Data and Data Analyses in Observational Studies
- Critically Appraising Observational Studies
- Synthesis
- 10. Systematic Reviews and Clinical Practice Guidelines
- Types of Reviews
- Integrative Reviews
- Critically Appraising Systematic Reviews
- Clinical Practice Guidelines
- Implementing Clinical Practice Guidelines in Clinical Practice
- Critical Appraisal of Clinical Practice Guidelines
- Appraising Clinical Practice Guidelines
- Synthesis
- 11. Qualitative Studies
- Qualitative Methodologies And Worldview
- Phenomenology
- Grounded Theory
- Ethnography
- Case Study
- Mixed Methods
- Meta-Synthesis
- Key Differences In Qualitative Methodologies
- Data Analysis
- Scientific Rigor In Qualitative Research
- Synthesis
- 12. Sources of Data to Drive Evidence-Based Practice and Quality Improvement
- Benchmarking
- The Voice of the Patient and Family
- Employee Engagement and Satisfaction Surveys
- Interdisciplinary Relationships
- Patient Safety
- Nursing-Sensitive Indicators
- Workforce Safety
- Health Equity
- Synthesis
- 13. Understanding Statistics for Evidence-Based Practice
- Basic Concepts Applied to an Evidence-Based Project: Data and Design
- Levels of Measurement
- Descriptive and Inferential Statistics
- Descriptive Statistics
- Inferential Statistics
- The Normal Distribution
- Central Limit Theorem in Practice
- Normality Example
- Hypothesis Testing and Probability Values
- Critical Appraisal of Evidence-Based Literature Statistics
- Comparing Differences Between Groups
- Measuring Relationships Between Variables
- Risk Reduction Analysis
- Absolute Measures of Association
- Relative Measures of Association
- Odds Ratio Analysis
- Study Design and Statistical Test Selection
- Interventional Study Designs
- Observational Study Designs
- Studies Involving Diagnostic Tests
- Statistics Common to Prognosis Articles
- Statistics Common to Meta-Analysis
- Implications for Practice Settings
- Synthesis
- Part III. Implementation
- 14. Evidence-Based Approaches for Improving Health Care Quality
- Quality Improvement in Healthcare
- The Clinical Leader’s Role in Health Care Quality Improvement
- National Goals and Strategies for Health Care Quality Improvement
- Quality Strategy Levers
- Measuring Health Care Quality
- Benchmarking
- Common Quality Improvement Perspectives and Models
- Background
- Step 1: Assessment
- PICOT Question:
- Improvement Step 2: Analysis
- Improvement Step 3: Develop a Plan for Improvement
- Improvement Step 4: PDSA Method to Test and Implement the Improvement Plan
- HRO Concepts Applied at the Bedside by RNs11Adapted from Quigley & White (2013).
- Results
- Implications for Clinical Practice and Sustainability
- Quality Improvement Steps and Tools
- Leading a Quality Improvement Team
- Improvement Process Step 1: Assessment
- Improvement Process Step 2: Analysis
- Trending Variation in System Performance With Run and Control Charts
- Graphs
- Cause and Effect Diagrams
- Flowcharting
- Improvement Process Step 3: Develop a Plan for Improvement
- Improvement Process Step 4: Test and Implement the Improvement Plan
- Taking on the Quality Improvement Challenge and Leading the Way
- Synthesis
- 15. Planning for Success
- Overview of an Implementation Model
- The Evidence-Based Practice Topic
- The Team
- Quality Improvement as a Foundation for Implementation
- Principles of Implementation
- Action Plans
- Ethical Considerations for Evidence-Based Practice
- Synthesis
- University of California, San Diego Human Research Protections Program
- Fact Sheet
- EBP/QA/QI Projects
- 16. Launching Implementation
- Implementation Strategies that Address Characteristics of the Clinical Topic
- Implementation Strategies that Address Communication
- Sustainability
- Synthesis
- 17. Implementation Strategies for Stakeholders
- Barriers and Facilitators to Implementation of Evidence-Based Practice
- Barriers to Evidence-Based Practice
- Leadership as an Implementation Strategy
- Implementation Leadership Scale
- Social System
- Organizational Capacity and EBP
- Organizational Context
- Culture of EBP
- EBP Implementation Climate
- Environmental Scan
- Context Assessment
- EBP Climate Scale
- Performance Gap Assessment
- Implementation Strategies
- Stakeholders
- Stakeholder Meetings
- Meetings With Key Leadership Stakeholders
- Meetings With Other Disciplines
- Nurse Manager Meetings
- EBP Leader Meetings
- Academic Partners
- Educational Programs
- Piloting the Change
- Frameworks
- Auditing and Feedback
- Standards of Practice and Documentation Systems
- Recognition and Rewards
- Synthesis
- 18. Patient-Centered Evidence-Based Practices
- Clinical Scenario
- Patient Engagement and Empowerment Through Shared Decision Making
- Evidence to Support Shared Decision Making
- Shared Decision-Making AIDS
- Evidence-Based Methods To Develop Patient Engagement Tools
- Patient Activation
- Health Literacy and Numeracy
- Strategies to Improve Health Literacy and Numeracy
- Moving From Patient-Centered to Person-Centered Care As An Educational Standard
- Patient-Centered Care Strategies For Clinical Practice
- Individual Barriers Against Patient-Centered Care
- Contextual Barriers Against Person-Centered Care
- Challenges to Patient-Centered Care In A Post-COVID World
- Synthesis
- Part IV. Evaluation and Dissemination
- 19. Evaluation of Evidence Based-Practice
- Methods for Evaluation
- What to Measure
- Process Measures
- Outcome Measures
- Patient Outcome Examples
- Clinician Outcome Examples
- Cost Outcomes
- Data Sources
- Changing Measurement During a QI Project
- Psychometrics
- Adapting Measures for Practice
- Analysis and Display of Data
- Statistical Process and Control Charts
- Evaluation Summary for Key Stakeholders
- Synthesis
- 20. Nursing Scholarship
- Academic Implications
- Nursing Implications
- Partnership Implications
- Future Considerations
- Synthesis
- 21. Dissemination
- Principles of Dissemination
- Intended Audience
- Primary Objectives of Dissemination
- Types of Dissemination
- Dissemination Venues
- Traditional Methods
- Poster Presentations
- Oral presentation
- Publications
- Social Media Methods
- Implementation Science and Dissemination of Evidence-Based Practice Projects
- Peer Review and Dissemination
- Abstract Submission
- Peer Review of Abstract
- Manuscript Submission
- Peer Review of Manuscript
- ANCC Magnet Standards for Dissemination
- Strategies to Overcome Barriers to Dissemination
- Dissemination Outside of Academic Spaces
- Implications for Practice Settings
- Synthesis
- Part V. Evidence-Based Practice Innovation in Healthcare
- 22. Doctorally Prepared Nurses: Synergy for Professional Power
- History of Doctorally Prepared Nurses
- Doctoral Nurse Opportunities
- Leadership
- Education
- Practice
- Research/Evidence-Based Practice
- Scientific Inquiry
- Academic–Practice Partnership INFLUENCE
- Future Opportunities for Doctoral Synergy
- Synthesis
- 23. Innovation and New Models of Evidence-Based Care
- Innovation Defined
- Innovation Teams
- Innovation Methodology: Design Thinking
- Design Thinking in the Academic and Clinical Setting
- Use of Artificial Intelligence
- Continue Learning
- Evidence-Based Practice, Innovation, and Research
- ADPIE (Assessment): DT (Empathy)
- ADPIE (Diagnosis): DT (Defining)
- ADPIE (Nursing Outcome/Planning): DT (Ideation)
- ADPIE (Implementation): DT (Prototyping)
- ADPIE (Evaluation): DT: (Testing)
- Nursing Innovation and Technology
- Data, Information, Knowledge, and Wisdom Framework and Artificial Intelligence
- Makerspace
- Innovation at Massachusetts General Hospital (MGH) Through the Center for Innovations in Care Delivery (CICD)
- Ether Dome Challenge for Patient Care Services
- Ether Dome Challenge (EDC) for Patient and Family Advisory Councils (PFACs)
- Dartmouth-Hitchcock Health Systems:
- Intellectual Property
- Implications for Practice Settings/New Models of Care
- Synthesis
- 24. Nursing Informatics
- Historical Background: Why Nursing Informatics?
- History of Nursing Informatics in Education
- Data-Information-Knowledge-Wisdom
- Principles of Nursing Informatics—Scope and Standards of Practice
- Data Use and Evaluation
- Nursing Support Systems for Decision Making
- Future of Nursing Informatics
- Roles of the Nurse Informaticist
- Synthesis
- 25. Population and Public Health
- History of Population Health
- Epidemiology
- Informatics and Population Health
- Data Collection and Data Sets for Population Health
- Where you Live Matters to Your Health
- Social Determinants of Health and Health Equity by U.S. Rankings
- Digital Redlining Checkpoint
- Essential Skills in Population Health
- Population Health Competencies: Essential Skills for Clinical, Educational, and Administrative Leaders for Population Health
- Communication Skills and Community Partnerships
- Leadership and Systems Thinking in Population Health
- The Most Coveted Health Outcome: Happiness
- Implications for Practice
- Synthesis
- 26. Health Policy
- Overview of Policy and Health Policy
- Historical Context of Nursing’s Contribution in Health Policy
- Advancing Health Policy Into Practice
- The Role of Government and Legislative Bodies in Health Policy
- Nurses Impact Health Policy at the Three Levels of Government
- Impact of Health Policy on Nursing Practice
- Harnessing Evidence and Research to Inform Policy
- Roles for Clinical Leaders in Policy
- Addressing Health Disparities Through Policy Interventions
- Synthesis
- 27. Nurse Wellness: An Evolving Concept and Its Connection to Health Care System Outcomes
- The Context for Heightened Attention to Nurse Wellness
- Wellness Frameworks and Links of Wellness to Other Outcomes
- Measures/Indicators of Wellness
- Wellness/Well-Being Interventions
- Interventions Targeting Individuals
- Group/Team Interventions
- Organizational Interventions
- Psychological Safety and Fair and Accountable Systems
- Work–Life Integration
- Entry to Practice and Early Career Interventions
- Policies, Procedure, and Culture Around Mental Health Issues in Health Care Workers
- Employee and Student Assistance Programs
- Implications for Practice Settings
- Synthesis
- 28. Harnessing the Power of Diversity, Equity, Inclusion, and Belonging to Advancing Health Care Systems Outcomes
- Definitions of Diversity, Equity, Inclusion, And Belonging Key Terms and Concepts
- Health Systems and Diversity, Equity, Inclusion, and Belonging: An Overview
- Diversity, Equity, Inclusion, and Belonging and the Workplace
- Impact of a Diversity, Equity, Inclusion, and Belonging Culture on Population and Health Care Outcomes
- Nursing’s Pivotal Role in Advancing Diversity, Equity, Inclusion, and Belonging in Health Care Systems
- Building and Sustaining a Culture of Diversity, Equity, Inclusion, and Belonging in the Workplace
- Diversity, Equity, Inclusion, and Belonging Guiding Frameworks
- Designing, Implementing, Evaluating, and Sustaining Diversity, Equity, Inclusion, and Belonging Programs
- Specific Strategies to Advance Diversity, Equity, Inclusion, and Belonging in Health Care Systems
- Implications for Practice
- Synthesis
- Appendices
- Appendix A. AONL Nurse Leader Core Competencies
- Appendix B. IPEC Core Competencies for Interprofessional Collaborative Practice
- Appendix C. National Institute of Nursing Research 2022–2026 Strategic Plan
- Appendix D. Person-Centered Care
- The relationship between value-based care and person-centered care
- An example of person-centered care
- Person-Centered Care, continued
- Reflection
- Helpful Resources
- Glossary
- Index
- No. of pages: 374
- Language: English
- Edition: 2
- Published: December 9, 2024
- Imprint: Elsevier
- Paperback ISBN: 9780323936217
- eBook ISBN: 9780323937566
MV
Mary Jo Vetter
Chief Clinical Officer Mary Jo Vetter works at the Parker Health Group, Highland Park, New Jersey.
Affiliations and expertise
Chief Clinical Officer, Parker Health Group, Highland Park, New Jersey, USAKZ
Kathleen Evanovich Zavotsky
System Senior Director Kathleen Evanovich Zavotsky works in the Nursing Research and Program Evaluation, Departments of Nursing, NYU Langone Health, New York, NY, USA
Affiliations and expertise
System Senior Director, Nursing Research and Program Evaluation, Departments of Nursing, NYU Langone Health, New York, NY, USA