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NURSING ADMINISTRATION
SEMINAR COURSE
University: Mansoura
Faculty: Nursing
Master Program- 2st semester 2023 - 2024
Prepared by :-
1-Essra Ibrahim alsadah. 5-Aya shaban elsayed ali
2-Esraa hamedo ahmed taha 6- Ayaa adel Mohamed
3-Alaa mohy fouad. 7-Alaa Mohamed fadl
4-Fahad falah awadh 8-Ahmed sabeel Almutairi
9-awadh alhumaidi alharbi.
Under Supervision of:

Prof.Sahar Helaly
EVIDANCE BASED PRACTICE
• Outlines
• Introduction.
• Definition of evidence based practice.
• Definition of evidence based nursing practice.
• Components of evidence based practice.
• Process of evidence based practice.
• Importance of evidence based practice .
• Benefits of evidence based practice .
Intruduction
• Evidence based practice (EBP) is the integration of best research evidence
with clinical expertise and patient values to deliver optimal care. Best
research means clinically relevant, patient centered research studies.
• Evidence based practice (EBP) is an approach that aims to improve the
process through which high quality scientific research evidence can be
obtained and translated into the best practical decisions to improve health.
Heath professionals can play several different roles in the EBP process,
including primary researchers, systematic reviewers and clinicians.
• Evidence based clinical decision making is a combination of not only
research evidence but also clinical expertise, as well as the unique values
and circumstances of individual patients.
Definition of evidence based practice:
• Evidence based practice is the conscientious use of current best evidence
in making clinical decisions about patient care .
• Evidence based practice involves providing holistic, quality care based on
the most up-to- research and knowledge rather than traditional methods,
advice from colleagues, or personal beliefs. Nurses can expand their
knowledge and improve their clinical practice experience by collecting,
processing, and implementing research findings. Evidence-based practice
focuses on what's at the heart of nursing your patient. Learn what
evidence-based practice in nursing is, why it's essential, and how to
incorporate it into your daily patient care
Definition of evidence based nursing :

• "the conscientious, explicit and judicious use of theory-derived, research-
based information in making decisions about care delivery to individuals
or groups of patients and in consideration of individual needs and
preferences.“
• "an ongoing process by which evidence, nursing theory and the
practitioners’ clinical expertise are critically evaluated and considered, in
conjunction with patient involvement, to provide delivery of optimum
nursing care for the individual."
• "an integration of the best evidence available, nursing expertise, and the
values and preferences of the individuals, families and communities who
are served."
What Does EBP Mean for Nurses?
• As an empowering approach to care, EBP gives nurses the tools they need
to become change agents for improved healthcare outcomes. Embodying
an ethic of problem-solving and inquiry, it begins with observation and the
formulation of a question. It continues through the studious pursuit of an
answer through research and integration into care and, ideally, results in
improved conditions and outcomes, both locally and globally, as the
findings are shared.
• Nurses employing EBP become the nexus between a wealth of medical
research and practical experience on the ground. They can standardize
care, decrease medical errors, and bring positive change to their patients,
their communities, and the world.
Component of evidence based practice :

Components of evidence based practice:
• Evidence-based practice: includes the integration of best available
evidence, clinical expertise, and patient values and needs. All three
elements are equally important.
• 1- best research evidence: Clinically relevant research, often from the
basic of medicine sciences, but especially from patient centered clinical
research.
• 2- Clinical expertise: The ability to use our clinical skills and past
experience to rapidly identify each patient’s health states and diagnosis,
their individual risks and benefits of potential interventions.
• 3- Patient's Wants and NeedsThe patient's wants and needs are a key part
Process of evidence based practice :

1) Ask : asking a clear and focused questions , use pico to create a search
question ( population ,intervention , comparison, outcome ) . converting
information needs/problems into clinical questions so they can be
answered .
2) Acquire : finding the evidence , conducting a computerized search with
maximum efficiency for finding the best external evidence with which to
answer the question.

1) Appraise : critically appraising the evidence , critical appraisal is the
process of carefully and systematically examining research to judge its
trustworthiness , and its value and relevance in a particular context .
2) Apply : use the best identified valid and relevant evidence in paitent
care .
3) Assess : asses how well the previous steps worked.
Importance of evidence based practice :
• The impetus for evidence-based practice comes from payor and healthcare
facility pressures for cost containment, greater availability of information,
and greater consumer savvy about treatment and care options. Evidence-
based practice demands changes in education of students, more practice-
relevant research, and closer working relationships between clinicians and
researchers. Evidence-based practice also provides opportunities for
nursing care to be more individualized, more effective, streamlined, and
dynamic, and to maximize effects of clinical judgment. When evidence is
used to define best practices rather than to support existing practices,
nursing care keeps pace with the latest technological advances and takes
advantage of new knowledge developments.
Benefits of evidence based practice :

• Benefits of evidence based practice.
• 1-Promotes positive patient outcomes.
• 2-Reduces health care costs by preventing complications .
• 3-Contributes to the growth of the science of nursing.
• 4-Allows for incorporation of new technologies into health care practice.
• 5-Increases nurse autonomy and confidence in decision-making.
• 6-Ensures relevancy of nursing practice with new interventions and care protocols .
• 7-Provides scientifically supported research to help make well-informed decisions.
• 8-Fosters shared decision-making with patients in care planning.
• 9-Enhances critical thinking .10-Encourages lifelong learning.
Hierarchy of evidence based practice :
• The nursing research pyramid, or nursing research hierarchy of evidence,
provides a visual and systematic depiction of forms of research from the
least reliable (base) to the most reliable (apex). The pyramid includes both
qualitative and quantitative paradigms. Pyramids vary slightly from source
to source which can be confusing. To further add to the varying
hierarchies “there is currently no universally agreed upon hierarchy of
evidence for study types that seek to answer questions about patient’s
experiences and concerns (Del Mar et al 2013 p.29). Figures 1 and 2 are
discussed in the main part of this article
Fields of evidence based practice :
• ▪ Evidence based nursing
• ▪ Evidence based medicine
• ▪ Evidence based education
• ▪ Evidence based administration
• ▪ Evidence based management
• ▪ Evidence based pharmacy
Barriers of evidence based practice :

• -inadequate knowledge and skills
• -poor access to good quality relevant research
• -lack of timely research output-
• Ability to access and assess evidence
• -Local Environment
• -Financial and human resources
• -Workplace culture
• -Clinical skills-
Barriers of evidence based practice :
Conclusion :
• An understanding of the pyramid of evidence will lead the nurse to
appreciate and identify which levels of research are more reliable. Nurses
need to be competent in evaluating the strengths and weaknesses of
research studies and the applicability of them in relation to their working
environment (Jirojwong and Welch 2013 p.5; Levett-Jones 2013; Nursing
and Midwifery Board of Australia 2013; Stevens 2013). Nurses have a
responsibility to contribute to the development of the profession’s
knowledge through research

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NURSING ADMINISTRATION

Under Supervision of:

Definition of evidence based nursing :

Component of evidence based practice :

Process of evidence based practice :

Process of evidence based practice :

Benefits of evidence based practice :

Barriers of evidence based practice :

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