Igniting Evidence-Based Practice in Healthcare Education精编.pdf

Igniting Evidence-Based Practice in Healthcare Education Bernadette Melnyk, PhD, RN, CPNP/NPP, FAAN, FNAP Dean Distinguished Foundation Professor in Nursing Associate Editor, Worldviews on Evidence-Based Nursing Member, United States Preventive Services Task Force In God We Trust,In God We Trust, EveryoneEveryoneEveryoneEveryone ElseElseElseElse MustMustMustMust Bring Data!Bring Data! EvidenceEvidence--Based PracticeBased Practice Evidence-based practice (EBP) is a problem solving approach to clinical practice that integrates the conscientious use of best evidence in combination with a clinician’s expertiseexpertise asas wellwell asas patientpatient preferencespreferences andand values to make decisions about the type of care that is provided. Resources must be considered in the decision-making process as well. 1 The Merging of Science and Art: EBP within a Context of Caring EBP Culture Results in the Highest Quality of Patient Care EBP Organizational Culture © Melnyk Fineout-Overholt, 2003 Context of Caring Research Evidence Evidence-based Theories Clinical Expertise (includes Quality evidence from patient assessment Clinical Decision- Patient resources necessary to achieve making Outcomes outcomes) Patient Preferences and Values An Example of When Patient Preferences “Trump” the