College of Nursing Guide

Evidence-Based Practice (EBP) is the framework for your clinical decision-making process. It is the integration of

• your knowledge, skills, and past experience (Clinical Expertise);
• the unique preferences, concerns and expectations of your patient (Patient Characteristics); and
• valid and clinically relevant research (Best Evidence).

source

EBP, Step by Step:  Article series from The American Journal of Nursing

Written from 2009 - 2011, a series of articles written to give nurses the knowledge and skills they need to implement EBP consistently, one step at a time. 

• Igniting a Spirit of Inquiry
• The Seven Steps of Evidence-Based Practice
• Asking the Clinical Question: A Key Step in Evidence-Based Practice 
• Searching for the Evidence
• Critical Appraisal of the Evidence: Part I
• Critical Appraisal of the Evidence: Part II: Digging deeper—examining the "keeper" studies.
• Critical Appraisal of the Evidence Part III
• Following the Evidence: Planning for Sustainable Change
• Implementing an Evidence-Based Practice Change
• Rolling Out the Rapid Response Team
• Evaluating and Disseminating the Impact of an Evidence-Based Intervention: Show and Tell
• Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model

A framework for understanding the process of practicing evidence-based care:

• Review the Situation (Assess)

• Define the clinical problem as a question (Ask)

• Select resources, design a strategy, and search for the answer (Acquire)

• Summarize the evidence yield (Appraise)

• Apply the evidence

Sources: Centre for Health Evidence & UT Health Briscoe Library

Other Theoretical Models

Larabee Model of Evidence-Based Practice (Rosswurm & Larrabee, 1999)

Stetler Model (Stetler, 2001)

Ace Star Model (Stevens, 2004)

Knowledge-to-Action Framework (Graham et al., 2006)

Caldonian Development Model (Tolson, Booth, & Lowndes, 2008)

Evidence-Based Practice Model for Staff Nurses (Reavy & Tavernier, 2008)