Table of Contents
Unit 1 Steps 0, 1, and 2: Getting Started 1
Chapter 1 Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry 7
Chapter 2 Asking Compelling Clinical Questions 37
Chapter 3 Finding Relevant Evidence to Answer Clinical Questions 62
Unit 1 Making EBP Real: A Success Story. Improving Outcomes in Intensive Care Through Adherence to an Evidence-Based Sedation Protocol 105
Unit 2 Step 3: Critically Appraising Evidence 115
Chapter 4 Critically Appraising Knowledge for Clinical Decision Making 115
Chapter 5 Clinician Expertise and Patient-Valued Preferences as Context for Critical Appraisal for Evidence-Based Decision Making 171
Chapter 6 Critically Appraising Quantitative Evidence for Clinical Decision Making 189
Chapter 7 Critically Appraising Qualitative and Mixed Methods Evidence for Clinical Decision Making 266
Chapter 8 Advancing Optimal Care With Robust Clinical Practice Guidelines 302
Unit 2 Making EBP Real: A Success Story. Diabetic Foot Care in Hispanic Females With Type II Diabetes: An Evidence-Based Quality Improvement Initiative 327
Unit 3 Steps 4 and 5: Moving From Evidence to Sustainable Practice Change 343
Chapter 9 Key Strategies for Implementing Evidence in Real-World Clinical Settings 347
Chapter 10 The Role of Quality Improvement and Evidence-Based Quality Improvement in Practice Change 365
Chapter 11 Implementing the Evidence-Based Practice Competencies in Clinical and Academic Settings to Enhance Healthcare Quality, Safety, and Patient Outcomes 394
Chapter 12 Leadership Strategies for Creating and Sustaining Evidence-Based Practice Organizations 410
Unit 3 Making EBP Real: A Success Story. Improving Outcomes for Depressed Adolescents With the Brief Cognitive Behavioral Skills Building COPE Intervention Delivered in 30-Minute Outpatient Visits 429
Unit 4 Creating and Sustaining a Culture and Environment for Evidence-Based Practice 435
Chapter 13 Innovation and Evidence: A Partnership in Advancing Best Practice and High-Quality Care 441
Chapter 14 Models to Guide Implementation and Sustainability of Evidence-Based Practice 466
Chapter 15 Implementation Science to Clinical Practice Settings: Accelerating the Uptake of Evidence Into Practice for Best Outcomes 519
Chapter 16 Evidence-Based Practice Mentors: The Key to Sustaining Evidence-Based Practice in Clinical and Educational Settings 536
Chapter 17 Creating a Vision and Motivating a Change to Evidence-Based Practice in Individuals, Teams, and Organizations 548
Chapter 18 Teaching Evidence-Based Practice in Academic Settings 566
Chapter 19 Teaching Evidence-Based Practice in Clinical Settings 615
Unit 4 Making EBP Real: A Success Story. Skilled Nursing Facility Readmissions: An Evidence-Based Telemedicine Innovation Project 634
Unit 5 Step 6: Disseminating Evidence and Evidence-Based Practice Implementation Outcomes 645
Chapter 20 Using Evidence to Influence Health and Organizational Policy 649
Chapter 21 Disseminating Evidence Through Presentations, Publications, Health Policy Briefs, and the Media 664
Unit 5 Making EBP Real: A Success Story. Taking a Moment: Evaluating Perceptions of Burnout and Wellbeing in Bone Marrow Transplant Nurses Using a Mindfulness Smartphone App 718
Unit 6 Generating External Evidence and Writing Successful Grant Proposals 727
Chapter 22 Generating Evidence Through Quantitative and Qualitative Research 731
Chapter 23 Writing a Successful Grant Proposal to Fund Research and Evidence-Based Practice Implementation Projects 777
Chapter 24 Ethical Considerations for Evidence Implementation and Evidence Generation 806
Unit 6 Making EBP Real: A Success Story. COPE/Healthy Lifestyles TEEN: A School-Based RCT 827
Appendix A Question Templates for Asking PICOT Questions 834
Appendix B PICOT Question to Systematic Search Strategy: Development and Use Worksheet Example 836
Appendix C General Appraisal Overview for All Studies 842
Appendix D Evaluation Table Template and Synthesis Table Examples for Critical Appraisal 847
Appendix E ARCC © Model Timeline for an EBP Implementation Project 851
Appendix F Sample Instruments to Evaluate EBP in Educational Settings 854
Appendix G Title Short Versions of Instruments to Evaluate EBP in Clinical Settings 863
Appendix H Instruments to Assess the EBP Competencies and EBP Mentorship in Any Setting 866
Glossary 870
Index 889
