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PICO(T) for Clinical Questions
Healthcare professionals sometimes use the PICO or PICOT format to develop keywords for searching of clinical questions where:
- P - Patient or Population or Problem
- I - Intervention or prognostic factor of interest
- C - Comparison to intervention
- O - Outcome of interest
- T - Time (sometimes included)
For more information on Evidence-Based Practice and using PICO to develop a clinical research question, please read:
Asking the compelling question. (2019). In M. Godshall, Fast fact for evidence-based practice: Implementing EBP in a nutshell. Springer Publishing Company.
Information about Practicing EBP
Evidence Based Care Sheets
Evidence-Based Complementary and Alternative Medicine
Evidence-Based Complementary and Alternative Medicine (eCAM) is an international, peer-reviewed journal that seeks to understand the sources and to encourage rigorous research in this new, yet ancient world of complementary and alternative medicine.
Evidence-Based Nursing systematically searches a wide range of international medical journals applying strict criteria for the validity of research and relevance to best nursing practice. Content is critically appraised then the most relevant articles are summarised into a succinct expert commentary focusing on the papers key findings and implications for clinical practice.
Systematic Reviews encompasses all aspects of the design, conduct and reporting of systematic reviews. The journal aims to publish high quality systematic review products including systematic review protocols, systematic reviews related to a very broad definition of health, rapid reviews, updates of already completed systematic reviews, and methods research related to the science of systematic reviews, such as decision modeling. The journal also aims to ensure that the results of all well-conducted systematic reviews are published, regardless of their outcome
Worldviews on Evidence-Based Nursing
Worldviews on Evidence-Based Nursing is a peer-reviewed, evidence-based nursing journal, is a primary source of information to improve patient care. Each bimonthly issue contains knowledge synthesis and original articles with best practice applications, recommendations for clinical practice, nursing education, administration, and public healthcare policy.
Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals, Fourth Edition by Deborah Dang; Sandra Dearholt; Kim Bissett; Madeleine Whalen; Judith Ascenzi
Awarded third place in the 2021 AJN Book of the Year Awards in Professional Development! The dynamic and competitive US healthcare environment requires healthcare professionals who are accountable to provide efficient and effective care. New evidence is continually surfacing in nursing and medical environments. Consumer pressure and increased patient expectations place an even greater emphasis on the need for healthcare professionals to deliver true evidence-based care in their daily practice. Johns Hopkins Nursing is steadfastly dedicated to making it easy for frontline nurses, health professionals, and students to use best evidence in their everyday practice. With each edition, we revise based on the honest, frank, and generous feedback we receive from frontline users of the Johns Hopkins Evidence-Based Practice Model from across the globe. In this fourth edition, we are excited to be able to share these changes. The 2021 revised JHEBP Model underscores the need for organizations to cultivate both a spirit of inquiry and an environment of learning that encourages questioning and seeking best evidence and its implementation and adoption in practice. Although our model was developed, tested, and implemented by and for nurses, we have had numerous requests and feedback from other health professionals to use the Hopkins model. Thus, we introduce the fourth edition with a new title-Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals. This change reflects the growing evidence base of the importance for interprofessional collaboration and teamwork, particularly when addressing complex care issues such as those often tackled by EBP teams. In this edition, our overarching aim is to provide practical and pragmatic explanations, approaches, and tools to guide and support teams engaging in EBP projects: We explicitly reflected the interprofessional nature of the EBP process and its use by all disciplines who serve, interact with, and care for those who seek services.We revised the flow of the book chapters across the sections to reflect the progression of steps in the EBP process.We included a new introduction for the evidence section that includes background on the use of evidence hierarchies, tips for differentiating research from quality improvement, and further explanation of the summary and synthesis steps in the evidence process.We provided real-world examples for how to complete all tools using feedback from our global users as well as tried and tested helpful hints.We added a new chapter to expand and amplify strategies for dissemination that includes how to create a dissemination plan, audience-specific recommendations for internal and external dissemination venues, details of the pros and cons of different types of dissemination, guidance on submitting manuscripts for publication, and an overview of the journal review process.Chapter-specific enhancements: Chapter 3: Defines critical thinking and clinical reasoning and differentiates their use in the PET process.Chapter 4: Outlines stakeholder selection criteria and an algorithm to determine the need for an EBP project.Chapter 5: Includes new information on the literature screening process to navigate a large number of results Chapter 6: Provides useful clarifications of research approaches, designs, and methods with a focus on frontline staff as the target audienceChapter 8: Includes revised synthesis and translation steps; assesses risk prior to translation; prioritizes translation models accessible to frontline staff with a focus on the QI methodology and PDSA; and describes an expanded list of outcome measures to determine the success of an EPB project.
Publication Date: 2021-07-15
Leadership for Evidence-Based Innovation in Nursing and Health Professions by Daniel Weberg; Sandra Davidson; Kathy Malloch; Tim Porter-O'Grady
Where Evidence-Based Practice Meets InnovationHealthcare organizations require both innovation and evidence-based practice to build systems that will support the future of improved care. Leadership for Evidence-Based Innovation in Nursing and Health Professions, Second Edition addresses the core competencies and behaviors required to be an innovative leader. This text fulfills the market need for an advanced practice resource focused on how to address new and emerging sources of evidence-based practice that can inform, translate and scale the complexity of leading innovation in healthcare organizations. The Second Edition has been heavily revised and updated to refine the focus on leadership of innovation and place less foundational focus on evidence-based practice process. In addition to a strong revision to the organization and updated content, this unique text features three new chapters discussing workarounds as a source of innovation, performance improvement leadership vs. innovation methodology and the use of evidence in both, and a technology primer for nusing leaders.Leadership for Evidence-Based Innovation in Nursing and Health Professions, Second Edition takes a patient-centered approach, discusses the perspectives on the dynamic of innovation and evidence as well as emerging competencies for leaders of healthcare innovation. To address the core competencies the text is expertly organized into four sections: Section 1 Addresses the current landscape of evidence in innovation, Section 2 Examines new sources of evidence including technology and big data, Section 3 Discusses strategies for measuring innovation at a variety of system levels, and Section 4 Provides strategies to synthesize and disseminate evidence to advance innovation in healthcare.
Publication Date: 2019-10-14
The PEACE Model Evidence-Based Practice Guide for Clinical Nurses by Joyce Fitzpatrick (Editor); Reynaldo Rivera (Editor)
Nurses are in charge of the patients and their families throughout the hospital and health system experience. They assist patients through illness to achieve higher levels of health. They coordinate the care throughout the patients' experiences with the healthcare system. Nurses are the leaders of patient care at the bedside and beyond. It is important that as clinical leaders, nurses have the most accurate, most up-to-date, and evidence-based information available so that they can always do the right thing. The PEACE model develops clinical nurses as leaders in care of both patients and their families. Clinical nurses, those at the point of care, have embraced this model for guiding their practice. The PEACE model helps clinical nurses solve challenging problems through a rigorous evidence-based practice process-from problem identification to evaluation and dissemination. The crux of the PEACE model is the mnemonic that simplifies the evidence-based practice (EBP) process for clinical nurses. The PEACE model is used across NewYork-Presbyterian (NYP), one of the nation's most comprehensive academic healthcare delivery systems. NYP is composed of 10 hospitals in New York and employs more than 11,000 nurses across the enterprise. One striking advantage of the model is that it emerged from the work of clinical nurses who were struggling to find a way to remember and apply the components of other EBP models. Clinical nurses have indicated that the components of the PEACE model make the model memorable and useful: P for problem identification E for evidence review A for appraising the evidence C for changing practice or conducting research E for evaluating and disseminating the findings The last stage of the PEACE model is particularly important to advancing nursing practice across institutions. We have found that unless the model results are disseminated through scholarly presentations and publications, the clinical challenges continue to be present across sites and institutions. We emphasize this phase and conduct publication workshops to help clinical nurses shape the dissemination of their EBP work. Nurses' active participation in EBP and research is critical to improving the care we provide to patients and furthering nursing science. It is important to note that the design of the PEACE model intentionally linked EBP, quality improvement (QI), and research. The mnemonic PEACE promotes understanding and application by clinical nurses, providing a way to easily remember the EBP component stages. The uniqueness of the PEACE model is its simplicity. This relevance leads to continued application in day-to-day nursing practice. As we strive for peace at many levels of our lives and work, the mnemonic is easy to remember. The PEACE model may be adapted to any setting where nurses practice.
Publication Date: 2021-01-15
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