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St. Joseph's Medical Center: Nursing Resources

Providing quality information and services to support patient care and clinical research

Evidence Base Nursing Practice

"Clinical decision making based on the simultaneous use of the best evidence, clinical expertise, and patients' values."

Larrabee, J. H. (2009). Nurse to nurse: Evidence-based practice. New York: McGraw-Hill. 

Steps in the Evidence-Based

Nursing Process

The Patient
The Patient

1. Start with the patient – a clinical problem or question arises out of the care of the patient.
The Question
The Question
2. Construct a well built clinical question derived from the case.
The Resource
The Resource
3. Select the appropriate resource(s) and conduct a search.
Evaluation
Appraise the Literature
4. Appraise that evidence-based literature for its validity (closeness to the truth) and applicability (usefulness in clinical practice).
The Patient
Assess the Evidence
5. Bring the results of your assessment of the literature to the Research and Evidence-Based Nursing Practice Council (REBNPC)to determine if the evidence, combined with clinical expertise and patient preferences, supports a change in nursing practice.
Self-Evaluation
Implementation of Nursing Clinical Change in Practice  
6. If approved, the REBNPC will work with you to establish and to evaluate the clinical change in practice. 

Inspired by the tutorial provided by 
Duke University Medical Center Library and Health Sciences Library.

Nursing Tutorial -- Evidence-Based Practice

Magnet Program

The ANCC model for the Magnet Recognition Program® serves as a road map for organizations seeking Magnet recognition.