An Introduction to Evidence-Based Practice for Nursing & Midwifery Students
- Construct a relevant, answerable question from a clinical case.
- Plan and carry out a search of the literature for the best external evidence:
- Critically appraise the literature for validity and applicability.
- Apply the evidence to your clinical practice.
- Evaluate your performance
- Flemming K. EBN notebook. Asking answerable questions. Evidence-Based Nursing 1998;1:36-37.
- Formulating Answerable Clinical Questions (Centre for Evidence-Based Medicine, Mount Sinai Hospital)
- The Well-Built Clinical Question (Duke University Medical Center Library and Health Sciences Library, UNC-Chapel Hill)
- Formulating Patient Centered Questions (University Library, University of Illinois at Chicago)
- Asking Focused Questions (Centre for Evidence-Based Medicine, Oxford)
Hierarchy of pre-processed evidence
[Adapted from Dicenso A, Bayley L, Haynes RB (2009). Accessing pre-appraised evidence: fine-tuning the 5S model into a 6S model. Evidence-Based Nursing, 12,99-101]
“An evidence-based clinical information system integrates and concisely summarizes all relevant and important research evidence about a clinical problem, is updated as new research evidence becomes available, and automatically links (through an electronic medical record) a specific patient’s circumstances to the relevant information."
"These include clinical pathways or textbook summaries that
integrate evidence-based information about specific clinical
problems and provide regular updating."
- Best Practice Guidelines (Registered Nurses Association of Ontario)
- Endorsed Guideline Summaries (Guideline Advisory Committee (GAC))
- No longer being updated as of February 2010
- CMA Infobase: clinical practice guidelines -- Canadian Medical Association
- National Guideline Clearinghouse (United States)
- National Institute for Health and Clinical Evidence (NICE - UK)
- Additional sources for Midwifery guidelines
- Clinical Evidence
- PIER:The Physicians' Information and Education Resource (adult and internal medicine) [Available through STAT!Ref]
“...a synopsis that summarizes the findings of a high-quality systematic review can often provide sufficient information to support clinical action"
- NHS Centre for Reviews and Dissemination (CRD) Databases, including:
- health-evidence.ca "Promoting evidence based decision making"
- Evidence-Based Child Health: A Cochrane Review Journal
- Evidence-Based Abstract Journals
"A synthesis or systematic review is a comprehensive summary of all the research evidence related to a focused clinical question."
- Cochrane Library
- Cochrane Reviews (Abstracts)
- Cochrane Neonatal Reviews from the National Institute of Child Health & Human Development
“...the synopsis of a single study provides a brief, but often sufficiently detailed, summary of a high-quality study that can inform clinical practice."
- Evidence-Based Nursing (use for Jan 1998 to Dec 2009)
- ACP Journal Club
- Cancer Treatment Reviews (formerly Evidence-Based Oncology)
- Evidence-Based Healthcare and Public Health (ceased publication December 2005)
- Evidence-Based Medicine
- Evidence-Based Mental Health
- Evidence-Based Midwifery
- Evidence-Based Obstetrics & Gynecology
- Evidence-Based Oncology
- CINAHL Use the Clinical Queries limits
- Cochrane Controlled Clinical Trials Register: through Cochrane Library
- Public Health +
- Essential Evidence Plus
- MacPLUS Federated Search
- Primary Care Electronic Library
- TRIP Database (Turning Research Into Practice)
- Bandolier "Evidence based thinking about health care"
- Health and Psychosocial Instruments (HaPI)
- Introduction to Evidence-Based Medicine (Duke University Medical Center Library and Health Sciences Library, University of North Carolina at Chapel Hill)
- Netting the Evidence: : A ScHARR Introduction to Evidence Based Practice on the Internet
- Evidence Based Medicine (EBM) Toolkit (New York University School of Medicine. The Frederick L. Ehrman Medical Library)
- Nesbit guide to evidence based resources (University of Rochester, Edward G. Miner library)
- Resource Guide for Evidence-Based Practice (University of Alberta Libraries
- Web of Science (to link articles by citation)
Need some help? Contact: Laura Banfield
Health Sciences Library, HSC-2B33
Tel: (905)525-9140, ext. 20239