Evidence based

practice
Presented by :
Anisa AbdulWahab
Basmah Mohammed
Dana
Huda Al - Shehhi
Naemo Mohammed
Objectives :
vIntroduction
vDefinition of evidence-based
practice
vThe importance of evidence-based
practice
vAvailable resources
vImplementation in the Clinical
practice
vBarriers to Implementation
vSummary
 Evidence - Based Practice
vResearch utilization / innovation diffusion
process begins with a new idea or
empirically based innovation that is
scrutinized for adoption in the practice
setting .
v
vEvidence based practice by contrast
begins with a search for information
about how best to solve specific practice
problems . The emphasis is on identifying
the best available research evidence and
integrating it with clinical expertise ,
patient input , and existing resources .

( Polit & Beck , 2003 )

 Evidence based practice is one useful
approach to improve the impact of practice
in medicine, psychology, social work,
nursing and allied fields.

 The aim of EBP from its’ early days in the

form of evidence based medicine was to
provide the appropriate means for making
effective clinical decisions, for avoiding
habitual practice and for enhancing
clinical performance 
Definition of EBP
‘The conscientious, explicit, and judicious use of
current best evidence in making decisions about the
care of individual patients.’(Sackett, D. L., Rosenberg, W. M., Gray, J.
A., Haynes, R. B., & Richardson, W. S. (1996).

"Evidence-based practice (EBP) is an approach to

health care where in health professionals use the best
evidence possible, the most appropriate information
available, to make clinical decisions for individual
patients. EBP values, enhances and builds on clinical
expertise, knowledge of disease mechanisms, and
pathophysiology. (McKibbon KA (1998).
 Evidence-based practice is the integration
of:

 clinical expertise
with the best available external evidence from
systematic research and
P Patients’ preferences and goals
(Sackett, D. L., Straus, S. E., Richardson, W. S., Rosenberg, W., & Haynes, R. B. (2000).
Why is EBP important?

Ø Main aim is to improve client outcomes

Ø Clients expect it
Ø Improves clinician’s knowledge
Ø Communicates a profession’s research base
Ø Stimulates clinically relevant research
ØAccountability
 EBP: The Process

1. Identify the information need

& form a clinical question
2. Find the evidence
3. Appraise the evidence
4. Integrate the evidence in
clinical decision making
5. Evaluate the process

Evidence-Based Medicine. A new approach to teaching the practice of medicine.Evidence-based

Medicine Working Group. JAMA. 1992;268:2420-2425 .

Barriers to Implementation EBP

üLack of Knowledge & Skills for EBP

üLack of Knowledge Fit to Agency Practice
üSuspicion of Researchers & EBP
üLimited Resource for Doing EBP
Summary

üEBP is a process for making informed

clinical decisions
üEBP is about USING research - not doing it
üEBP involves clinical reasoning to
integrate:
üclinical experience
üclients’ preferences
üq highest quality evidence available (both
quantitative and qualitative)
References
http://sophia.smith.edu/~jdrisko/evidence_based_practi
ce.htm
http://en.wikipedia.org/wiki/Evidence-
based_practice
http://www.shef.ac.uk/scharr/ir/def.html