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Implementing Evidence-Based Nursing Practice: An Overview

75 Chapter 5 Implementing Evidence-Based Nursing Practice: An OverviewGettinG StartedTo start, let us review the definition and description of Evidence-Based nurs-ing practice presented in Chapter 1. Evidence-Based practice (EBP) definitions are varied, but all include evidence from three broad areas: empirical studies, other forms of published evidence ( , review articles, clinical pathways, pro-tocols), available clinical expertise and resources, and patient preferences/nuisances. Melnyk and Fineout-Overholt (2005) define EBP as a problem- solving approach using current best evidence to answer a clinical question in-corporating one s own clinical expertise and patient values and preferences.

The evidence-based practice model that most mirrors this author’s pro-posed guidelines for doing evidence-based nursing practice is the Evidence-Based Practice Model for Staff Nurses (Reavey & Tavernier, 2008). In this model, the authors integrated conceptual underpinnings from the Iowa model,

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