Students should be able to:
1) Describe the basic concepts of Evidence Based Practice and the steps it involves;
2)Building a focalized and researchable clinical question after an emerging practice problem;
3) Define a strategy to make an efficient literature review, using primary or secondary sources;
4) Critically evaluate nursing research as well as other areas of knowledge;
5) Summarize the relevant results, taking into account the applicability of the obtained results.
Competences
This course contributes with knowledge and skills for the development of general competences expected of graduates in Nursing from the University of the Azores (Cf. https://cutt.ly/ag7ifqt ) with regard to: Instrumental Competences - 1, 6, 9 & 10; Systemic Competences - 21; Competências do Enfermeiro de Cuidados Gerais / Ordem dos Enfermeiros – B1 (20,21,23,24,25); C1 (86).
The development of Nursing as a discipline and profession is directly associated with the development of scientific knowledge within its area of interest. Nursing practice, along with other health professions, must be based on solid and scientific knowledge produced within the scope of its disciplinary area. This scientific foundation is the cornerstone of clinical decision-making. However, the nature of nursing practice does not depend only on the direct transfer of scientific knowledge to clinical practice, but also with the adequate integration with other dimensions such as clinical experience, client preferences or / and organizational culture. It is in this interaction, scientific knowledge and knowledge generated in clinical practice, that the concepts and foundations of evidence-based practice emerge as the guarantor of a sound and relevant nursing intervention, based on credible research results and simultaneously considering individual contexts, beliefs and the person's values, as well as the nurses' experience. It is based on these principles that the course of "Evidence-Based Nursing" is developed in the Nursing the School of Health of the University of the Azores. This course aims to initiate students in the development of professional skills for the decision-making process and clinical practice based on the articulation between the scientific knowledge of the phenomena and the knowledge that comes from the contexts of clinical practice and the clients for whom it is intended.
Learning outcomes
Students should be able to:
1) Describe the basic concepts of Evidence Based Practice and the steps it involves;
2)Building a focalized and researchable clinical question after an emerging practice problem;
3) Define a strategy to make an efficient literature review, using primary or secondary sources;
4) Critically evaluate nursing research as well as other areas of knowledge;
5) Summarize the relevant results, taking into account the applicability of the obtained results.
Syllabus
1. Evidence Based Practice (EBP): from concept to practice
1.1. Evidence as basis for nursing clinical practice
1.2. Types of studies and levels of evidence
1.3. The different sources of evidence
1.4. “Evidence Ethics” in the process of clinical decision making
2. Building clinical questions
2.1. Identifying problems emerging from clinical practice
2.2. Rules to structuring researchable clinical questions
2.3. Using PICO model to build clinical questions
3. Accessing available evidence
3.1. Types of revision of literature
3.2. Development of a literature revision strategy
3.3. Basic skills to tracing evidence
3.4. Available resources
4. Critical assessment of literature
5. Synthetizing evidence
6. Integrating evidence in nursing care giving
6.1. Setting an action plan
6.2. Barriers to generalization of results
6.3. Promoting environments that are nursing practice friendly, based on evidence
In this course, besides the theoretical hours to explore the fundamental concepts related to the development and promotion of an evidence-based nursing practice, practical approaches will be used allowing students to: (i) identify emerging clinic problems; ii) formulate searchable clinical questions; iii) define research strategies in databases relevant to the nursing profession and discipline; iv) discuss the quality and applicability of the results they are able to synthesize.
Teaching methodologies
Debating articles related with the contents of the subject.
Organizing debates to present different perspectives related to using Evidence in Clinical Practice.
Planning research strategies to acces published data and using Scientific Data Bases.
Developing group works related with the contents of this subject.
Synthetizing the results of the research and presenting them within the classes.
Integrating seminars with the active participation of the students.
Autonomous work directed towards the development of activities to demonstrate students’ skills, regarding the objectives of this subject.
Bettany-Saltikov, J. (2012). How to do a systematic literature review in nursing: a step-by-step guide. Berkshire: McGraw Hill.
Dang, D., R., Dearholt, S., Bisset, K., Ascenzi, J., & Whalen, M. (2022). Johns Hopkins Nursing Evidence-Based Practice for Nurses and Healthcare professionals. Model and Guidelines. 4th Ed., Indianapolis: Sigma Theta Tau.
Godshall, M., (2016). Fast facts for evidence-based practice in nursing. Implementing EBP in a nutshell. New York: Springer Publising Company.
Melnyk, B., & Fineout-Overholt, Ellen f. (2016). Evidence-based practice in nursing & healthcare: a guide to best practice. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.
Pearson, A., Wiechula, R., Court, A. &, Lockwood, C. [et al.] (2010). O modelo de cuidados de saúde baseados na evidência do Instituto Joanna Briggs. Revista Referência, IIª série, 12, 123-133.
Soares, H., [et al] (2013). Projeto Evidência: Investigação e formação sobre acesso a bases de dados de informação científica nos Açores. Rev Esc Enferm USP, 47(2), pp. 486-93.
The Joanna Briggs Institute (2014). Joanna Briggs Institute Reviewers’ Manual 2014 Edition. Adelaide: The Joanna Briggs Institute (dísponível em http://joannabriggs.org/assets/docs/sumari/ReviewersManual-2014.pdf.)
Websites para Consulta:
The Joanna Briggs Institute http://joannabriggs.org/
John Hopkins – Center for Evidence-based Practice
http://www.hopkinsmedicine.org/evidence-based-practice/
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