NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them

Describe the steps of the evidence-based research process and the importance of using them. In the initial stages of an EBP project, where do nurses in your specialty go to locate sources of information that help them to determine whether or not a practice problem is appropriate for an evidence-based practice change proposal. Include two specific sources on information in your discussion.

Re: Topic 7 DQ 1

Identifying a clinical problem or concern is the first stage in the Evidence Based Practice (EBP) process. Sounds simple enough, however this problem or queries must be answerable. The PICOT approach is extremely beneficial for guiding the development of research questions (DeNisco & Barker, 2016). The “P” is for the target population, the “I” stands for the intervention or variable that is being studied, the “C” stands for a comparison of with and without said intervention or variable, the “O” stands for the outcome, and the “T” stands for the time it takes to attain an outcome.

The following step in EBP is research. After creating a PICOT, you should look for all existing and current evidence on your issue. There are also steps linked to research. You must have inclusion and exclusion criteria, which are frequently tied to the age of the study. You must explore relevant databases and properly evaluate the evidence types. There is a significant contrast between data from a systemic review or meta-analysis including randomized trials and evidence from observational descriptive or qualitative investigations. The AACN, according to DeNisco and Barker, has developed a new evidence leveling system that effectively evaluates the evidence (2016, p. 476). Analyzing the new evidence critically is necessary to establish whether the research is valid, of high quality, and useful to your EBP. A variety of frameworks, checklists, and grading systems are available to aid in the critical analysis and arrangement of evidence (DeNisco & Barker, 2016). There are various databases that can be used to conduct research. The GCU nursing library page provides several nursing databases that are excellent for the early phases of EBP and research (GCU Library, n.d.). Here are a few examples: CINAHL Complete is a wonderful place to start because it covers a wide range of specialties and is extremely nursing-specific. PubMed is another one with a massive database that is free to use. And the COCHRAN library is a fantastic one because it has seven different databases devoted to providing medical professionals with high-quality, independent research that can aid in care decision making.

Following the collection and critical evaluation of new evidence, one must decide whether the new evidence is strong enough to support an intervention or change in practice, or if more evidence and additional research are required. If an intervention or implementation is carried out, it must be quantifiable, and the effectiveness of those actions must be assessed. According to DeNisco and Barker, “evaluating practice and changes in practice is critical to the effective implementation of any quality improvement or evidence-based practice effort.” “Evaluation is a continuous process that must begin early and continue throughout a project” (2016, p. 522). These results can then be compared to national benchmarks; benchmarking is essentially comparing your results on a continuous basis to the industry’s “gold standard,” or the best of the best. Benchmarking is a technique for ensuring that existing practices continue to be relevant in comparison to those of other firms or competitors.

Also Read: NUR 513 Topic 7 DQ 2 What are some of the major ethical issues in conducting research that impacts the advanced registered nurse?

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them References

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Jones & Bartlett Learning.

GCU Library, (n.d.). Nursing & health sciences: Evidence-based practice. https://libguides.gcu.edu/Nursing/ebp

RESPOND  HERE (150 WORDS, 2 REFERENCES)

Hello ,

I agree with you that in the process of coming up with an EBP topic of research it is imperative for the nurse to develop a PICOT analysis that will be crucial in identifying the feasibility of the problem of research. The nurse requires adequate information about the topic of research in order to understand the greater scope of area of study and be able to build on the already existing knowledge available on a given a chosen research topic. These checks have to be made before conducting the EBP so that the research work generated has a practical application in promoting quality care among the target population (Li et al., 2019). Some of the pertinent questions considered in the PICOT include; will the target population benefit from the findings of the study? will the finding be applicable to the practice? Will the finding support an existing concept or practice or it will build a new theory? Will the finding support the existing nurse theory or will provide evidence for change of existing nurse theory? These are the key areas that the research problem in EBP should address, if not then the problem has to be re=examined and adjusted in order for it to have a clinical relevance and importance to the nurse practice (Duff et al., 2020).

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them References

Duff, J., Cullen, L., Hanrahan, K., & Steelman, V. (2020). Determinants of an evidence-based practice environment: an interpretive description. Implementation Science Communications, 1(1). https://doi.org/10.1186/s43058-020-00070-0

Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice. Medicine, 98(39), e17209. https://doi.org/10.1097/md.0000000000017209

Re: Topic 7 DQ 1

Evidence-based practice (EBP) unites research evidence with clinical expertise and encourages individualized care by including patient preferences (Stevens, 2013). A major paradigm shift in the way nurses began to think about research results, framed the context for improvement, and employed change to transform healthcare was apparent with EBP on the scene. Patient care outcomes substantially improve with the use of EBP and tested interventions.

Two nursing educators and researchers, Melnyk and Fineout-Overholt, suggest seven steps in the EBP process, all proving vital for effective implementation and integration into the clinical setting (Melnyk & Fineout-Overholt, 2011, as cited in DeNisco & Barker, 2016, p.465). In the past, it has taken years to transfer new knowledge into practice, so speed is the primary goal for EBP models (DeNisco & Barker, 2016). Many models exist and common aspects include: identifying a problem and having a spirit of inquiry, asking practice questions, reviewing the latest evidence, critically appraising the evidence, integrating personal expertise and patient preferences in and grading, and finally organizing pieces in a meaningful way.

In the initial stages of locating information, I would start searching in PubMed because it is a free database accessible from any mobile device (DeNisco & Barker, 2016). Begin with a researchable and answerable question is essential. The PICOT question formulation method is widely used for clinical problems. Searching databases such as CINAHL, The Cochrane Library, or MEDLINE would be my next approach. The CINAHL database provides access to over 3,000 nursing and allied health journals yet, a subscription is required for access.

Nurses within leadership have an unprecedented opportunity as mentioned by Stevens (2013), to step forward and transform healthcare from a systems perspective, focusing on EBP for patient safety, patient engagement, and clinical effectiveness. The “next big ideas” in EBP focus on making systems improvements and transforming healthcare. Moving beyond the individual and shifting the focus on groups, health systems, and the community is one part. Dissemination and implementation of strategies to assure effective and safe patient care are delivered rapidly is the second part. While there are benefits to the evidence gathered and applied, the true benefit goes to the patient.

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them Resources

DeNisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession. Jones & Bartlett Learning.

Stevens K. R. (2013). The impact of evidence-based practice in nursing and the next big ideas. Online Journal of Issues in Nursing, 18(2), 4.

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RESPOND HERE (150 WORDS, 2 REFERENCES)

Hello

I agree with you that the nurse leaders and nurse managers have a responsibility of driving change in the nursing practice by promoting the successful implementation of the EBP project findings into the nurse practice. However, for the EBP project to have significant relevance to the nurse practice it is imperative that all the steps required in conducting an EBP are properly adhered to. The problem of research should be a clinical or a nursing area of concern whose solution can be arrived at through carrying out a viable research project that will generate new knowledge and nurse practice or build on the already existing bulk of knowledge (Li et al., 2019). The research objective should be SMART, that is, it should be specific, and target specific area of nursing or population, measurable, achievable, relevant to the area of practice and time bound. I do also agree with you that there are a number of sites that one can use when doing research on the topic or nursing area of research to focus on. The nursing data bases such as CINAHL, EMBASE, ERIC, MEDLINE via PUBMED or via Ovid, Cochrane Library, HAPI and Nursing Reference Centre Plus. These databases contain sufficient nursing research work that one can build on when developing and EBP research question to ensure its relevance and usefulness in the nursing practice (Hopia & Heikkilä, 2019).

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them References

Hopia, H., & Heikkilä, J. (2019). Nursing research priorities based on CINAHL database: A scoping review. Nursing Open, 7(2). https://doi.org/10.1002/nop2.428

Li, S., Cao, M., & Zhu, X. (2019). Evidence-based practice. Medicine, 98(39), e17209. https://doi.org/10.1097/md.0000000000017209

Re: Topic 7 DQ 1

The steps of the evidence-based research process include asking a clinical guided question, searching for appropriate evidence, analyzing the evidence, integrating the evidence into clinical practice, evaluating outcomes, and distributing the outcomes (University of Saint Mary, 2019). The evidence-based research process steps are systematic.

The first step of the process involves asking clinical guided questions. Based on the identified clinical problems found, the researcher forms what is called a PICOT statement (DeNisco & Barker, 2016). PICOT is an acronym where P- means patient or population problem, I- means intervention, C- means comparison, O- means Outcome, and T- means time frame (DeNisco & Barker, 2016). The second step allows researchers to search for evidence to determine whether a practice problem is appropriate for an evidence[1]based practice change proposal by using scholarly library databases, such as Cochrane Library, and PubMed. In the third step, the evidence is analyzed by completing a thorough investigation of the collected evidence before coming to conclusion. The fourth step is based on the conclusion of the investigation where the researcher will decide if the evidence can then be applied to clinical practice (DeNisco & Barker, 2016). The fifth step is when the researcher evaluates the outcome to see if the expected results was achieved or not. In the sixth step which is the final step of the evidence-based research process the evidence is made availability for distribution and use in the healthcare industry (University of Saint Mary, 2019).

It is important to incorporate all the steps of the evidence-based research project to produce an effective result for quality improvement in the healthcare industries by meeting individual patient’s needs (DeNisco & Barker, 2016).

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them References

DeNisco, S. M., & Barker, A. M. (2016). (3rd ed.). Advanced practice nursing: Essential knowledge for the profession. Burlington, MA: Jones & Bartlett Learning

University of Saint Mary. (2019). 6 steps of the evidence-based practice process. Retrieved from https://online.stmary.edu/msn/resources/evidence-based-practi*ce-for-the-busy-nurse-practitioner.

RESPOND HERE

Hello,

I agree with you that in order to carry out an effective EBP it is imperative to carry out all the six necessary steps so that the entire process is complete and meets the required standards of clinical research process. This is the key to transforming the nursing practices into more efficient, effective and safe for the patients (Stevens, 2020). The EBP in nursing is crucial in developing new ideas or practices or improve on already existing knowledge. As a nursing student, I do believe the EBP is an essential and crucial part in the nursing curriculum that will equip me with adequate skills and knowledge on how best to improve on my nurse practice and experiences. The steps in formulating an evidence-based practice helps the nurse student appreciate and realize the need to incorporate all the steps in their EBP project. Each step is crucial and cannot be by passed. It is well conducted EBP research projects that has helped in the improvement of the quality of nurse care and promoted better patient outcomes (Lehane et al., 2018).

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them References

Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., O’Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O’Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2018). Evidence-based practice education for healthcare professions: an expert view. BMJ Evidence-Based Medicine, 24(3), 103–108. https://doi.org/10.1136/bmjebm-2018-111019

Stevens, K. (2020). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. Nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html

Evidence-Based Practice Proposal: Health Informatics – Medication Error 

Evidence-based practice (EBP) is the careful and well-advised application of contemporary best evidence in concurrence with clinical knowledge and patient ethics. One of the examples of EBP is the piloting of health care determinations through the use of health informatics in mitigating medication errors. The evidence-based practice procedures have five cardinal stairs: Constructing the clinical question, where the nurse constructs applicable and an accountable clinical question based on the patient’s manifestation (Escoffery et al., 2019).  Similarly, at the second step of probing for the best available and accessible evidence, the nurse chooses helpful resources and performs a search. At stage three, an astute analysis of evidence to ascertain rationality and practicality are done to determine the validity and the practicality of the research. In addition, the fourth stage involves the amalgamation of the appraisal with personal clinical knowledge and the patient’s predisposition to make a decision to mitigate a patient’s case. Further, the last step of assessing the process to improve it (Iowa Model Collaborative et al., 2017).

The Importance of Using the Steps of Evidence-Based Practice

The application of evidence-based practice makes certain clinical practices based on solid evidence and patients have satisfaction. In addition, using evidence-based practice translates into more harmonious clinical suggestions and practice over the health system. Besides, the evidence-based practice also recognizes that patient ethics, choices, and situations are taken into account to increase the probability of good services results and not harm. (Fisher & Bloomfield, 2019). In the initial stages of an EBP project, nurses in the specialty of health informatics locate sources of information from online patient portals and electronic medical records (Fisher & Bloomfield, 2019). Examples of specific sources of information include American Health Information Management Association (AHIMA) and American Nurses Association portal, among others.

NUR 513 Topic 7 DQ 1 Describe the steps of the evidence-based research process and the importance of using them References

Escoffery, C., Lebow-Skelley, E., Udelson, H., Böing, E. A., Wood, R., Fernandez, M. E., & Mullen, P. D. (2019). A scoping study of frameworks for adapting public health evidence-based interventions. Translational behavioral medicine, 9(1), 1-10. https://doi.org/10.1093/tbm/ibx067

Fisher, M. J., & Bloomfield, J. (2019, May). Understanding the research process. Journal of the Australasian Rehabilitation Nurses Association, 32 (2). https://search.informit.org/doi/10.3316/informit.500673642524420

Iowa Model Collaborative, Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., … & Authored on behalf of the Iowa Model Collaborative. (2017). Iowa model of evidence‐based practice: Revisions and validation. Worldviews on Evidence‐Based Nursing, 14(3), 175-182. https://doi.org/10.1111/wvn.12223

In my opinion, Christian values help to guide and strengthen your moral and ethical decision-making skills. Christianity teaches us to love and care for one another and provide to the needy. I love the Bible verse that you have provided, and I believe this verse should serve as a daily reminder to us. In short, this verse resembles the popular phrase “what would Jesus do?” Jesus paved the way for us, and we must follow the footsteps that He took. In my previous role as a charge nurse in the emergency department, I followed the footsteps of Jesus by loving everyone, even thy enemy. Working in the ED, you see many terrible things, and you often must treat the individuals who were responsible for these horrific events. Jesus teaches us to love our enemies, and although it can be difficult to provide care to these individuals, it is what He wants us to do. My current role as a nursing supervisor and my future role as a nurse educator are both specialties that require me to oversee others. In these roles, it can be easy to let the “power” go to you head. Jesus teaches us to be humble at all times and to deny thyself. We must not let our leadership roles lead to arrogance, and we must not allow our increased wages turn to greed. Jesus has set examples for us to follow through all phases of life.

Describe the steps of the evidence-based research process and the importance of using them. In the initial stages of an EBP project, where do nurses in your specialty go to locate sources of information that help them to determine whether or not a practice problem is appropriate for an evidence-based practice change proposal. Include two specific sources on information in your discussion. 

The steps of the evidence-based research process are carefully sought out and should be followed in the proper order for success. I noticed through my research for this discussion question that there is a range of steps towards the evidence-based research process. The steps that I am going to go through are from the American Journal of nursing. The steps are asking a clinical question in PICOT format, searching for the best evidence, critically appraising the evidence, integrating the evidence, evaluation the outcome, disseminate the results (Melnyk et al., 2010). It is important to use these steps as they create consistency in research. Research studies show that evidence-based practice (EBP) leads to higher quality care, improved patient outcomes, reduced costs, and greater nurse satisfaction than traditional approaches to care (Melnyk et al., 2010). 

There are many places to locate sources of information to help determine whether or not a practice problem is appropriate for evidence-based practice change proposals. Within this course we have learned about two sources good to find this information and that is the CINAHL complete and Cochrane Library. CINAHL Complete has a lot of research specific to nursing. The Cochrane Library multiple databases that serve healthcare professionals to help them make effective decisions. The Cochrane Library states that it provides readable, digestible, clinically focused research designed to make informed point-of-care decision-making (n.d.). You can’t go wrong with using either of these sources. 

References 

About the Cochrane Library | Cochrane Library. (n.d.). Retrieved September 17, 2022, from https://www.cochranelibrary.com/about/about-cochrane-library 

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010, January). Evidence-Based Practice: Step by Step: The Seven Steps of Evidence-Based Practice. AJN, American Journal of Nursing, 110(1), 51–53. https://doi.org/10.1097/01.naj.0000366056.06605.d2 

REPLY 

I agree with you that evidence-based research process is detailed process. Therefore, researchers engaging in evidence-based practice adhere to all steps of the evidence-based research routine. Ignoring any of the steps create room for inaccurate research findings. The outcome that can also compromise the credibility of EBP (Torous et al., 2018). Healthcare providers use clinical question in PICOT format in the evidence-based research process. Unfortunately, other healthcare providers struggle to obtain factual information. Insufficient statistical knowledge among nurses may disadvantage them in using EBP. Unfortunately, some healthcare professionals rely on their colleagues in EBP. Similarly, nurses may ignore some steps of the evidence-based research process due to lack of information (Oliver et al., 2019). Reliable sources of information is necessary in implementing evidence-based practice. Healthcare professionals access various sources of information. However, some sources may contain inaccurate information. CINAHL complete and Cochrane Library are reliable sources of information. Depending on the nature of the research, researchers may locate right sources of information.  

References 

Oliver, K., Kothari, A., & Mays, N. (2019). The dark side of coproduction: do the costs outweigh the benefits for health research?. Health research policy and systems, 17(1), 1-10. 

Torous, J., Nicholas, J., Larsen, M. E., Firth, J., & Christensen, H. (2018). Clinical review of user engagement with mental health smartphone apps: evidence, theory and improvements. Evidence-based mental health, 21(3), 116-119. http://dx.doi.org/10.1136/eb-2018-102891 

As an advanced practice nurse, we must strive to improve ourselves and the nursing profession. We must be open-minded to our patients and our profession. When a problem arises, we should work hard to find a solution and better improve the profession of nursing. Evidence based practice is essential for quality care and quality improvement. 

There are five key steps of evidence-based practice which include identifying a question, researching information utilizing relevant research, evaluating the evidence, applying the evidence into practice, and reevaluating implemented evidence and make changes if necessary (DeNisco & Barker, 2019). 

The first step of evidence-based practice is identifying a question. In our profession we may ask ourselves “is this the best way to do this” or “how can we make this better.” When we begin to ask ourselves questions and have passion this is the beginning of improving our profession. Evidence-based practice projects begin by utilizing the PICOT method. PICOT stands for population, intervention, comparison, outcome, and time (DeNisco & Barker, 2019). Identifying theses essential questions will assist the advanced practice nurse to having effective and successful evidence-based practice projects. My hospital is a magnet hospital that has many resources to assist in evidence-based practice projects. Our magnet coordinator is available to assist in providing feedback at the very beginning of identifying a question and problem and will assist in the success of our projects. 

The second and third step of evidence-based practice is researching information and evaluating then evidence. The internet has improved these vital next steps, but with so much information and data it is sometimes hard to find relevant and correct information. There are many databases to assist in finding evidence and two that I utilize is PubMed and CINAHL Complete. CINAHL complete provides evidence-based practice journals and research, and PubMed provides access to abstracts and reviews in nursing (DeNisco & Barker, 2019). Utilizing a library such as the one thru Grand Canyon University is highly effective in researching information. It is important to be able to assess the quality of evidence and research. There are many distinct types of evidence and the skill of assessing the quality of evidence takes time. Personally, I am still working on this skill, and am glad to have the opportunity to go back to school and improve my skill so I can improve the profession of nursing. 

The fourth step of applying the evidence is practice is where you will be able to trial your solution to an identified problem. Normally the new practice merges with your current practice. In my hospital we have nursing guidelines that are followed and sometimes improvements are found and can be made. Identifying a problem and implementing a solution takes time and education to everyone involved. This leads to the fifth and last step of reevaluating and making changes if necessary. It is important through all the process to be open-minded and work hard to reach your goal. Sometimes, this means making changes to your plan or solution, and this does not mean failure but is an opportunity for growth and improvement. 

References: 

DeNisco, S. M., & Barker, A. M. (Eds.). (2019). Advanced practice nursing: Essential knowledge for the profession (4th ed.). Jones & Bartlett Learning. ISBN-13: 9781284176124 

RESPOND HERE 

I agree with you that advanced practice nurses have the responsibility of improving themselves. At the same time, these healthcare experts are expected to have a significant impact to their nursing professions. Healthcare professionals interact with different people and organization in their line of duty (Rosen et al., 2019). Open-minded advanced practice nurses benefit from these engagements and interactions. Healthcare providers can better themselves when interacting with people either within or outside their profession. Therefore, nurses should be willing to learn from their patients among other stakeholders. Evidence based practice is essential for quality care and quality improvement (Hsieh et al., 2019). Advanced practice nurses are competent to integrate evidence-based practice in their routine. However, the implementation of EBP is a detailed process with various key steps. The major steps include identifying a question, researching information utilizing relevant research, evaluating the evidence, applying the evidence into practice, and reevaluating implemented evidence and make changes if necessary. Every step of EBP is important in maintaining quality healthcare services.  

References 

Hsieh, C. Y., Su, C. C., Shao, S. C., Sung, S. F., Lin, S. J., Yang, Y. H. K., & Lai, E. C. C. (2019). Taiwan’s national health insurance research database: past and future. Clinical epidemiology, 11, 349. doi: 10.2147/CLEP.S196293 

Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433. https://doi.org/10.1037/amp0000298 

Week 7 DQ 1 

The process of Evidence based research has six steps which include asking a guided clinical question, searching for suitable evidence, analysis of the searched evidence, integrating the evidence into clinical practice, evaluation of outcomes, and sharing information about the outcomes. The process is systematic and no step should be skipped because it can result in outcomes that may be invalid. 

The initial step involves asking a guided question and this can be answered using the PICOT statement. The PICOT is an acronym for P patient or Population, I intervention, C comparison, O outcome, T time frame. The PICOT Statement helps in the formulation of an effective search strategy that can help in answering the clinical question (McClinton, 2022). The second step would involve searching of suitable research to and using scholarly library databases such as CINAHL and PubMed is recommended because they have resources that meet scientific research standards. The third step involves analyzing the evidence where it is thoroughly investigated before coming to conclusions. The fourth step is based on the third step where the conclusion of the third step determine if the evidence is applicable in clinical practice. The fifth step involves evaluation of outcomes to determine the effectiveness of the evidence and whether project outcomes were achieved. The final process is distribution of evidence and here the researchers share the findings from the research that they conducted, this can be in form of healthcare publications. 

Nurses have an unprecedented role of stepping up and transforming healthcare systems by focusing on EBP to improve patient safety and the quality of care services. Incorporating all the steps of EBP is important because it ensures that and effective result that can lead to quality improvement is produced (Drisko & Grady, 2019). It also helps healthcare providers in meeting all the individual patient needs. 

References 

Drisko, J. W., & Grady, M. D. (2019). The steps of evidence-based practice in Clinical Practice: An overview. Essential Clinical Social Work Series, 39–68. https://doi.org/10.1007/978-3-030-15224-6_3 

McClinton, T. D. (2022). A guided search: Formulating a picot from assigned areas of inquiry. Worldviews on Evidence-Based Nursing. https://doi.org/10.1111/wvn.12598 

RESPOND HERE 

it is true that the process of evidence based research has six steps. The six steps include asking a guided clinical question, searching for suitable evidence, analysis of the searched evidence, integrating the evidence into clinical practice, evaluation of outcomes, and sharing information about the outcomes (Shelton et al., 2018). Every step is important in improving the quality of healthcare services. Therefore, healthcare providers incorporate every step of evidence-based research. PICOT statement creates a foundation of asking questions that initiate the research process. The PICOT is an acronym for P patient or Population, I intervention, C comparison, O outcome, T time frame. Evidence-based research aims at addressing particular healthcare issues. As a result, healthcare professionals rely on credible sources of information when researching (Wiltsey Stirman et al., 2019). However, getting credible sources of information may be challenging due to the mixed up. CINAHL and PubMed is recommended because they have resources that meet scientific research standards. Incorporating all the steps of EBP is important because it ensures that and effective result that can lead to quality improvement is produced.  

References 

Shelton, R. C., Cooper, B. R., & Stirman, S. W. (2018). The sustainability of evidence-based interventions and practices in public health and health care. Annual review of public health.  https://doi.org/10.1146/annurev-publhealth-040617-014731 

Wiltsey Stirman, S., Baumann, A. A., & Miller, C. J. (2019). The FRAME: an expanded framework for reporting adaptations and modifications to evidence-based interventions. Implementation Science, 14(1), 1-10.