Week 2

EVIDENCE-BASED
NURSING RESEARCH
Dean Maria Theresa T. Soriano
EVIDENCE-BASED NURSING RESEARCH
Definition
Importance
Utilization
Intended Learning Outcomes
Define evidence-based practice
Identify and enumerate the importance of
conducting evidence-based practice
researches
Determine the purpose and usefulness of
evidence-based research to nursing profession
Evidence-based Practice
DEFINITION
the conscientious, explicit and judicious use of
current best evidence in making decisions
about the care of the individual patient.
(Sackett D, 1996)
It means integrating individual clinical expertise
with the best available external clinical
evidence from systematic research.
Model of Evidence-based Practice
Best Research Evidence
Empirical knowledge generated from the
synthesis of quality study findings to address a
practice problem.
 Clinical Expertise
 Knowledge and skills of the healthcare professional providing
care.
 Depends of his/her clinical experience, current knowledge of
the research and clinical literature and educational
preparation.
Patient Needs and Values
 NEEDS  VALUES
- Health promotion - Unique
- Illness prevention preferences

- Acute or chronic - Expectations

illness - Concerns
management - Cultural beliefs
- Rehabilitation
Presentation of EBP output
Purposes of Research in Implementing
an Evidence-Based Nursing Practice
Description
Explanation
Prediction
Control
Description
 Identifying and understanding the nature of nursing
phenomena and, sometimes, the relationships among
them (Chinn & Kramer, 2008)
 Through research, nurses are able to:
 Describe what exists in nursing practice
 Discover new information
 Promote understanding of situations
 Classify information for use in the discipline
Explanation
 Clarifies the relationships among phenomena and
identifies the reasons why certain events occur.
 Types of evidence essential for practice
 Determination of the assessment data that need to be
gathered to address a patient’s health need.
 The link of assessment data to a diagnosis.
 The link of causative risk factors or etiologies to illness,
morbidity, and mortality.
 Determination of the relationships among health risks,
health behaviors, and health status.
Prediction
 Estimate the probability of a specific outcome in a given situation.
 Through prediction the risk of illness is identified and linked to
possible screening methods to identify the illness.
 Knowledge generated from research focused on prediction is
critical for EBP and includes the following:
 Prediction of the risk for a disease in different populations
 Prediction of behaviors that promote health and prevent illness
 Prediction of the health care required based on a patient’s need
and values
Control
 The ability to write a prescription to produce the desired
results.
 Using the best research evidence, nurses could
prescribe specific interventions to meet the needs of
patients and their families (Brown, 20019; Craig, et.al.,
2007)
 Introduction
to Quantitative and Qualitative Research

 Generates different kinds of knowledge that are useful in

nursing practice.
 Similarities:
 Both require research expertise
 involve rigor in implementation
 generate scientific knowledge for nursing practice
 Quantitative Research

 Formal, objective, systematic process in which numerical

data are used to obtain information about the
world.
 Derived from logical positivism – strict rules of logic, truth, laws and
predictions.
 “Truth” is absolute
 Researcher must be objective.
 Qualitative Research

 Systematic, subjective approach used to describe life

experiences and situations and give them meaning.
 Interpretative, humanistic, and naturalistic
 Concerned in understanding the meaning of social
interactions by those involved.
 “Truth” is both complex and dynamic